Bicyclist's vulva: Diagnostic and therapeutic aspects

Grouin, A.; Rouquette, S.H.; Saïdani, Messaoud; Henno, Sébastien; Lavoué, Vincent; Lévèque, J

doi:10.1016/j.jogoh.2018.04.002

Cited by 4 publications

(4 citation statements)

References 5 publications

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“…41 Surgical treatment has been described. 42 Pseudo-neoplastic vulval nodules – lesions akin to those found in male cyclists – have also been reported. 43…”

Section: Resultsmentioning

confidence: 97%

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Urological issues in cyclists

Peacock

Cobley

Patel

2020

Journal of Clinical Urology

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Cycle use has grown rapidly over the last few years in the UK. British Cycling membership has increased threefold since the 2012 Olympic and Paralympic Games, and this is likely to rise in the wake of the Coronavirus pandemic. As urologists, day-to-day encounters with cyclists are commonplace, who may present with acute traumatic injuries or chronic overuse injuries. The aim of this literature review was to evaluate the effect of cycling on conditions presenting to the urology clinic, in particular those of raised prostate-specific antigen (PSA), haematuria and soft-tissue lesions (‘cyclist nodules’). Furthermore, the review aimed to summarize the relationship between cycling and pudendal nerve entrapment (PNE) syndromes. A PubMed search of the literature on cycling and genitourinary disorders was performed. The literature suggests no significant change in PSA levels after a bout of cycling. Age appears to have no effect on the change in PSA experienced following a bout of cycling, in particular when comparing those <50 years of age to those >50 years of age. Haematuria appears to be rare with cycling but has been described, even with stationary bike riding. It is imperative to exclude coexisting urinary-tract pathological conditions, and cycling-induced haematuria should always be considered a diagnosis of exclusion. Perineal nodular induration (‘cyclist nodules’) is a rare condition, related to pressure and repetitive micro-trauma between the perineum and saddle. Pudendal Nerve Entrapment (PNE) represents the most common bicycling-associated urogenital complaint. Numbness in the perineum, penis, scrotum or buttocks—‘genital numbness’—is the most common and most recognized symptom of pudendal compression. Despite several studies demonstrating a link between elite cyclists and erectile dysfunction, for the average cyclist riding may actually have a protective effect on sexual function.

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“…41 Surgical treatment has been described. 42 Pseudo-neoplastic vulval nodules – lesions akin to those found in male cyclists – have also been reported. 43…”

Section: Resultsmentioning

confidence: 97%

“…41 Surgical treatment has been described. 42 Pseudo-neoplastic vulval nodules -lesions akin to those found in male cyclistshave also been reported. 43 Effect of cycling on PNE syndrome PNE represents the most common bicycling-associated urogenital problem.…”

Section: Effect Of Cycling On Soft-tissue Perineal Lesions ('Cyclist ...mentioning

confidence: 94%

Urological issues in cyclists

Peacock

Cobley

Patel

2020

Journal of Clinical Urology

View full text Add to dashboard Cite

show abstract

“…2 Since, only few cases are reported in competitive female cyclists. 3,4 However, this rare cause of vulvar lymphoedema has never been reported in children. Indeed, an isolated vulvar swelling in paediatric patients must eliminate several diagnoses.…”

Section: Dear Editormentioning

confidence: 99%

“…2 A surgery with in situ injection of autologous could also be an option. 4 This rare presentation has to be known, especially in children. Our case highlights the need for clinicians to consider 'bicyclist's vulva' in patients with chronic vulvar swelling when there is intense cycling activity.…”

Section: Dear Editormentioning

confidence: 99%