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Bringing attention to a misunderstood, deeply painful injury

Contact: coryzuber@gmail.com

01-10-2026 Todays thoughts

Core Desire

Truthfully, I want to be able to have sex without pain. I want to feel that I can have sex at any moment, in any position, without fear of consequences afterward.

Current Physical Limitations

Right now, there are certain positions that clearly and severely affect the spermatic cords. The impact is not subtle, and the resulting pain reinforces the sense that the underlying support systems are compromised.

Gaps in Urological Understanding

I feel strongly that the urological community does NOT yet understand the intricacies of the topology and dynamic behavior of the fascia at the penis–scrotum boundary. This region is treated as simple or secondary, when in reality it plays a critical mechanical and protective role.

Vulnerability of the Penis–Scrotum Boundary

The penis–scrotum boundary is likely one of the only places on the body that is uniquely susceptible to a traction injury. The geometry of this region, its ability to grip and pull, and the leverage created by the shaft can combine to load an extreme amount of stress into a very specific area of skin and fascia.

This can lead to over-stretching and eventual failure of the tissue. Once this failure occurs, it does not self-repair. Instead, it propagates, creating a condition that realistically requires surgical intervention to restore proper function and tension.

Cascading Injuries

An injury in this region does not exist in isolation. It can cascade into a multitude of secondary injuries throughout the pelvic floor. Many of these follow-up injuries go unnoticed, are poorly understood, or are never properly diagnosed by today’s urologists.

This leaves the patient in a state of confusion and hopelessness—aware that something is fundamentally wrong, yet repeatedly told that nothing meaningful can be found.

Hope for Research

I hope that serious studies can be conducted to better understand the properties, failure modes, and utility of fascia in this region. Without this understanding, patients like me remain trapped between lived physical reality and a medical system that lacks the language and models to explain it.

12-20-2025 Todays thoughts

Current Gap in Medical Understanding

The urology community and general medical community do NOT have a meaningful understanding of the absolute importance of all the fascia systems in the scrotum and penis region. They do NOT understand the importance of relative and absolute tension in this area and how a change in tension (laxity of skin), which can actually be an absence of fascia, can drastically affect the comfort in the region, the protection of the spermatic cords, and the stability of the shaft while erect. The constant over-stimulation of the nerves in the region when the fascia is compromised is not well understood. I hope to educate the industry on these oversights.

Unique Anatomical Considerations

The genital system is the only external system on the body that is comprised only of soft tissue (without bone or cartilage). As such, it relies entirely on the topology and strength of the superficial and deep fascia for comfort and function.

Clinical Experience and Professional Gaps

Having seen 4 urologists, I can say in general they do not have the knowledge or training to diagnose an internal separation of any of these systems. Nor do they have the sense to detect a tear or lack of fascia during examination, THOUGH it is well within their capacity and must be taught. They must learn that this is a rare but possible issue. It is likely the only place on the body that such an injury can occur, and likely why it is not well understood or taught.

The only thing I could imagine comparing the injury to would be something like an excessive tugging of an ear and having those internal systems be torn and compromised, and from the outside not being easily detected as the skin still has some ability to withstand force.

Personal Impact

I have been hyper-fixated on understanding and solving this issue as it has affected me non-stop for nearly 2 years.

Lastly, I would like to state how this has completely stopped my sexual life or the capacity to have a woman on top of me. The change in function of the penis and scrotum is so noticeable and painful that normal sex leads to pain for weeks in the spermatic cords. This is ENTIRELY to do with the relative and absolute spring (retention/restoring) force being provided by the superficial fascia. A light touch of the hand is uncomfortable; the weight of a human during sex is devastating.

Proposed Research Focus

The study I would like to conduct is that of the topology and strength of the frontal genital region and the impact on the spermatic cords and nerves.

The main issue is that (in my case) the region that lacks tension rises well above the centerline of the shaft. Specifically, the channel/path that the spermatic cords take is completely compromised from all the way above the top portion of the shaft of the penis and upward toward the groin and lower abdomen.

Fascia Failure Modes

One less testable but still extremely important thing to understand is the failure mode of the fascia in this region. In my case, I believe multiple regions experience damage and with multiple failure modes:

Current Treatment Limitations

Current guidance on how to solve this issue is currently misled as they are missing the understanding of these fascia systems (essentially acting as if it was nerve pain alone), which it is not, and to restore function and protection a corrective surgery is a MUST.

Visual Analogy: The Curtain Effect

One way to describe the injury in the front is to explain it like a curtain covering a window. Imagine a curtain fabric hanging from a rod and extending across the width of a window. Then imagine scissors were used to cut horizontally just below the rod from which it was supported. This would cause the fabric that was normally high and on one side to swing down and hang resting well below where it should be to effectively block the light. This is quite comparable and noticeable to my situation.

The section of skin I would normally associate with the sections to the left and right of the penis and still part of the groin. This section is typically accompanied by a certain amount of fat, pubic hair that can be easily shaved, and the area that contacts a sexual partner during intercourse—a section of padding where pressure during sex is enjoyable and not painful.

Observable Differences from Normal Anatomy

Another clear visual difference between me and others, and even those seeking a surgery like a scrotoplasty, is that when the penis undergoes traction (tugged or during erection), this section is normally noticeably taut and contributing to the restorative tension. Images of pre-operation for scrotoplasty patients show this section as such (taut and undergoing tension during a tug of the head of penis).

HOWEVER, in my case, even the most drastic of pulls on the head of the penis elicits no such recruitment from this area of the skin. In a photo you would notice that it is still lax and not contributing. This has great negative implications.

Mechanical Consequences

First, it means that only the top 15% of the skin above the penis is contributing to this tension. This should be cause for alarm as it is well understood that when the same amount of force is applied to a system where the spring force is greatly reduced, the area then undergoes a much larger amount of stretch or deformation due to the proportionally lessened spring constant.

In plain English, this means that this area of skin is stretched way past what is comfortable and is painful and even the cause of more injury for what otherwise would have been an acceptable and enjoyable amount of tension in the area. Even more simply: "sex is painful."

Psychological and Social Impact

It is from this awareness that I have stopped dating, have extremely low confidence, am thoroughly depressed, and isolate myself from women. I have gone from an outgoing [individual to someone struggling with these significant challenges].