around the city, taking a relaxing ride in the country.
Facing rough, off-road trails immersed in nature, or
participating in true racing competitions. The formula is
easy, take the bike and pedal. Alone or with others, keeping
a fast pace or reducing speed, in the traffic on city
streets or in the silence of mountain dirt roads. On roads
lined with spectators and fans, or with other cycling lovers
like us: the bicycle is a flexible and adaptable means, it
goes slow or fast, depending on the will and ability of the
And in any case,
apart from physical effort, it is a means that requires
attention and caution, because it stresses our body, in
particular in certain areas, more than we think and can
cause consequences we need to have more information and
awareness about. In this article we would like to discuss
them and offer you some efficacious solutions.
research that reviewed sixty-two pertinent medical articles
on bicycling and genitourinary disorders, the following
emerged as the most frequent problems and pathologies tied
to bicycle seats, in particular:
in the perineum due to the reduction in blood supply
caused by the prolonged compression of the local
perineum pain, reported by between 50% and 91% of the
cyclists surveyed, associated with genital-perineum
desensitization (and consequent moderate to severe
erectile dysfunction) in 13% - 24 % of the cases. The
influential variables to be considered as regards these
disorders and their manifestation in more or less severe
forms are age (especially over 50 years), body weight,
cycling history (at least 10 years) and the frequency of
training (more than 3 hours per week, equivalent to more
than 60 km per week).
also revealed a series of other disorders and pathologies,
though less frequent, which can manifest in cyclists,
therefore those who use a seat.
priapism, penile thrombosis, infertility, hematuria, torsion
of spermatic cord, prostatitis, perineal nodular induration,
increase in serum PSA level, premature or late ejaculation,
anorgasmia in women, urinary retention, and, in men, acute
Pressure on the
perineum leads to compressing the neuro-vascular structures
and possible consequences for erectile function.
The geometry of
the bicycle seat can decisively influence the reduction of
compression and is therefore a fundamental parameter to
consider and evaluate when choosing a seat. SELLE SMP is an
innovative and decisive solution, boasting its own
international patents, destined for all cyclists, men and
women alike, amateur or professional.
analyzes them one by one, with possible causes.
caused by high or irregular blood flow to cavernous
bodies of the penis and consists of a painful and
prolonged erection. It results from vascular trauma and
causes the formation of arterial-venous fistula.
prolonged and intense exercise causes an increase in
scrotal temperature, which damages spermatozoa formation
and modifies the hormonal balance of the
HORMONAL EFFECTS FROM STRENUOUS
CYCLING: several studies have reported
how psychological-physical stress in cyclists can
generally lead to important changes in hormonal balance
and a decrease in testosterone and cortisone levels.
SERUM PSA LEVEL:
numerous studies have also shown the increase in serum
PSA concentrations after cycling, probably caused by
pressure of the seat on the perineum and prostrate.
Cyclists with prostrate tumors and those with abnormal
serum PSA values (especially if over 50 years of age)
should be informed of this potential effect of cycling.
many researchers have found a significant increase in
risk of testicular seminoma in cyclists (probably
connected to repeated and frequent scrotal traumas);
instead, on this subject other researchers prefer to
highlight how exercise is a protective factor against
testicular cancer and may counterbalance incidence in
constant and prolonged contact between the seat
and the perineum can cause different types of lesions,
including calluses, ulcerations, skin irritation,
furuncles and folliculitis. The most
characteristic perineal nodular lesion from cycling is
the “biker’s nodule” or “third testicle”. This nodule is
usually characterized by an elastic-callous formation, a
few centimeters long, covered by normal skin. Surgical
removal is usually the primary treatment.
hematuria from sports activity, even originating from
trauma (repeated impact on the bladder and kidneys), is
directly correlated with the duration of exercise.
TORSION OF SPERMATIC CORD:
the correlation between this disorder and cycling is
still controversial and a subject of debate; the cause
of torsion could be tied to twisting the testis when
pedaling, accompanied by an accentuated contraction of
anatomical point of view, the nerve and vascular structures
compressed by the seat during cycling are the same in men
and women. Therefore, women also report disorders and
functional anomalies tied to cycling. The most frequent and
main ones are anorgasmia, ulcerations and lymphedema of the
vulva, difficult urination, chronic perineal pain, and