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Split median raphe: a cause of concern?
  1. Somesh Gupta,
  2. Bhushan Kumar
  1. Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  1. Bhushan Kumar, Department of Dermatology, Venereology and Leprology, PGIMER, Chandigarh-160 012, India kumarbhushan{at}

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Case report: cobblestone

A 23 year old married man presented to the STD clinic with a complaint of gradual splitting of median raphe. He had had a slight split in the median raphe of the prepuce since childhood. However, during the past 5–6 years, the splitting had started in other parts of raphe covering the penis and scrotum. It was asymptomatic and patient was leading a normal sexual and reproductive life. He was father of two normal children (one male and one female). His wife had no symptoms.

The patient was anxious about this development and had a fear of penile split. Examination revealed median raphe on the …

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