{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T20:07:27Z","timestamp":1790798847538,"version":"4.1.0"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2022,1,21]],"date-time":"2022-01-21T00:00:00Z","timestamp":1642723200000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100013795","name":"Canadian Orthopaedic Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013795","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011549","name":"American Orthopaedic Society for Sports Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011549","id-type":"DOI","asserted-by":"publisher"}]},{"name":"McMaster Surgical Associates"},{"DOI":"10.13039\/100008360","name":"Hamilton Health Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008360","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,5,25]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>The goal of this study was to investigate the sexual and urinary function and any related complications in patients post-hip arthroscopy for the treatment of femoroacetabular impingement (FAI). Data from 214 patients enrolled in the FIRST trial and 110 patients enrolled in the trial\u2019s embedded prospective cohort study (EPIC) were analyzed. EPIC patients either refused to participate in the trial or did not meet the FIRST eligibility criteria. Outcomes included the International Consultation on Continence Questionnaire (ICIQ) for males (ICIQ-MLUTS) and females (ICIQ-FLUTS) and the Female Sexual Function Index (FSFI) and International Index of Erectile Function (IIEF) administered before surgery and at 6\u2009weeks and 12\u2009months. Urinary and sexual function adverse events were recorded up to 24\u2009months. Linear regression analyses were conducted to compare the osteochondroplasty and lavage groups in the FIRST trial and to evaluate age and traction time as prognostic factors among all patients. Longer traction time was associated with a small but statistically significant improvement in urinary voiding function in males at 6\u2009weeks and 12\u2009months (MD (95% CI)\u2009=\u20090.25 (0.12, 0.39), P\u2009&amp;lt;\u20090.001 and 0.21 (0.07, 0.35), P\u2009=\u20090.004), respectively. Mean traction time was 43.7 (\u00b1 23.2) min for FIRST trial and 52.8 (\u00b1 15.2) min for EPIC cohort patients. Increasing age in male patients was associated with a decrease in urinary continence at 6\u2009weeks (MD (95% CI)\u2009=\u20090.25 (\u22120.42, \u22120.09), P\u2009=\u20090.003). FIRST male patients who received osteochondroplasty improved significantly in sexual function at 12\u2009months compared to males in the EPIC cohort (MD (95% CI)\u2009=\u20092.02 (0.31, 3.72), P\u2009=\u20090.020). There was an overall complication rate of 1.2% at 24\u2009months [one urinary infection, two instances of erectile dysfunction (one transient and one ongoing at 24\u2009months) and one reported transient numbness of tip of the penis]. Hip arthroscopy for the treatment of FAI has a low rate of sexual and urinary dysfunction and adverse events.<\/jats:p>","DOI":"10.1093\/jhps\/hnac003","type":"journal-article","created":{"date-parts":[[2022,1,21]],"date-time":"2022-01-21T03:31:54Z","timestamp":1642735914000},"page":"28-34","source":"Crossref","is-referenced-by-count":8,"title":["Sexual and urinary function post-surgical treatment of femoroacetabular impingement: experience from the FIRST trial and embedded cohort study"],"prefix":"10.1093","volume":"9","author":[{"given":"Pierre-Olivier","family":"Jean","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Orthopaedic Surgery, McMaster University, 1200 Main St W, 4E15 , Hamilton, ON L8N 3Z5, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Simunovic","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Orthopaedic Surgery, McMaster University, 1200 Main St W, 4E15 , Hamilton, ON L8N 3Z5, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Duong","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Orthopaedic Surgery, McMaster University, 1200 Main St W, 4E15 , Hamilton, ON L8N 3Z5, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane","family":"Heels-Ansdell","sequence":"additional","affiliation":[{"name":"Department of Health Research Methods, Evidence, and Impact, McMaster University, 1200 Main St W, 4E15 , Hamilton, ON L8N 3Z5, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4219-8564","authenticated-orcid":false,"given":"Olufemi R","family":"Ayeni","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Orthopaedic Surgery, McMaster University, 1200 Main St W, 4E15 , Hamilton, ON L8N 3Z5, Canada"},{"name":"Department of Health Research Methods, Evidence, and Impact, 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