I remember reading some horror story about a limey who decided to troon out when midlife crisis hit. So wifey and him flew to Thailand where a crotch butcher told them to fuck off at the last possible moment before the operation. Turns out ol' poof had wifey drill his ass to oblivion, so his rectum and pelvic area were literally too weak to handle the operation.

boi might also have haemorrhoids, possibly prolapsed. Or rectal polyps. "trauma" would suggest some fucked up shit, though - maybe a Bad Dragon lost in his flesh tunnel. Either way, this was a logical endpoint to the cheese wedge dick degeneracy.