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Avatar universal

superficial colles' fascia tear from stretching the flaccid penis. (pegym destrier)

Main Symptoms:

-retracted, hard flaccid penis. resists stretching and remains seized up unless exposed to heat for a generous amount of time
-flaccid penis feels lighter, almost weightless at times
-tightened scrotum
-reduced erection quality. harder to get erections and erections subside quickly without stimulation.
-tight, constricting feeling when erect
-slight reduction in erect length. often times slight reduction of girth.
-indentation on one side of penis, usually the left side. more pronounced when transitioning between flaccid and erect (getting a semi hard-on)
-reduced morning erections and spontaneous erections. morning erections are poor quality and can be very infrequent or never
-cold glans and scrotum
* all symptoms seem worse when in the standing position. everything seems to loosen up a bit and erections are better when sitting

Other Common Symptoms:

-reduced shaft sensitivity (penile numbness)
-penis head won't fill up during erections
-weird reaction of penis when flexing PC muscle (jerking motion rather than filling the penis with blood)
-tightness in perineum
-reduced sex drive
-difficulty urinating/ increased urge to urinate
-different feel to the skin in the genital area, softer and thinner
-reduced testicle size, joint pains, fatigue

Now let's talk about the causes of this condition. At least a few of these should sound familiar to you by now:

-stretching the flaccid penis causing a popping sensation at the base of the penis on one side, just inside the groin area (most common). This causes a frightening retraction of the penis into a small, hard and shriveled state
-injurey during sex or jelqing, can include the same popping feeling as above
-vigorous, prolonged masterbation session.
-injury to the perineum area or base of the penis

Right from the outset of my research, I have found that no one has had legitimate success with visiting a urologist. Ultrasound testing shows nothing out of the ordinary, and people are told that there is nothing wrong with them (or worse, it's in your head). I have not been to a doctor about this as I had no reason to suggest I would have any more success than the next guy (the symptoms of the condition are remarkably consistent among everyone afflicted)

How I made a mild improvement:

The overall tightness in the genital-perineum region seemed directly related to the severity of the symptoms. I found that my perineal muscles, such as the PC were chronically tense as if my body was bracing for the next trauma to the area. I focused on relaxing my pelvic floor for a night. It is tricky at first but gets easy with practice. Think of it like a reverse kegel, but don't put much force into it, just let the area kind of relax. It should feel like the entire region lowers and loosens a bit. This method will allow your penis and scrotum to hang a little lower and will improve erections a little. When sitting down, my erections feel more or less normal because the area is maximally relaxed. Problems continue when standing. This is no cure, but it helps and it did offer insight as to what the structural problem might be.

Nature of the problem:

Most of you are probably experts in male reproductive anatomy by now. I know that I have wasted countless hours trying to find anything that might hint at the cause of the problem. Let's consider the instance of injury by stretching. When stretching the flaccid penis, you are elongating several fascia. In order of deep to superficial they are the tunica albuginea, Buck's fascia, and Colle's fascia (continuous with the dartos tunic and the superficial fascia of the perineum, it is essentially one big sheet). Most people seem to think the problem is with the deeper fascia of the penis, and that there is an injury somewhere along the length of the penis. There isn't.

All of my searching has led me to conclude that the injury is to the superficial fascia of the perineum and penis, which are the same thing and can be referred to as Colles' fasica. The popping feeling many of us felt at the time of injury was this membrane tearing. The defensive retraction of the ruptured fascia is what caused and continuous to cause the constricted flaccid penis. This damaged fascia resists the tendency of the penis to loosen up when flaccid and to grow when erect. The change in appearance of the penis in the days and months following the injury is damage to the fragile tissue between colle's fascia and buck's fascia, known as areolar tissue.

Many people, including myself, complain of reduced "force" of erection, or the decreased resistance of the fully erect penis towards being pushed downwards. I think this is because of some loss of support form the fascia injury. Think of loss of tensile strength of a ripped cloth.

Why this is a more serious problem than you may think:

Besides the crappy erection quality, there are a lot of other negative things happening because of this simple injury. The fascia of the pernial region are more or less all connected to one another. The abnormal retraction of the damaged colles' fascia strains the perineal membrane (to which it is connected), resulting in many of the most common symptoms. Here is a list of what important structures pass through the perineal membrane and into the space above colles' fascia and a description of what happens to them when the membrane is constricted.

Deep arteries of the penis- restricts blood flow to the penis, causing a very small flaccid and cold penis
Dorsal arteries of the penis- same as above
Dorsal nerve of the penis- loss of sensation when in constricted flaccid state
Urethra- difficulty with starting urination

Between the perineal membrane and the superficial fascia of the perineum lies the internal pudendal vessels, which supply blood to the scrotum and the penis.

The danger for us lies in the fact that prolonged contraction of these fascia resticts blood flow to the entire gential region. There are reports of testicular shrinkage and continuous penile shrinkage. When the genital and perieal area are totally relaxed, the problem is minimized, but the majority of the time , for us, the areas are far from relaxed. Symptoms are worst after ejaculation, when there is a natural explusion of blood from the area and retraction of the penis.

The blood flow problem explains why L-arginine is beneficial for reducing symptoms. The extra NO produced from the arginine relaxes the blood vessels in the region and allows more blood to get to the penis while both flaccid and erect. L-arginine has helped me a little, but it obviously won't fix any structural problems.

What we can do:

We need to stop looking at this as a penile injury and more as a lower groin injury. We need to seek out doctors that specialize in the area and can order MRIs and ultrasounds to identify fascial tears in the perineum, not just the penis. Use descriptors like chronic pain and tightness in the entire area. My guess is the exact problem is in part of the Colles' fascia near the bulb of the penis (internal base fo the penis). Regardless, an injury anywhere to this fascia will screw up the penis, scrotum, and perineum because it covers all of these areas. There is no way, I repeat no way, any of us will recover without surgical repair of the tear. I have read about one person who has had it for 12 years. Once one of us has success with this the word can be spread. In the meantime, focus on relaxing the perineal area and take supplements like arginine, this will make it a little better for you. I firmly believe normacy can be acheived through locating the problem and surgically fixing it.



28 Responses
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Avatar universal
Hey guys any update on this ? OP ?

Is this even a real  condition ? I don't find anyone around the internet to have this issue, can anyone post a link if they found ? thanks

Updates please
Helpful - 0
1 Comments
Hey there.  It always helps us to share information or details about your situation.  We can then talk about it.  Enough people posted about it that it must be real.  Do you have something similar going on?  Start your own thread to discuss.  Will answer and look forward to hearing more
Avatar universal
Guys, there is light at the end of this tunnel.

I suffer from this and got 95% recovered by simply treating my pelvic floor dysfuction with the help of a Physical Therapist and, the MOST MOST important thing: Relaxation of my entire body (so my injury could heal)
I'm still in treatment, I recovered most of my lenght and girth -I only lost 0.4 cm in lenght and about the same in girth (but maybe I will get it back since I am not fully recovered yet)-

It was a long way, it took a lot of time, I suffered from enourmous episodes of stress, depression, bad thoughts about my existence but, it got better.

Since I am still in 95% of recovery, I often got "relapses" due to episodes of stress or intrusive thoughts.
However, be prepared to face that those "relapses" are not going to be permanent and just relax -sounds silly to say since it is quite difficult to relax during this journey, but I bet you can-

I sincerely hope you guys all the best, you CAN and WILL overcome this but do not expect healing in 1 week, it will often take months or even more.

You absolutely can cure this, do not give up.

Kind regards, you and I are currently healing.
Helpful - 0
1 Comments
Edit: I did not exactly lose any mesurements. I was wrong, everything is linked to blood flow and sometimes, since my pelvis floor tends to be hypotonic, blood flow is reduced.
Avatar universal
I have this condition, Urologists can't detect anything wrong, is OP still around? Any news?
Helpful - 0
Avatar universal
I am 21 years old, and I stretched my flaccid penis hard during masturbation. Although I did not notice any pop, I have all the same symptoms, except the fact that I am completely unable to get an erection by intention. Neither mechanically or psychologically ways of stimulation works. I only experience an erection during the nighttime or maybe in the morning.
I didn't have problems getting it up before this. I feel like this has removed a big part of my life.
Helpful - 0
Avatar universal
Sorry guys, I meant "Parasympathetic Nervous System Activation".

All the best
Helpful - 0
Avatar universal
Guys, this can be healed by Parasympathetic  System activation. Was suffering from the same injury for years and finally healed it myself. It usually takes about 7-10 minutes for your PNS to activate once the exercise is started but the more you do it, the better you get at it.
How to activate:

1. Lay down on your bed or couch
2. Start breathing deeply
3. The key to PNS activation is deep relaxation. The best way to achieve this is relaxing one body part at a time. Start with your left leg, in the calf, then move up to the thigh, then your
foot, sole of your foot, toes etc. When I say relax, I mean relax like you have never relaxed the leg before in your Life. Then relax it some more. Then move to the other leg, then your hip muscles, then perineum.
4. It is quite remarkable what happens on a molecular biology level. The more you relax, the more easier it is to relax. After about 7-10 minutes (might be quicker for some guys, might be longer) the relaxed areas will start to heat up in a pleasurable way. And the area(s) injured will start healing. Our body can't do this normally because our Sympathetic Nervous System is always activated throughout the day due to everyday activities. But once the PNS is activated properly, the SNS deactivates temporarily, initiating the healing process.

Keep practicing and doing this once a day and you will become a master at this and this horrible injury will finally heal. It only took about 2 weeks for mine to heal properly. For any further info feel free to Google Parasympathetic Nervous System activation for its benefits.

Wish you all the best guys!
Helpful - 0
Avatar universal
Similar problem.
I tried  "Zhan Zhuang". It works for me

http://www.lamkamchuen.com/lamkamchuen.com/Why_Choose_to_learn_Zhan_Zhuang_Chi_Kung.html

https://theinternalathlete.wordpress.com/2016/02/12/tai-chi-fascia-whole-body-movement/

Good luck to find a good teacher
Helpful - 0
Avatar universal
I dont know if I have this tear but reading this makes me diagnose myself with this condition. When I kegal, blood does not fill up in penis when flaccid but I dont know if this is something new for me. Also when erect it seems the head doesnt fill up as much sometimes but I can kegal blood in there and only when I get super excited does head fill with blood. It seems erections are harder to come by these days and harder to keep erect when I have one. But again dont know if this is only from self inflicted erections which dont really excite me. When having sex it seems a lot better because mentally im not into it. I dont think I have a hard flaccid penis. Not sure what that even is but I would think I would know if I did. Sometimes it feels smaller and more retracted than other days. Dont know what dr I could go to to get a real diagnosis. Any suggestions?
Helpful - 0
1 Comments
Guys, Seems like there’s a lot of knowledge on injuries in this thread. I am struggling for a diagnosis. I have been suffering with penis pain but I am still getting nocturnal erections. Not sure the EQ is what is was before the injury though. I stopped all sexual activity including day time erections about two months ago. In present state my penis is really limp when flaccid. There’s no rigidity to it. Just trying to figure out where the injury might be. Also, in erect state, I can see all veins and vessels on the shaft and I am confident they aren’t there before. My wife agrees. Also, when I urinate the prepuce balloons from the pressure and stays semi ballooned until I have fully voided. Also, the prepuce sort of bunches up at the tip giving the appearance that the penis is turtling. Questions:

If I damaged the tunica albuginea, would I still be able to get erections. Is it possible to damage the deep or buck’s fascia?

Could severe anxiety cause the penis to shrink or be limp to this extent? I can literally pinch my shaft between my index finger and thumb.

Could it be a pelvic floor issue? Contemplating physio therapy but don’t want to aggravate anything.

Thanks gents.
Avatar universal
Hey guys just want to knkw that is there even a single person who was diagnosed by a doctor with torn superficial fascia??  Because i have read all forums and threads related to this but havent found a single person who was diagnosed with it. Everyone is self diagnosed.hey Medilook!!  All these symptoms were told you by doctor or you have wrote by yourself because i am not able to find these on google or anywhere rather they are only on your thread and reading these are really depressing. I do have some like not getting enough blood to glans and flaccid penis feel numb,light and soft like nothing is there but reading these threads making it worse. I not having any urinary problems not even pain anywhere near my genital area. Just not able to get enough blood to my glan and flaccid penis symptoms is that mean i also have torn fascia or just my mind is playing with me because i am searching a lot about it on google.
Helpful - 0
Avatar universal
I went ahead and bought a laser pointer from staples yesterday,

It says on the box

max output <5mW

wavelength 650m nm +10

I don't see the matts though when you were talking about the 100 matt laser
Helpful - 0
Avatar universal
for those of you who just heard a pop and only have problems with your penis I might look into untreated penile fracture or an issue with the penile suspensory ligament
Helpful - 0
Avatar universal
Well I do plan on trying the laser pointer ( I don't think it will work because the muscles and or fascia could of healed improperly I hope I'm work though)

I don't see   how a stretching device or a penile extender could provide any relief I don't even get erect with a penis pump and even being on Cialis my erections are still not like they used to be

personally I would like to know is it even possible to do surgery on the colles fascia? How would you test for torn perineal or colles fascia?  and well of course how the hell do I get better

because sitting around waiting and going nothing did not work and neither did pelvic floor therapy

There is obviously some sort of abnormality and I believe like the OP says it is located in the perineum and or perineal region
Helpful - 0
Avatar universal
Everyone comes here gives us the bad news, is there no light at the end of this tunnel? Would be nice to hear anything positive, thanks  heatherdartmouth.

Anyone else that stumbles on this forum and have had success healing or any kind of improvement with this condition please drop us a note. I have heard some success with stretching devices. Sounds painful and probably something I could never invest 5-6 hours a day in.
Helpful - 0
Avatar universal
Do you know how long the pain lasts? I think this happened to me getting a cystoscopy but it was several months ago. I have not been at full strength since but still functioning normally until a few weeks ago when it really hit hard (no pun intended). I was waiting for my wife and noticed it was falling to the left. It's been downhill ever since. Have big dent 1/2" up shaft on Left side. Never noticed it but had noticed sharp pain in the head for months.

I have seen the urologist and he told me to rub vitamin E on it. Do i just make sure the little guy stays asleep? Every time he wakes up and makes me act frisky it hurts. On a 1-10 pain scale it's a good 7 when he's awake with wife stimulation it hurts for hours to days depending on how much of a workout he gets.

How long, if any length of a rest period would heal it enough for the pain to subside? I would like to try the pointer. Do you have to be careful, can you injure yourself? I think you said to move it around in a quarter size circle. Is that it?

Thanks

Helpful - 0
Avatar universal
Same issues here. Had an ultrasound not expecting anything conclusive.  Any updates? Lets bump and keep trying to figure out a cure!
Helpful - 0
Avatar universal
see my comment earlier re lasers. they really speed up healing of torn fascias and are non invasive
Helpful - 0
Avatar universal
have a boo at the comment i already left, some possible use for you there
Helpful - 0
Avatar universal
back pain? if you have groin pain in the diagonal crease of the hip, then check out the sacroiliac joint. but if the pain is in the genitals, then one needs to look at nasty disc conditions. or, you could have two conditions at the same time...
Helpful - 0
Avatar universal
you might consider using a laser pointer (5mWatts) which is what physiotherapists use to heal torn muscles and ligaments.  ten minutes per day on the area, moving it here and there to cover an area the size of two quarters. I cannot see any precautions to do that, so you could ask a physiotherapist how they use laser for treatment, to be official about it.  And red pointers are available at Staples. it is the exact frequency that physios use (631 nanometers as i recall) and the lower wattage is less taxing on your acupuncture points. If you upgrade to a 100 matt laser, it may heal you faster but it can cause congestion, and i have fabulous results healing torn muscles with a 5mW, so that is what I would be using. I am here trying to figure out what to do with a patient of mine.
Helpful - 0
Avatar universal
Same symptoms here, Chinese, and saw a lot of doctors, all say nothing wrong...
And this linked to my back pain, harder to lift things than before, such a suffering,
And updates?
Helpful - 0
Avatar universal
I just went to some Urologist today for the same issue. He said there's nothing that can be done + plus the fascia "feels" fine to him (IT'S NOT!). I asked for an MRI and he said my insurance wouldn't cover it because I don't need it. And he said an MRI wouldn't change anything because they'll only do surgery if my erect penis is deformed with Peyronie's disease. Then he gave me some Cialis and told me to take it every day (Mo $$$$ for him I guess) as if that would help the structural damage of my injury.

All I want to know is, How do I find a Urologist who will suture my torn fascia??? That's it. That's all.
Helpful - 0
Avatar universal
Hello, I would just like to bump this discussion. I am 22 years old and I have the exact same problem. Needless to say, I'm terrified and depressed. I could really use some reinforcement if anyone has any.
Helpful - 0
Avatar universal
Nothing has changed in my condition, but, my main "theory" if you will, is that the muscles affected are primarily the ischiocavernosus muscles (or IC) and the bulbocavernosus muscles (or BC) (there are 2 on each side left and right in the groin area behind or below ball sac). These muscles are skeletal muscles but they actually cover portions of the erectile tissue in the root or base of the penis. The IC covers what is known as the Crus of Penis (which is beginning of the corpus cavernosum chambers, top two erectile chambers made of smooth muscle that stays contracted partially when flaccid and relaxes and expands with blood when you get erect). The BC covers the corpus spongiosum (which is also smooth muscle and surrounds the urethra [pee tube]). My problem is that some porion of the smooth muscle of the erectile chambers in the base or root of my penis never basically relax or not fully and stay continually contracted, this causes some mild pain but mostly discomfort, and is the reason why I don't get to full length like before the injury. also the IC and BC muscles, I believe some of the tissue may also stay contracted continually and trigger points in the fascia somewhere near them developed also. I really don't know what is keeping it in that condition, nerve or muscle damage or both.
Helpful - 0
Avatar universal
Hey man,

I seem to have many of your same symptoms.  I think it may have been caused by over-masturbation.  Doctors seem to have no clue.  Any updates lately?
Helpful - 0
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