Nanka O, Sedý J, Jarolím L
Institute of Anatomy, 1st Faculty of Medicine, Charles University, U Nemocnice 3, 128 00 Prague 2, Czech Republic.
Med Hypotheses. 2007;69(5):1040-5. doi: 10.1016/j.mehy.2007.01.089. Epub 2007 May 3.
This article introduces a hypothesis that the pudendal nerve compression syndrome, also known as the Alcock's syndrome in long-time duration bicycle riders might be caused by an irritation of the dorsal nerve of penis in a groove on the inferior ramus and the anterior surface of pubis, previously described by authors as the sulcus nervi dorsalis penis. Alcock's syndrome in bicycle riders has been characterized as a prolonged glans and penile insensitivity, genital numbness and an erectile dysfunction. Although no anorectal pain or disturbance of the bulbocavernosus reflex has been reported in these patients, we assume it cannot be caused by a compression of the pudendal nerve in pudendal (Alcock's) canal, hence by a compression of the dorsal nerve of penis in the sulcus nervi dorsalis penis. In future, if clinical studies confirm our hypothesis, it might be more sophisticated to evaluate this syndrome apart from the Alcock's syndrome and term it the dorsal nerve compression syndrome rather than the Alcock's syndrome.
本文介绍了一种假说，即长期骑自行车的人出现的阴部神经压迫综合征，也称为阿尔科克综合征，可能是由阴茎背神经在耻骨下支和耻骨前表面的一个沟内受到刺激引起的，此前作者将该沟描述为阴茎背神经沟。骑自行车者的阿尔科克综合征的特征是龟头和阴茎长期感觉迟钝、生殖器麻木和勃起功能障碍。尽管这些患者未报告有肛门直肠疼痛或球海绵体反射障碍，但我们认为它不是由阴部（阿尔科克）管内的阴部神经受压引起的，因此是由阴茎背神经在阴茎背神经沟内受压引起的。未来，如果临床研究证实我们的假说，将这种综合征与阿尔科克综合征区分开来并将其称为阴茎背神经压迫综合征而非阿尔科克综合征可能更为妥当。
