Congenital anomalies of the genitourinary system are varied and frequent. While much attention has been given to these conditions, the particular ones affecting the median raphe have gone almost unreported.
The anomalies which do occur in the median raphe are two: (1) cysts, which may have either stratified or columnar epithelial linings, and (2) ectodermal canals involving part or all of the raphe.
Especially have these conditions received scant attention in the American literature. We have been able to find only two such articles* published in this country since 1936.
Case 1.—L. M., 36-year-old white man, was seen by me, together with Dr. W. Roland Langston. His complaints were of an erythematous, extremely pruritic thickening which extended along the scrotal raphe and which measured 15 mm. in width. This was of two years' duration. There was no history of gonorrhea and no obvious infection in the lesion.
Topical medication