It's a wound, I don't know what else can happen to it other than getting infected.
Infection alone can kill you if it's bad enough, chronic enough, virulent enough, or if you don't seek help in time (see: Toxic shock syndrome, septicemia.)
But you can also get communicating fistulas like our friend Fistulissa (aka Lissa) who has a hole between his rotpocket and his rectum so liquid shit constantly floods into his neovagina. His fistula is mechanical in origin (surgical error, according to 'lissa) but they can have infectious etiology too. My gran got a fistula by infection, and she was too embarrassed to explain the problem for a little while, so it got super bad and then she spent three weeks in hospital recovering NPO. They'd give her drip bags of nutrition just to rest the bowel and heal the wound.
What exactly are they carving out to have a neopussy? Isn't that stuff important? And wouldn't "sex" just feel like getting stabbed over and over since you essentially got some of your body scooped out.
OK so, basically they flay out all the dick pieces that are porous and hold onto blood to get erect (corpora cavernosa etc.) and then you use the skin of the dick, then move shit around in the pelvic floor to seat it, you use a big dildo basically to make some room, invert the skin, and use the dick head as a neoclitoris, bonus points if you can avoid severing the penile artery and nerves during dissection. The scrotal tissue (less the testes) is remodeled into a fake labia. I couldn't imagine what that *feels* like, but men who have fucked it says it's like fucking a really deep navel, which kinda checks out... it's a deep tube of penis skin.
"Mental illness" is getting thrown around far too often in here. I don't believe that the majority of SRS patients are mentally ill, they're just wholly committed to their fetish and the victims of persuasion/coercion by their hugbox and the surgeons themselves. Watch any detransitioner interview and you wouldn't describe most of them as being mentally ill - victims of abuse, terminally online, porn addicted, cross dressers etc, but you don't see anyone not in control of their own actions with regard to their own bodies. A lot of them are extremely cogent. They just choose to ignore the inevitable disastrous consequences of the surgery in the hope of being an uwu girly or butch king when they emerge from the operating theatre.
I think anyone who wants to cut off their dick is de facto mentally ill because of that alone. Maybe they're cogent about other things, but they're not rational about this thing.
OK, which mental illness do you think all of these people suffer with? There are so many people trooning out now, is it really possible that they all suffer from mental illness? If so, which one(s)? Autism is a common link but it isn't a mental illness.
Technically autism is a neurodevelopmental disorder and not a mental illness... that may be six and one half dozen the other, basically, something is wrong mentally.
What mental illness troons have: Depression, usually, substance use disorders including porn abuse, very common, body dysmorphic disorder, probably, delusions, potentially, borderline personality disorder, bipolar, schizo or worse, sometimes, but I guarantee you that all troons have *some* comorbid psych diagnosis and if they don't it's because they avoid evaluation or are untruthful in interviews because they want SRS sooner and know psych diagnosis can prolong the process of lining up a surgeon and a date.Depends on what kind of "requir[ing]" you're talking about.
If they work for the wrong organization, quite possibly. But that's more of a bureaucratic thing than something about their medical training.
As
@Precocious Halfwit mentioned, they have no skills particularly specialized for rotpockets beyond what a normal GP would have.
Idk, are gynos also trained in urology too? I would imagine they might, that gynecology might be a (much more expansive and specialized) superset of urology?
If so, I guess they might have that advantage. But even so, it's not normal urology either. It's a novel flesh origami construction that doesn't really fit anywhere.
They might be obligated to examine a troon patient, but they aren't obligated to do anything. A physician always has the right to involve more consults (i.e., spread the responsibility over more specialists) and to refer out to a specialty that fits better, i.e. sending the troon back to their gender surgeon, if they don't think they can treat the presenting issue. Totally hunky dory to do that, from a professional standpoint it doesn't even imply transphobia.