Urological Issues in Cyclists

Dear All,

The benefits of exercise have been known since antiquity as Marcus Cicero, around 65 BC, stated: ‘It is exercise alone that supports the spirits, and keeps the mind in vigor’. Exercise has been regarded as a universal remedy for psychological and physical wellbeing. The demand and practice of physical and sport activities have greatly increased during the past few decades among both men and women due to the proven health benefits. Simultaneously, there has been a rapid increase in both participating in competitive sports as well as pursuing it as a professional career. This has led to the question as to what is the right amount to promote the beneficial effects and not have undesired side effects.

Cycling is one of the common Recreational as well as competitive sports. May studies recently have begun highlighting some of the problems that could be associated with prolonged cycling? As far as we Urologists are concerned, the main problems appear to be on its effects on Fertility and Erectile dysfunction and occasionally its effect on Urethra and Bladder. I am providing you an article by J Peabody et al (2020 to be published in J Clinical urology) on ‘Urological issues in Cyclists’.

https://journals.sagepub.com/doi/pdf/10.1177/2051415820964982

On previous occasion, when we were with Uroeducation in Yahoogroups, I had provided two links on issues with cyclists on male infertility and erectile dysfunction.

I am sure these articles will also enable us to understand the problems, however infrequent that maybe. Better.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5675222/pdf/10.1177_1557988316669045.pdf

https://www.eu-focus.europeanurology.com/article/S2405-4569(18)30103-2/pdf

I am hopeful that this topic will instill some discussion.

With warm regards,

Venu

 

Comments(2)

  • Ali Poonawala
    Ali Poonawala
    11 Nov 2020 01:17:58 PM

    Respected Prof Venu

    Thanks for egging me to comment about recent articles about cycling related urological problems.
    My Interest in cycling is what made Prof.Venu direct the salvo in my direction, and let me say that I have only cursory knowledge.
    Literature is plenty.
    Most are retrospective, case series and same get into reviews and meta analyses. Same authors regroup and publish another perspective elsewhere.
    facebook surveys disease data bases of to on line searches are used.
    From genital numbness, ED to urethral strictures are described to occur more frequently.
    There are also counter narratives available, refuting all these claims.

    Bottom line ?
    I don't think I would use this pot-purrie to counsel my patients. 


  • Ali Poonawala
    Ali Poonawala
    11 Nov 2020 01:18:02 PM

    Respected Prof Venu

    Thanks for egging me to comment about recent articles about cycling related urological problems.
    My Interest in cycling is what made Prof.Venu direct the salvo in my direction, and let me say that I have only cursory knowledge.
    Literature is plenty.
    Most are retrospective, case series and same get into reviews and meta analyses. Same authors regroup and publish another perspective elsewhere.
    facebook surveys disease data bases of to on line searches are used.
    From genital numbness, ED to urethral strictures are described to occur more frequently.
    There are also counter narratives available, refuting all these claims.

    Bottom line ?
    I don't think I would use this pot-purrie to counsel my patients. 


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