Bicycling induced pudendal nerve pressure neuropathy

Clin Exp Neurol. 1991:28:191-6.


Pudendal neuropathies are well recognised as part of more generalised peripheral neuropathies; however, focal abnormalities of the pudendal nerve due to cycling-related injuries have been infrequently reported. We describe two patients who developed pudendal neuropathies secondary to pressure effects on the perineum from racing-bicycle saddles. Both were male competitive athletes, one of whom developed recurrent numbness of the penis and scrotum after prolonged cycling; the other developed numbness of the penis, an altered sensation of ejaculation, with disturbance of micturition and reduced awareness of defecation. Both patients improved with alterations in saddle position and riding techniques. We conclude that pudendal nerve pressure neuropathy can result from prolonged cycling, particularly when using a poor riding technique.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bicycling / injuries*
  • Humans
  • Male
  • Middle Aged
  • Nerve Compression Syndromes / etiology*
  • Nerve Compression Syndromes / physiopathology
  • Perineum / innervation*
  • Peripheral Nerves / physiopathology
  • Posture
  • Rectum / innervation
  • Urogenital System / innervation*