Subclinical Trauma to Perineum: A Possible Etiology of Erectile Dysfunction in Young Men

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

“…27 Finally, compression of vascular structures could cause ED because of endothelial damage, which leads to focal arterial obstructive disease, either by direct minor trauma or by chronic repetitive trauma such as associated with cycling. 28,29 ED would then arise because of an inability to reach necessary arterial perfusion pressures to achieve an erection. The predilection places for these lesions are in the distal internal pudendal, common penile, and proximal cavernosal arteries owing to the anatomic relationship to the ischiopubic rami.…”

An Observational Study of Erectile Dysfunction, Infertility, and Prostate Cancer in Regular Cyclists: Cycling for Health UK Study

“…6 These issues have been attributed to a wide range of mechanisms from the effects of repetitive trauma to risk of exposure to dangerous chemicals impregnated in bicycle saddles. 7,8 The anatomy of the perineum and the specific demands of cycling have been a major focus of investigation. The perineum contains the prostate gland and permits transit of many important neurovascular structures that supply the penis.…”

Does Bicycling Contribute to Erectile Dysfunction? Examining the Evidence

“…Th e study was not designed to look at cycling per se, but rather the perineal pressure exerted by diff ering saddle shapes (ie, static forces). 51 The Physician and Sportsmedicine Downloaded from informahealthcare.com by University of Otago on 07/25/15 Th is study should serve to highlight (just as the CT study discussed previously 31 ) that the solution may not be found in the myriad saddles with perineal "cut-outs" designed purportedly to solve the problem.…”