Had the same cut-out problem with other Selle Italia saddles. The cut-outs are way too narrow, and their gel-flow design is hard as a rock around the cut-out, hurts like heck. You might give the Arione a try -- it doesn't have a cut-out, but it is flat & very long. You have lots of places to sit & move around on, plus if you are supporting yourself properly on your sit-bones, then your soft-tissue should be ok & not squished.

Caveat -- it is narrow & quite firm, not a lot of padding. So if you are looking for a cush seat for your tush, this ain't it. I find I need firm for longer rides, and none of the cut-out designs ended up working for me (tried 14 torture devices). I borrowed this one from my LBS 2 wks ago to try out on some longer rides, including a 75-miler this past Sunday. Guess what -- it ain't goin' back, the Arione is a keeper.