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Urology/Bike Seat Neuropathy

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Question
Hi,

I'm a 37 yr old active male and I'm fairly certain I'm suffering from acute onset bike seat neuropathy, but was hoping someone could comment because I haven't found any detailed listing of symptoms.

After having been off the road bike for sometime I went out for a ride on a Saturday afternoon. During the ride I had shifted myself more forward on the seat due to a knee pain issue. I road for an hour (~30km) during which my perineum and penis had some pain and I think slight numbness. Upon stopping my first urination was very painful. Throughout the day and into the next day urination was painful (pretty sure this wasn't dehydration). On Sunday evening I had intercourse with my wife and found erection and ejaculation to be painful too. In the following few days I have had a general discomfort in my perineum and penis, urination pain seems to come and go. I have also at times felt like I needed to pee when I barely had any volume to it.

I had a similar incident after getting back to cycling a number of years before and thought it might have been a bladder infection or something. Of course the tests came back negative and I remember it taking a good week or two to resolve itself.

So do these symptoms sound like bike seat neuropathy? I have since stopped riding altogether as this is definitely not a comfortable situation and I don't want to aggravate it any further.

Thanks for any comment/advice etc.

Answer
Luke:

Your symptoms are compatible with bicycle seat related neuropathy but that doesn't mean it is a definitive diagnosis at this point.  Since this has happened to you in the past, it's likely that you are now more sensitive.  I would avoid bicycle seats for now and check with your local physician.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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