I have a strong feeling it could’ve also been from gender dysphoria in addition to all that. I should know, I’ve had my fair share of unpleasant genital dysphoria, and while I didn’t do that I wanted to. I also know those who have indeed done it, they did it without any mushrooms but I could see how one of them could’ve done it on mushrooms.
Oh definitely, many of my friends who did that did in fact have issues urinating afterwards. It wasn’t great, also reduces the amount of workable tissue for bottom surgery (vaginoplasty uses the existing penile and scrotum tissue to construct the neovagina) though in their case that was never going to happen either due to money, transphobic medical care, or health reasons that got them denied care in the first place.