Bicycling across the globe is increasing as a means of exercise and transportation. Clinicians need to be knowledgeable about the health benefits and risks of cycling so they can educate and care for their patients who ride.
The overall health benefits of cycling are tremendous. Cycling reduces the incidence of cerebrovascular accidents, coronary artery disease, hypertension, dyslipidemia, obesity, and diabetes mellitus. Strong inverse relationships have also been demonstrated between commuter cycling and all-cause mortality, cancer mortality, and cancer morbidity among middle-aged and elderly study participants.
Despite these benefits, cycling commonly leads to injury, with up to 85% of all recreational cyclists citing an overuse injury. Given unbalanced pressure distribution when on the bike, the neck, hands, wrists, lower back, knees, and perineum are the regions most frequently affected by cycling.
Cycling has been associated with genital numbness, priapism, infertility, elevated PSA, erectile dysfunction (ED), lower urinary tract symptoms (LUTS), and prostatitis. Several of the studies that posited these associations, however, were underpowered, did not use validated clinical outcomes, or had insufficient control group comparison. Consequently, the current data on cyclings impact on urologic and sexual function continues to evolve.
Here, we explore particular aspects of mens urologic health that are negatively impacted by cycling, ...