Bicycle riding and erectile dysfunction: An increase in interest (and concern)

Journal of Sexual Medicine

Volumn 2, Issue 5, 2005, Pages 596-604

  Huang, Vincent ^a   Munarriz, Ricardo ^a   Goldstein, Irwin ^a  

^a BOSTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Bicycling; Erectile Dysfunction; Impotence; Penile Numbness

Indexed keywords

ARTICLE; BICYCLE; BODY POSITION; ERECTILE DYSFUNCTION; ERGONOMICS; HEMODYNAMICS; HUMAN; MALE; NERVE CONDUCTION; PARESTHESIA; PENILE BLOOD FLOW; PREVALENCE; PRIORITY JOURNAL; RISK FACTOR; SAFETY; SEXUAL FUNCTION; SPORT;

EID: 28444493742     PISSN: 17436095     EISSN: 17436109     Source Type: Journal    
DOI: 10.1111/j.1743-6109.2005.00099.x     Document Type: Article

References (43)

1. Levine FJ, Greenfield AL., Goldstein I. Arteriographically determined occlusive disease within the hypogastric-cavernosal bed in impotent patients following blunt pelvic and perineal trauma. J Urol 1990;144:1147-53.
2. Yan QR, Seftel AD, Krane RJ. Blunt pelvic and perineal trauma: A mechanism for corporal veno-occlusive dysfunction. J Urol 1992;147:368A.
3. Munarriz RM, Yan QR, Nehra A, Udelson D, Goldstein I. Blunt trauma: The pathophysiology of hemodynamic injury leading to erectile dysfunction. J Urol 1995;153:1831-40.
4. Renzulli JF, Mourtzinos A, Salimpour P, LaSalle MD, Wen CC, Mittal R, Krane RJ, Goldstein I. Pediatric bicycling injuries can result in permanent erectile dysfunction: Should parents encourage their children to use wide seats without a nose and bicycles without top tubes. Presented at the 94th Annual Meeting of the American Urological Association, May 1-6, 1999, Dallas. Abstract 1039.
5. LaSalle MD, Salimpour P, Adelstein M, Mourtzinos A, Wen C, Renzulli J, Goldstein B, Goldstein L, Cantey-Kiser J, Krane RJ, Goldstein I. Sexual and urinary tract dysfunction in female bicyclists. Presented at the 94th Annual Meeting of the American Urological Association, May 1-6, 1999, Dallas. Abstract 1040.
6. Hippocrates. Airs waters places. In: Hippocrates. [English Translation, WHS Jones]. Ch. XXI-XXII, Vol. I. London: William Heinemann; 1923:125-31.
7. Goodson JD. Pudendal neuritis from biking. [Letter] N Engl J Med 1981;304:365.
8. O'Brien KP. Sports urology: The vicious cycle. [Letter] N Engl J Med 1981;304:1367-8.
9. Solomon S, Cappa KG. Impotence and bicycling. A seldom-reported connection. Postgrad Med 1987;81:99-100,102.
10. Desai KM, Gingell JC. Hazards of long distance cycling. Br Med J 1989;298:1072-3.
11. Silbert PL, Dunne JW, Edis RH, Stewart-Wynne EG. Bicycling induced pudendal nerve pressure neuropathy. Clin Exp Neurol 1991;128:191-6.
12. Oberpenning F, Roth S, Leusmann DB, Van Ahlen H, Hertle L. The Alcock syndrome: Temporary penile insensitivity due to compression of the pudendal nerve within the Alcock canal. J Urol 1994;151:423-5.
13. Ricchiuti V, Haas C, Seftel A, Chelimsky T, Goldstein I. Pudendal nerve injury association with avid bicycling. J Urol 1999;162:2099-100.
14. Weiss BD. Nontraumatic injuries in amateur long distance bicyclists. Am J Sports Med 1985;13:187-92.
15. Andersen KV, Bovim G. Impotence and nerve entrapment in long distance amateur cyclists. Acta Neurol Scand 1997;95:233-40.
16. LaSalle MD, Wen C, Choi M, Salimpour P, Adelstein M, Gholami S, Krane RJ, Goldstein I. "You don't have to ride in the Tour De France": Erectile dysfunction in 81 consecutive riders. Presented at the 94th Annual Meeting of the American Urological Association, May 1-6, 1999, Dallas. Abstract 1041.
17. Salimpour P, Doursounian M, Cantey-Kiser J, Adelstein M, Gholami SS, Wen CC, LaSalle M, Kim CA, Goldstein B, Goldstein L, Hablow K, Viatones S, Suzette L, Krane RJ, Goldstein I. Sexual and urinary tract dysfunctions in bicyclists. Presented at the 93rd Annual Meeting of the American Urological Association, May 30-June 4, 1998, San Diego. Abstract 116.
18. Schwarzer U, Wiegand W, Bin-Saleh A, Loetzerich H, Kahrmann G, Klotz T, Engelmann U. Genital numbness and impotence rate in long-distance cyclists. Presented at the 94th Annual Meeting of the American. Urological Association, May 1-6, 1999, Dallas. Abstract 687.
19. Schrader SM, Breitenstein MJ, Clark JC, Lowe BD, Turner TW. Nocturnal penile tumescence and rigidity testing in bicycling patrol officers. J Androl 2002;23:92 7-3 4.
20. Dettori JR, Koepsell TD, Cummings P, Corman JM. Erectile dysfunction after a long-distance cycling event: Associations with bicycle characteristics. J Urol 2004;172:637-41.
21. Munarriz R, Huang V, Uberoi J, Maitland S, Payton T, Goldstein I. Only the nose knows. Penile hemodynamic study of the perineum-saddle interface utilizing saddle/seats with and without nose extensions. J Sex Med 2005;2:612-9.
22. Kerstein MD, Gould SA, French-Sherry E, Pirman C. Perineal trauma and vasculogenic impotence. J Urol 1982;127:57.
23. Broderick GA. Bicycle seats and penile blood flow: Does the type of saddle matter? Presented at the 94th Annual Meeting of the American Urological Association, May 1-6, 1999, Dallas. Abstract 685.
24. Nayal W, Schwarzer U, Klotz T, Heidenreich A, Engelmann U. Transcutaneous penile oxygen pressure during bicycling. BJU Int 1999;83:623-5.
25. Sommer F, Konig D, Graft C, Schwarzer U, Bertram C, Klotz T, Engelmann U. Impotence and genital numbness in cyclists. Int J Sports Med 2001;22:410-13.
26. Sommer F, Schwarzer U, Klotz T, Caspers HP, Haupt G, Engelmann U. Erectile dysfunction in cyclists. Is there any difference in penile blood flow during cycling in an upright versus a reclining position? Eur Urol 2001;39:720-3.
27. Schwarzer U, Sommer F, Klotz T, Cremer C, Engelmann U. Cycling and penile oxygen pressure: The type of saddle matters. Eur Urol 2002;41:139-43.
28. Jeong SJ, Park K, Moon JD, Ryu SB. Bicycle saddle shape affects penile blood flow. Int J Impot Res 2002;14:513-7.
29. th Int. Symposium on Biomechanics in Sports. 2002:606-9.
30. Schwarzer U, Sommer F, Klotz T, Cremer C, Engelmann U. Cycling and penile oxygen pressure: The type of saddle matters. Eur Urol 2002;41:139-43.
31. Spears IR, Cummins NK, Brenchley Z, Donohue C, Turnbull C, Burton S, Macho GA. The effects of saddle design on stresses in the perineum during cycling. Med Sci Sports Exerc 2003;35:1620-5.
32. Lowe BD, Schrader SM, Breitenstein MJ. Effect of bicycle saddle designs on the pressure to the perineum of the bicyclist. Med Sci Sports Exerc 2004;36:1055-62.
33. Grunbaum A, Rehman K, Kuzmarov I, Carrier S. The development of a model to investigate the relationship of bicycling and pudendal neurovascular function in healthy male subjects. IJIR Vol. 14 (S3), S50 (cpl.03), 2002.
34. Taylor KS, Richburg A, Wallis D, Bracker M. Using an experimental bicycle seat to reduce perineal numbness. Phys Sportsmed 2002;30:27-30, 32,34.
35. Marceau L, Kleinman K, Goldstein I, McKinlay J. Does bicycling contribute to the risk of erectile dysfunction? Results from the Massachusetts Male Aging Study (MMAS). Int J Impot Res 2001;13:298-302.
36. Sporting Goods Manufacturers Association. The SGMA report: Sports participation topline report 2004 Edition. Statistical Highlights from the Superstudy® of Sports Participation.
37. Myers J. Exercise and cardiovascular health. American Heart Association, Inc. Online: http:// www.circulationaha.org, January 2003.
38. Morris JN, Clayton DG, Everitt MG, Semmence AM, Burgess EH. Exercise in leisure time: Coronary attack and death rates. Br Heart J 1990;63:325-4.
39. Wisconsin Partners for Clean Air. Air quality info. Online: http://www.cleanairwisconsin.org/ envImpacts.php, February 20, 2004.
40. Weiss BD. Clinical syndromes associated with bicycle seats. Clin Sports Med 1994;13:175-86.
41. Mellion MB. Common cycling injuries. Manage and prevention. Sports Med 1991;11:52-70.
42. Thompson MJ, Rivara FP. Bicycle-related injuries. Am Fam Physician 2001;63:2007-14.
43. Xu Q. Mouse models of arteriosclerosis: From arterial injuries to vascular grafts. Am J Pathol 2004;165:1-10.