Median raphe canals of the penis

Developmental abnormalities of the male genitalia can result in epithelial-lined canals or cysts which occur along the ventral median raphe from the glans penis to the anus. Although usually asymptomatic, secondary infection may produce swelling, tenderness and a purulent discharge. The canals are lined by stratified squamous epithelium which does not communicate with the urethra. Surgical excision is the treatment of choice.