Bicycle Riding and the Bedroom: Can Riding a Bicycle Cause Erectile Dysfunction?

EC 2010, Eurobarometer: future of transport analytical report. Available at: http://ec.europa.eu/public_opinion/flash/fl_312_en.pdf (accessed July 20, 2014). European Bicycle Market 2012 edition COLIBI-COLIPED. Available at: http://www.coliped.com/docs/issuu/European%20Bicycle%20Market%20&%20Industry%20Profile%20-%20Edition%202012.pdf (accessed July 20, 2014). Powell, 1987, Physical activity and the incidence of coronary heart disease, Annu Rev Public Health, 8, 253, 10.1146/annurev.pu.08.050187.001345 Williams, 2009, Reduction in incident stroke risk with vigorous physical activity: evidence from 7.7-year follow-up of the national runners' health study, Stroke, 40, 1921, 10.1161/STROKEAHA.108.535427 Williams, 2007, Changes in vigorous physical activity and incident diabetes in male runners, Diabetes Care, 30, 2838, 10.2337/dc07-1189 Blair, 1989, Physical fitness and all-cause mortality. A prospective study of healthy men and women, JAMA, 262, 2395, 10.1001/jama.1989.03430170057028 Thompson, 2001, Bicycle-related injuries, Am Fam Physician, 63, 2007 Tasian, 2014, Bicycle-related genitourinary injuries in the USA from 2002-2010, Inj Prev, 20, 350, 10.1136/injuryprev-2013-041002 Hippocrates, 1923, On airs, waters and places, Vol 1 Kita, 1997, The unseen danger, Bicycling, 69 Feldman, 1994, Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study, J Urol, 151, 54 Braun, 2000, Epidemiology of erectile dysfunction: results of the ‘Cologne Male Survey’, Int J Impot Res, 12, 305, 10.1038/sj.ijir.3900622 Marceau, 2001, Does bicycling contribute to the risk of erectile dysfunction? Results from the Massachusetts Male Aging Study (MMAS), Int J Impot Res, 13, 298, 10.1038/sj.ijir.3900733 Taylor, 2004, Bicycle riding and its relationship to the development of erectile dysfunction, J Urol, 172, 1028 Hollingworth, 2014, An observational study of erectile dysfunction, infertility, and prostate cancer in regular cyclists: cycling for health UK study, JOMH, 2, 75, 10.1089/jomh.2014.0012 Rodano, 2002, Saddle pressure distribution in cycling: comparison among saddles of different design and materials, Proc XXth Int Symp Biomech Sports, 606 Asplund, 2007, Genitourinary problems in bicyclists, Curr Sports Med Rep, 6, 333 Munarriz, 2005, Only the nose knows: penile hemodynamic study of the perineum-saddle interface in men with erectile dysfunction utilizing bicycle saddles and seats with and without nose extensions, J Sex Med, 2, 612 Sommer, 2001, Impotence and genital numbness in cyclists, Int J Sports Med, 22, 410, 10.1055/s-2001-16248 Dettori, 2004, Erectile dysfunction after a long-distance cycling event: associations with bicycle characteristics, J Urol, 172, 637 Oberpenning, 1994, The Alcock syndrome: temporary penile insensitivity due to compression of the pudendal nerve within the Alcock canal, J Urol, 151, 423 Bressel, 2007, Influence of bicycle seat pressure on compression of the perineum: a MRI analysis, J Biomech, 40, 198, 10.1016/j.jbiomech.2005.11.017 Gemery, 2007, 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 Int, 99, 135, 10.1111/j.1464-410X.2007.06542.x Leibovitch, 2005, The vicious cycling: bicycling related urogenital disorders, Eur Urol, 47, 277, 10.1016/j.eururo.2004.10.024 Mackinnon, 2002, Pathophysiology of nerve compression, Hand Clin, 18, 231, 10.1016/S0749-0712(01)00012-9 Andersen, 1997, Impotence and nerve entrapment in long distance amateur cyclists, Acta Neurol Scand, 95, 233, 10.1111/j.1600-0404.1997.tb00104.x Munarriz, 1995, Blunt trauma: the pathophysiology of hemodynamic injury leading to erectile dysfunction, J Urol, 153, 1831 Lehmann, 1995, Subclinical trauma to perineum: a possible etiology of erectile dysfunction in young men, Eur Urol, 27, 306, 10.1159/000475186 Levine, 1990, Arteriographically determined occlusive disease within the hypogastric-cavernous bed in impotent patients following blunt perineal and pelvic trauma, J Urol, 144, 1147 Rosen, 1990, Arteriogenic impotence: findings in 195 impotent men examined with selective internal pudendal angiography, Radiology, 174, 1043, 10.1148/radiology.174.3.174-3-1043 Spears, 2003, The effects of saddle design on stresses in the perineum during cycling, Med Sci Sports Exerc, 35, 1620, 10.1249/01.MSS.0000084559.35162.73 Sommer, 2010, Bicycle riding and erectile dysfunction: a review, J Sex Med, 7, 2346 Carpes, 2009, Effects of workload on seat pressure while cycling with two different saddles, J Sex Med, 6, 2728 Bressel, 2009, A field-based approach for examining bicycle seat design effects on seat pressure and perceived stability, Appl Ergon, 40, 472, 10.1016/j.apergo.2008.10.001 Sommer, 2003 Lowe, 2004, Effect of bicycle saddle designs on the pressure to the perineum of the bicyclist, Med Sci Sports Exerc, 36, 1055, 10.1249/01.MSS.0000128248.40501.73 Bressel, 2005, Bicycle seat interface pressure: reliability, validity, and influence of hand position and workload, J Biomech, 38, 1325, 10.1016/j.jbiomech.2004.06.006 Bressel, 2003, Bicycle seat designs and their effect on pelvic angle, trunk angle, and comfort, Med Sci Sports Exerc, 35, 1, 10.1249/01.MSS.0000048830.22964.7c Schrader, 2008, Cutting off the nose to save the penis, J Sex Med, 5, 1932 Bressel, 2010, Association between attributes of a cyclist and bicycle seat pressure, J Sex Med, 7, 3424 Höfler, 2005, The Bradford Hill considerations on causality: a counterfactual perspective, Emerg Themes Epidemiol, 2, 11, 10.1186/1742-7622-2-11 Alanee, 2009, Horseback riding: impact on sexual dysfunction and lower urinary tract symptoms in men and women, Urology, 73, 109, 10.1016/j.urology.2008.07.058 Esposito, 2009, Effects of intensive lifestyle changes on erectile dysfunction in men, J Sex Med, 6, 243 Hannan, 2009, Beneficial impact of exercise and obesity interventions on erectile function and its risk factors, J Sex Med, 6, 254 Bacon, 2006, A prospective study of risk factors for erectile dysfunction, J Urol, 176, 217