Genitourinary problems in bicyclists

Asplund, Chad; Barkdull, Thad J.; Weiss, Barry D.

doi:10.1007/s11932-007-0072-1

Cited by 18 publications

(6 citation statements)

References 35 publications

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“…16 A standard saddle is designed so that the rear wide portion supports the ischial tuberosities, whereas the front narrow portion is designed to help the rider control the bike with the thighs. 17 Other functions of the nose include limiting side-to-side rocking of the bicycle, providing support at high speeds or over rough terrain, enabling more efficient steering, providing stability by preventing cyclists from falling off the saddle, and repositioning when pedaling and giving comfort as a result of control and balance. 18 The Hypothesis Suggestion of high prevalence of genital numbness and/or ED in the epidemiologic literature has led to the association of bicycling with ED.…”

Section: Pathophysiologymentioning

confidence: 99%

Bicycle Riding and the Bedroom: Can Riding a Bicycle Cause Erectile Dysfunction?

Michiels

2015

Urology

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Section: Pathophysiologymentioning

confidence: 99%

Bicycle Riding and the Bedroom: Can Riding a Bicycle Cause Erectile Dysfunction?

Michiels

2015

Urology

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“…While genitourinary complaints have been well studied in cyclists [ 7 ], the negative effects of the cyclist's physical position and the resultant perineal hypoperfusion should be relatively obvious. Certain studies have also reported up to 30% of athletes being diagnosed with varicocele, representing a significantly higher incidence than in the general population, and up to 60–80% of body-builders are recorded as being affected.…”

Section: Introductionmentioning

confidence: 99%

Restricting sports activity in reducing the rate of varicocele and related infertility parameters in athletes

Radojević¹,

Radunović²,

Pajovic³

2015

aoms

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IntroductionThe aim of this study is to test the hypothesis that the cessation of sports training in young athletes reduces the prevalence of varicocele.Material and methods1,013 young males were divided into three age-matched groups based on their sport activity. The first group consisted of 305 athletically active boys in basketball, volleyball, handball, or football; the second of 44 active water-polo players, and the third of 664 sport-inactive controls. All participants had been initially examined for the presence of varicocele, and positive ones were submitted to orchidometry and seminal fluid analysis. Those with varicocele were then asked to cease all sport activity for the following six months, and the reassessing was performed.ResultsThe results showed a significantly higher percentage of varicocele present in the first group than in the control group (p < 0.49), while the percentage of young males diagnosed with varicocele in the second proved to be even lower than that of the control group (9.09% vs. 12.35%). After the 6-month period of cessation and abstention from all sporting activity, every parameter of the seminal fluid analysis improved in the first group, wherein statistical significance for both sperm concentration (p < 0.001) and sperm motility (p < 0.023) was found. The testicular volume was found not to have increased significantly in either group (p > 0.05).ConclusionsThe study shows that sport-associated varicocele has a positive prognosis when diagnosed early and upon the cessation of sports training.

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“…6 It has been reported that 7-8% of cyclists on long-distance multi-day rides experience pudendal neuralgia, described as severe, sharp pain along the course of the pudendal nerve. 49 In men, pain can affect the perineum, scrotum, anus and penis. The pain can be unilateral or bilateral.…”

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

confidence: 99%

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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Genitourinary problems in bicyclists

Cited by 18 publications

References 35 publications

Bicycle Riding and the Bedroom: Can Riding a Bicycle Cause Erectile Dysfunction?

Bicycle Riding and the Bedroom: Can Riding a Bicycle Cause Erectile Dysfunction?

Restricting sports activity in reducing the rate of varicocele and related infertility parameters in athletes

Urological issues in cyclists

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