Expectations and Experienced Outcomes Regarding Gender-Affirming Surgeries: A Pilot Study.

IF 4.7 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-08-16 eCollection Date: 2024-08-01 DOI:10.1089/trgh.2022.0118

Maeghan Boyd Ross, Sanne Wesseling, Margriet Mullender, Baudewijntje P C Kreukels, Tim van de Grift

{"title":"Expectations and Experienced Outcomes Regarding Gender-Affirming Surgeries: A Pilot Study.","authors":"Maeghan Boyd Ross, Sanne Wesseling, Margriet Mullender, Baudewijntje P C Kreukels, Tim van de Grift","doi":"10.1089/trgh.2022.0118","DOIUrl":null,"url":null,"abstract":"Purpose: This study aimed to explore in what ways the preoperative expectations of transgender individuals regarding gender-affirming surgery (GAS) align with experienced postoperative outcomes and, subsequently, how these expectations can best be managed to support optimal outcomes.Methods: In the parent study, interviews were conducted to understand the health care experiences of a group of trans individuals that had or wanted to have gender-affirming surgical care. In this secondary analysis, we focused specifically on the individuals' expectations and experiences about the gender-affirming procedures they desired or underwent. Recruitment occurred from August 2018 to October 2018 at the Amsterdam University Medical Center (VUmc) in the Netherlands. Axial coding and theory-informed thematic analysis were used to assess preoperative expectations and postoperative.Results: The data regarding expectations related to GAS (ncodes=273) and postoperative experienced outcomes (ncodes=292) yielded a total of four themes-(1) Procedure, recovery, and functional results; (2) Esthetic outcomes of GAS; (3) Improved body image in relation to one's gender role; and (4) Increased psychosocial and sexual wellbeing at large in relation to one's gender role. Each of the four themes were divided into two subthemes: (1) expectations, and (2) experienced outcomes.Conclusion: Better understanding, education, and support in the decision-making process of trans individuals seeking gender-affirming surgical care is needed to manage expectations and overall outcomes of GAS procedures.","PeriodicalId":2,"journal":{"name":"ACS Applied Bio Materials","volume":" ","pages":"326-338"},"PeriodicalIF":4.7000,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11456761/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACS Applied Bio Materials","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1089/trgh.2022.0118","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/8/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"MATERIALS SCIENCE, BIOMATERIALS","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: This study aimed to explore in what ways the preoperative expectations of transgender individuals regarding gender-affirming surgery (GAS) align with experienced postoperative outcomes and, subsequently, how these expectations can best be managed to support optimal outcomes.

Methods: In the parent study, interviews were conducted to understand the health care experiences of a group of trans individuals that had or wanted to have gender-affirming surgical care. In this secondary analysis, we focused specifically on the individuals' expectations and experiences about the gender-affirming procedures they desired or underwent. Recruitment occurred from August 2018 to October 2018 at the Amsterdam University Medical Center (VUmc) in the Netherlands. Axial coding and theory-informed thematic analysis were used to assess preoperative expectations and postoperative.

Results: The data regarding expectations related to GAS (n_codes=273) and postoperative experienced outcomes (n_codes=292) yielded a total of four themes-(1) Procedure, recovery, and functional results; (2) Esthetic outcomes of GAS; (3) Improved body image in relation to one's gender role; and (4) Increased psychosocial and sexual wellbeing at large in relation to one's gender role. Each of the four themes were divided into two subthemes: (1) expectations, and (2) experienced outcomes.

Conclusion: Better understanding, education, and support in the decision-making process of trans individuals seeking gender-affirming surgical care is needed to manage expectations and overall outcomes of GAS procedures.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

关于性别确认手术的期望和经验结果:一项试点研究

目的：本研究旨在探讨变性人对性别确认手术（GAS）的术前期望与术后结果的一致性，以及如何才能最好地管理这些期望以支持最佳结果：在母研究中，我们进行了访谈，以了解已接受或希望接受性别确认手术治疗的变性人的医疗保健经历。在这项二次分析中，我们特别关注他们对希望或接受性别确认手术的期望和经历。招募于 2018 年 8 月至 2018 年 10 月在荷兰阿姆斯特丹大学医学中心（VUmc）进行。采用轴向编码和理论依据主题分析法评估术前期望和术后情况：与 GAS 相关的预期（ncodes=273）和术后体验结果（ncodes=292）的数据共产生了四个主题--(1) 手术、恢复和功能结果；(2) GAS 的美学结果；(3) 与个人性别角色相关的身体形象改善；以及 (4) 与个人性别角色相关的社会心理和性健康的全面提高。这四个主题又分为两个次主题：(1) 期望；(2) 体验结果：结论：在变性人寻求性别确认手术护理的决策过程中，需要更好地理解、教育和支持，以管理对 GAS 程序的期望和总体结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464

期刊介绍： ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.