I recall one time in the SRS/GRS disaster thread that a troon went to the ER and got a pelvic exam, the clinician said "what's going on here?" and the troon feigned ignorance, and then the doc asked him if he had been burned. There is a huge ring of scarring around the bottom 2/3 of every neo vagina in a U shape. They also don't have a cervix, and so many troons like kevin can't fit a speculum in there.
A european gyno told a story about examining one of these and said that it smelled so weird, like something that had been hidden behind a wall for many years. There was also a study about neovaginas and one of the findings was majority were malodorous, though that wasn't one of the study parameters it just was commented on by the people who performed pevlic exams often enough that they included it in the conclusion. How could it be otherwise, really? It is like an usually deep belly button, and normal belly buttons are usually kind of smelly because they are only lined with skin and are hard to clean effectively.
The reaction that they get seems to hinge on how polite the doctor is and how much warning they got that they're dealing with crotch origami
What little we saw of Kevin’s, it really did look like some unfortunate car accident or birth defect. That thing is more scar tissue than scrotum and more scrotum than anything else. It looks like he gets pins and needles when he puts his pants on.
"Uhmm...Kathryn? Were you...the victim of an acid attack?"
His nerves are gone, it smells like death, his crotch cavern makes a sarlacc pit seem marginally preferable..., what the
fuck can any caregiver do for him. What in the
holy mother of fuck can anyone do for him besides whiling away the billable hours telling him lies about his femininity. Make sure he's not bleeding, I guess? How many times has a surgeon or nurse tried to sit one of these troonies down and offer emotional counseling alternatives only to be angrily rejected? If a drug addict, alcoholic, or self-harmer is in the ED, the consultation and discharge paperwork will 100% contain a suggestion of seeking mental help. At least an addict can admit he's fucked up while politely declining any outpatient help.
Tangentially related, there's a
Nip/Tuck episode where one of the episodic patients is
convinced he is an amputee and requests elective surgery to become one. Kinda like Kevin, only the guy in the episode is using his own money and isn't trying to get fucked in his wound.
"I have the name of a pre-eminent cognitive therapist who specializes in treating patients with OCD, phobias, and fetishes.."
"IT'S NOT A FETISH, IT'S A LEGITIMATE MEDICAL ISSUE."