Digital three-dimensional modelling of the male pelvis and bicycle seats: Impact of rider position and seat design on potential penile hypoxia and erectile dysfunction

BJU International

Volumn 99, Issue 1, 2007, Pages 135-140

  Gemery, John M ^a   Nangia, Ajay K ^a   Mamourian, Alexander C ^a   Reid, Scott K ^b  

^a DARTMOUTH HITCHCOCK MEDICAL CENTER   (United States)

^b BOSTON UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Bicycle; Bicycle seat; CT; Digital modelling; Erectile dysfunction; Pudendal artery

Indexed keywords

ARTICLE; BICYCLE; COMPUTER ASSISTED TOMOGRAPHY; DIGITAL IMAGING; ERECTILE DYSFUNCTION; EXPERIMENTAL MODEL; HYPOXIA; PELVIC GIRDLE; PRIORITY JOURNAL; PUBIS SYMPHYSIS; THREE DIMENSIONAL IMAGING;

ADULT; BICYCLING; CELL HYPOXIA; EQUIPMENT DESIGN; HUMANS; IMAGING, THREE-DIMENSIONAL; IMPOTENCE, VASCULOGENIC; MALE; PELVIS; PENIS; POSTURE; SPORTS EQUIPMENT; TOMOGRAPHY, X-RAY COMPUTED;

EID: 33845492466     PISSN: 14644096     EISSN: 1464410X     Source Type: Journal    
DOI: 10.1111/j.1464-410X.2007.06542.x     Document Type: Article

References (21)

1. Goodson JD. Pudendal neuritis from biking. Letter to the Editor. N Engl J Med 1981; 304: 365
2. Desai KM, Gingell JC. Hazards of long distance cycling. BMJ 1989; 298: 1072-3
3. 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
4. Andersen KV, Bovim G. Impotence and nerve entrapment in long distance amateur cyclists. Acta Neurol Scand 1997; 95: 233-40
5. Salimpour P, Doursounian M, Cantey-Kiser J et al. Sexual and urinary tract dysfunctions in bicyclists. J Urol 1998; 159 (Suppl.): 30
6. Schwarzer U, Wiegand W, Bin-Saleh A et al. Genital numbness and impotence rate in long distance cyclists. J Urol 1999; 161 (Suppl): 686A
7. Ricchiuti VS, Haas CA, Seftel AD, Chelimsky T, Goldstein I. Pudendal nerve injury associated with avid bicycling. J Urol 1999; 162: 2099-100
8. 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
9. 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
10. Schrader SM, Breitenstein MJ, Clark JC, Lowe BD, Turner TW. Nocturnal penile tumescence and rigidity testing in bicycling patrol officers. J Androl 2002; 23: 927-34
11. Kita J. The unseen danger. Bicycling Magazine August 1997: 68-73
12. Pavelka E. The downside of cycling, how a hardcore cyclist can go soft. Bicycling Magazine August 1997: 72-3
13. Pavelka E. Uncomfortably numb. Bicycling Magazine March 1998: 89-92
14. Chase M. Unsafe at any speed? Those hard bike seats are being redesigned. Wall Street Journal 5 October 1999: B1
15. Kerstein MD, Gould SA, French-Sherry E, Pirman C. Perineal trauma and vasculogenic impotence. J Urol 1982; 127: 57
16. Nehra A, Goldstein I, Pabby A et al. Mechanisms of venous leakage: a prospective clinicopathological correlation of corporeal function and structure. J Urol 1996; 156: 1320-9
17. Sommer F, Schwarzer U, Klotz T, Caspers H-P, 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
18. Nayal W, Schwarzer U, Klotz T, Heidenreich A, Engelmann U. Transcutaneous penile oxygen pressure during cycling. BJU Int 1999; 83: 623-5
19. 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
20. Netter FH. The Atlas of the Human Anatomy. West Caldwell, NJ: Ciba-Geigy Corporation, 1989: Plates 287, 373, 377
21. Dylevsky I, Ticha J. Variability of the branches of the arteria iliaca interna. Folia Morph (Praha) 1987; 35: 425-35