Bringing attention to a misunderstood, deeply painful injury
Contact: coryzuber@gmail.com
A urologist or surgeon with an understanding of the fascia around the penis, scrotum, and lower pelvic area between the legs— one who has the time and capacity to undertake an investigative surgery to gain clarity on the current status of the fascia connections and geometry. Ideally, this would be done with the intent to surgically address and remedy the injuries discovered.
I have discovered a major disconnect in medical care for male pelvic health. Urologists specialize in the function of the penis, testicles, and urinary system, but often dismiss fascia injuries or pain, even though fascia could be the source of the problem. On the other side, plastic surgeons work extensively with fascia and skin, but rarely treat cases where pain is the primary concern, even if their skills seem directly relevant.
This leaves patients in a frustrating gap as urologists overlook fascia while plastic surgeons avoid pain cases. For example, I have been told fascia cannot tear and that a scrotum lift is only justified if the scrotum literally dips into toilet water, criteria that feel arbitrary and disconnected from actual pain relief.
What is needed is a specialist who understands both male anatomy and the fascia’s role in pain. Right now it is unclear who to turn to if fascia is the main issue, even though procedures like a scrotum lift could address multiple causes of pain.
Why? This will help restore my ability to do everyday tasks without long lasting pain that results from spermatic chords constantly being brought upward and pinched between the leg and penis.
Location: The front upper face of Dartos fascia between the penis and the groin.
The spermatic chords are now hyper mobile. There is no longer the taut resistance of this fascia plane to keep the chords staying in a downward path. Sitting, bending over forward, moving legs around, and laying down on my side or stomach — all these movements cause the chords to start going upward. The images and videos help visualize this.
Solutions: Standard and aggressive scrotoplasty. Please note that this is not a typical scrotoplasty for visual appearance — this is to tension the skin in the target area enough to reduce the motion of the spermatic chords.
Modified scrotoplasty to directly address the left and right sides resulting in two upward angled scars. This would be visually less appealing; however, I believe it could be a better solution mechanically even if it leaves more scarring. Again, I can’t stress this enough: it’s about protecting the spermatic chords, not about looks.
Depending on the solution decided upon for Priority #1, we will then need to choose how to solve Priority #2.
Imagine a trampoline missing enough springs that the canvas is now pulled more in one direction than is normal — so much so that your nerves interpret this as a constant sting unless pulled back into position.
The two ways of pulling the skin back into position would be temporarily by hand (I can’t keep this up forever) or a surgery as stated in Priority #1. Depending on the surgery, it will likely reduce the pain or remove it entirely.
If pain persists, I would choose to go with a temporary nerve block of the region.
Walking feels like this section is constantly in some sandpaper — a shearing, abrasive feel. This is potentially a result of having much more lax skin generated quickly from the injury.
The surgery for Priority #1 could help remedy this by pulling the skin back up, but it may not. I just want it to be known that this pain keeps me from walking long distances, and the irritation is a constant unless I walk bow-legged with my feet wide out and toes pointed in.
A key goal in addressing this issue would be to thoroughly understand the condition of the superficial perineal fascia and deep perineal fascia in this region. Evaluating their integrity, elasticity, and relationship to surrounding tissue could help determine whether the irritation is being driven by fascial laxity, adhesions, or abnormal tissue mobility. This knowledge would guide both surgical and non-surgical strategies to restore comfort, stability, and normal function during walking.
A less important question but still relevant: I believe there is a good chance this was torn from the top and may be partially contributing to this unstable side-to-side freedom of the testicles, but it is the lowest priority.
An unintentional pulling of the shaft of the penis upward with a strong force occurred at the same time as pulling the scrotum down back between the legs. These two forces were directly opposing. Imagine pulling the thumb and index fingers of a lab glove taut, and then—with an intentional extra tug—pulling the fingers apart, causing a tear between the two. I believe this is a good analogy that depicts what occurred: pulling the skin of the penis in one direction and the scrotum backward, causing loading of the fascia to its maximal tensile resistance and then beyond, resulting in a tear at the fascia level. I believe this location is named the dartos fascia, specifically the section that shields the spermatic cords from the front. I also believe I tore the central wall dividing the two testicles. I am unsure of the specific failure mode, line, or nature of the tearing. For example, it could have been separated from the layer of fascia up against the penis that it ties into, or it could have caused that upper section to split in half. The extended period without a proper diagnosis or intervention has allowed the injury to worsen, with ongoing movement and daily mechanics likely exacerbating the original fascial damage.
Despite seeing several urologists, I have not been able to receive a proper evaluation. The internal mechanics of this pain—deep fascia damage affecting adjacent thigh and pelvic structures—have been dismissed without imaging or in-depth investigation. A systemic gap in specialist understanding has left me in pain without answers.
This injury has made sitting, walking, or even lying down excruciating. My social connections, intimacy, and emotional wellbeing have all suffered. The psychological toll has been profound. This site is not a joke—it’s my desperate and sincere effort to document, share, and eventually get help for a case that deserves medical attention and research.
If you are a fascia specialist, surgeon, or medical professional willing to take on a unique investigative case—or if you’ve had a similar experience and want to share your recovery story—please reach out. Every lead matters. Contact: coryzuber@gmail.com
Email MeThe physical injury to my penis and testicles has had severe mental health effects. I’ve avoided women and making friends because I feel—who would want to be in a relationship if it hurts to be touched? I often feel inadequate for a woman and have, at times, lost the will to live. There’s a persistent sense of worthlessness, especially when I see an attractive woman—on a screen or in person—which sometimes makes me want to leave the room and cry. Any presentation of women, sex, or relationships reminds me of what I feel I can no longer be part of or contribute to. Even when alone, I’m haunted by the thought of what I’m missing out on and desperately want but feel I may never have again. Touching my penis, even by myself, is now done with caution, and I feel nervous at the thought of ever letting a woman touch it. I’m really trying to find a solution—perhaps through a case study where the internal damage could be investigated.
Pain is constant and fluctuates. The pain comes from seemingly three modes:
2. Catches while walking and moving legs.
3. Laying down sideways is painful due to the new allowable distance the testicles can move.
4. Sitting with good posture is most uncomfortable because it puts the most stress on the perineum.
Area of injury and failure modes should be analyzed as a composites issue.
Potential failure modes: Fascia tearing, delamination of skin/fatty tissue and fascia.
Lateral (side-to-side) stability/rigidity has drastically reduced. If I were to lay sideways with an erection, previously it would be able to resist some amount of load. Now it has no ability to resist load in this direction. This availability to move further has caused even more tearing.
I would estimate that the fascia is used to taut unilateral (in all directions) stress/stretch, like a trampoline pulled in all directions. Once a tear occurs, it’s very likely to continue down that line based on the loading and inability to resist movement.
Understanding the tie-in points where the scrotal tissue connects with the affected region's fascia is key. For example, it is likely the center wall of the scrotum or anything connected directly to the fascia of the shaft was affected.
A comparison study would be helpful, and I might generate one purely from found-only images. However, a more in-depth and in-person study would help demonstrate the hypermobility of the penis and skin and fatty tissue, as well as the lack of support of the testicles as there is no upward force from the scrotum. (A free-body diagram of forces would be useful.)
Any movement exacerbates the pain and propagation of the injury. Therefore, any motion of the legs—I am extremely demotivated to do things like walk, run, swim, stretch. In general, the constant pain has me feeling tense and constricted. My body tells me, "Don't move. You are injured and should heal before you start moving." I feel FROZEN, constricted, incentivized to stay still if I want to feel comfortable.
There are many modes of solutions that could be used to fix or relieve some of the pain and injury. A typical scrotum lift (removing the front excess webbing for visual reasons) would help only in reducing the available motion of the testicles and would help protect the spermatic cords from frontward pressure, which would absolutely be a "WIN"—but would not solve the root cause and I would still be in constant pain from the deeper issues. To achieve success from a standard scrotum lift, a much larger amount of skin would be removed than would be in a normal or cosmetic procedure.