It doesn't automatically condemn him but it will probably trigger some kind of independent review of his cases. Better hope it's a perfect record.

Yeah if the comment just meant a review is warranted, great. But it’s not like separating personal desire and professional responsibility isn’t a routine part of just about every career. (Not saying this is equivalent to saying “that shirt looks great on you” when as a retail worker you think a customer looks ridiculous; but the analogy isn’t so far off that we should be shocked anyone would manage to have the fetish and still be a caring professional).