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Gotcha :)
The biggest one is called epididymal hypertension. Aka the blue balls. It's a real thing. While it can't cause injury, and it isn't the end of the world, it hurts lol.
The process of holding off ejaculation builds up the pressure that causes the pain. Given enough time, it's not a matter of if, but when it will happen.
There's the difficulty that part of arousal is mental. In theory, you can go indefinitely. In practice, you can run into limits because you're losing interest. You just lose the erection entirely.
That, in turn, can lead to what I've heard called "sad cock syndrome". Again, part of arousal and sex is mental. Your head game isn't just about oral sex. If your mind isn't present and engaged, the junk isn't going to last. You can end up where not orgasming, or not ejaculating without intervention can become a mental block of sorts. Your subconscious gets the idea that sex or masturbation isn't going to pay off soon enough, so it ends up just deciding to opt out.
In other words, it can end up where you accidentally convince part of your mind that getting an erection is a waste of time. Yeah, you'll still get erections when asleep, and even orgasm then. But when awake, the sad cock refuses to crow.
Now, I've never had that happen myself. Nor have any of the guys I know that can do all this. But I have heard of it happening. In general, the process of learning to control your breathing and the related meditative skills gives you the inner balance that your subconscious won't be that separate from your intent. But not everyone spends as much time on the inner growth as they do on the bare minimum to achieve their sexual goals.
Tangential to that, you run into issues with partners. Masturbation, you can go as long as your skin can take. But when you're with another person, lasting too long is a thing. Not everyone enjoys hours of sex. Certainly not every single time. Some can't handle even an hour of actual penis in body sex before they're sore, or rubbed raw. When that's the case, it's wise to have also figured out how to accelerate orgasm (which is easy enough since you'll array already know how if you paid attention to your arousal stages while learning to delay. It's just using the muscles and breathing to generate the kind of spasms of orgasm under control and then letting them spread from there once the right phase of arousal is present).
There's also a bit of a transitional phase sometimes. You'll be coasting along, doing the muscle control parts, but because you aren't used to it, you kind of wear them out. It's like doing a bunch of bench presses and then your arms turn to rubber. The muscles just nope out until they recover. That means you're there, hard and ready, but you can't orgasm or ejaculate because the muscles down there are exhausted. That goes away as you develop stamina with them, but there were many times that happened to me lol.