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Content: Most interventions that support individuals seeking gender affirmative treatment focus on preparing the patient for the surgery. However, what are the health care needs after completion of these interventions? Should the provision of care continue beyond the surgical treatment phase? Iris de Brouwer, a medical student, and Tim van de Grift, a psychiatrist from the Netherlands, view aftercare as pivotal to good treatment outcomes. In this talk, they present new findings from the ENIGI Multicenter European Follow-Up Study*. Their research group collected data from 260 individuals who received GAS in 3 large European clinics. Following the format of why, how, what questions, the speakers discuss why aftercare is important, how they studied the needs of transgender people post-surgery, what the most critical findings are, and how these could change clinical practice. The speakers explain the most frequently mentioned aftercare needs and how these are associated with surgery satisfaction and psychological symptoms. From the transgender individuals’ perspectives, the speakers discuss four domains regarding aftercare optimization and the predictive factors of aftercare needs. Our speakers discuss their findings and explain how these call for a different clinical approach to gender-affirming surgery, one that expands beyond the surgery to include aftercare.
* de Brouwer IJ, Elaut E, Becker-Hebly I, Heylens G, Nieder TO, van de Grift TC, Kreukels BPC. Aftercare Needs Following Gender-Affirming Surgeries: Findings From the ENIGI Multicenter European Follow-Up Study. J Sex Med. 2021 Nov;18(11):1921-1932
Produced in 2022
I am Iris de Brouwer, I am a final year medical student at the University of Amsterdam and I have been doing research at the Center of Expertise on Gender Dysphoria of the Amsterdam University Medical Center.
The project I have been working on focuses on the aftercare needs following gender-affirming surgeries, with findings from the ENIGI multicenter European follow-up study.
Dr. Tim van de Grift obtained his medical degree from the University of Amsterdam after which he started as a researcher at the VU University Medical Center’s “Center for Expertise on Gender Dysphoria” in Amsterdam, the Netherlands.
After obtaining his PhD (cum laude) he now works as a psychiatrist and sexologist in training as well as assistant professor. His research focuses on psychosexual outcomes and decision-making around treatments for trans and intersex individuals. He coauthored multiple peer-reviewed articles and book chapters, is in the editorial board of journals in the field of sex research and was recently awarded a 5-year research fellowship grant to study mental health of trans individuals after medical transition.