Kim Dong Gon, Kim Dae Woong, Park Jong Kwan
Department of Urology, Chonbuk National University Medical School , Jeonju, Korea.
Korean J Urol. 2011 May;52(5):350-4. doi: 10.4111/kju.2011.52.5.350. Epub 2011 May 24.
This study was designed to determine whether men who engaged in recreational bicycle riding are more likely to be affected by lower urinary tract symptoms (LUTS) and sexual dysfunction than are man who exercised by amateur marathon running with less perineal impact.
A total of 22 healthy male amateur bicyclists and 17 healthy male amateur marathoners were enrolled in the study. We evaluated questionnaires including the International Prostate Symptom Score (IPSS) and the International Index of Erectile Function (IIEF), serum prostate-specific antigen (PSA), uroflowmetric values, postvoid residual (PVR) urine volume, and transrectal ultrasound of the prostate in all subjects. We also compared the prevalence of urination disorders (UD) and erectile dysfunction (ED).
There were no significant differences between the two groups in age, body mass index, comorbidities, or exercise habits (p>0.05). Mean total and subscale scores of the IPSS and IIEF and the prevalence of UD (8/22 vs. 4/17, p=0.494) and ED (11/22 vs. 10/17, p=0.748) were not significantly different between the two groups. Also, there were no significant differences between the two groups in uroflowmetric parameters such as peak urinary flow rates, voided urine volume, PVR urine volume, prostate volume, or serum PSA level.
Bicycle riding seems to have no measurable hazardous effect on voiding function or sexual function in men who cycled recreationally.
本研究旨在确定与进行业余马拉松跑步且会阴部冲击较小的男性相比，从事休闲自行车骑行的男性是否更易受下尿路症状（LUTS）和性功能障碍的影响。
共有22名健康男性业余自行车骑行者和17名健康男性业余马拉松运动员纳入本研究。我们评估了所有受试者的问卷，包括国际前列腺症状评分（IPSS）和国际勃起功能指数（IIEF）、血清前列腺特异性抗原（PSA）、尿流率值、排尿后残余（PVR）尿量以及经直肠前列腺超声检查。我们还比较了排尿障碍（UD）和勃起功能障碍（ED）的患病率。
两组在年龄、体重指数、合并症或运动习惯方面无显著差异（p>0.05）。两组之间IPSS和IIEF的平均总分及各子量表得分以及UD（8/22 vs. 4/17，p = 0.494）和ED（11/22 vs. 10/17，p = 0.748）的患病率均无显著差异。此外，两组在尿流率参数（如最大尿流率、排尿量、PVR尿量、前列腺体积或血清PSA水平）方面也无显著差异。
对于进行休闲骑行的男性，骑自行车似乎对排尿功能或性功能没有可测量的有害影响。
