MP84-08 NEW INSIGHT INTO THE ASSOCIATION OF BICYCLE RELATED GENITAL NUMBNESS AND SEXUAL FUNCTION: RESULTS FROM A LARGE, MULTINATIONAL, CROSS-SECTIONAL STUDY

Abstract

You have accessJournal of UrologySexual Function/Dysfunction: Penis/Testis/Urethra: Benign Disease & Malignant Disease II1 Apr 2018MP84-08 NEW INSIGHT INTO THE ASSOCIATION OF BICYCLE RELATED GENITAL NUMBNESS AND SEXUAL FUNCTION: RESULTS FROM A LARGE, MULTINATIONAL, CROSS-SECTIONAL STUDY Nima Baradaran, Mohannad Awad, Thomas Gaither, Kirkpatrick Fergus, Aron Liaw, Tom Sanford, Michael Eisenberg, and Benjamin Breyer Nima BaradaranNima Baradaran More articles by this author , Mohannad AwadMohannad Awad More articles by this author , Thomas GaitherThomas Gaither More articles by this author , Kirkpatrick FergusKirkpatrick Fergus More articles by this author , Aron LiawAron Liaw More articles by this author , Tom SanfordTom Sanford More articles by this author , Michael EisenbergMichael Eisenberg More articles by this author , and Benjamin BreyerBenjamin Breyer More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.2776AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Prolonged time in the saddle is associated with decreased penile and perineal blood flow and temporary genital numbness (GN). The impact of numbness on future sexual function is unclear. We aim to assess the association of GN and sexual dysfunction in cyclists. METHODS Cyclists were recruited through Facebook advertisements and outreach to sporting clubs. This is a secondary analysis of a larger epidemiologic population based study that examined sexual and urinary wellness in athletes. We queried cycling habits and erectile function using Sexual Health Inventory for Men (SHIM). RESULTS The demographic and cycling habits of 2,774 male cyclists are summarized in table 1. Among cyclists, there was a statistically significant increase in trend of GN with more years of biking (p=0.002), more frequent weekly biking (p<0.001), and longer biking distance at each ride (p<0.001). Less frequent use of padded shorts (OR 0.14, p<0.001), lower handlebar (OR 0.49, p<0.001) were associated with GN but BMI (OR 1.1, p=0.33) and age (OR 1.2, p=0.15) were not. In a multivariate logistic regression model, after adjusting for age, BMI, and lifetime miles (calculated by average daily cycling mileage x cycling days/week x cycling years.), there were no statistically significant differences in mean SHIM score between cyclists with and cyclists without GN (20.3 vs. 20.2, p=0.83). Interestingly however, the subset of cyclists who reported GN in the buttock reported statistically significantly worse SHIM (20.3 vs. 18.4, p<0.001). This association was not present in cyclists with GN in the scrotum, penis, or perineum and remained significant after adjusting for overall biking intensity. CONCLUSIONS Cyclists report GN in proportion with biking intensity but GN is not associated with worse sexual function in this cohort. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e1127-e1128 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Nima Baradaran More articles by this author Mohannad Awad More articles by this author Thomas Gaither More articles by this author Kirkpatrick Fergus More articles by this author Aron Liaw More articles by this author Tom Sanford More articles by this author Michael Eisenberg More articles by this author Benjamin Breyer More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...