Suicide by 30.
Hopefully, he'll kill those that mutilated him before that happens.
That is sadly along the lines of what I was thinking when I read this. Rather than deal with the self-image illness they facilitate it and feed it.
I have to wonder how much the mother played into this and encouraged the girlish behaviors? Could she desire for a daughter cause her to subconsciously mold the boy into the type of child she wanted? A child’s understanding of sex roles at this age is fuzzy and open to manipulation. If instead of genital mutilation they opted to adjust the confused sexual identity this boy would be likely be much happier and less conflicted when adolescence hits.