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Pudendal nerve entrapment (PNE) is a source of chronic pain, in which the pudendal nerve (located in the pelvis) is entrapped or compressed. Pain is worsened by sitting, and can include prickling, stabbing, burning, numbness, and the sense of a foreign object in the urethra, vagina, or rectum. In addition to pain, symptoms can include sexual dysfunction.

Causes


PNE can be caused by pregnancy, scarring due to surgery and accidents. Anatomic abnormalities can result in PNE due to the pudendal nerve being fused to different parts of the anatomy, or trapped between the aforementioned ligaments. Heavy and prolonged bicycling, especially if an inappropriately shaped or incorrectly positioned bicycle seat is used, may eventually thicken the sacrotuberous and/or sacrospinous ligaments and trap the nerve between them, resulting in PNE.

Treatment


Surgical:

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[HBC-General] FW: Safe Routes to School Job: Please see the bicycling related job posting notification below the s... http://bit.ly/4xgGcd
ignatreily (ignatreily) Wed, 09 Dec 2009 16:18:27 -0000
[HBC-General] FW: Safe Routes to School Job: Please see the bicycling related job posting notification below the s... http://bit.ly/4xgGcd

 
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Babycenter.Com - Biking is Bad for Making Babies - Study finds that men who cycle more than ten hours a week are at higher risk for impotence.

Biking and Prostatitis - Discusses the effects biking has on prostatitis and impotence.

Chain Reaction - Discusses the pro's and cons of the bike seat controversy and the research surrounding it.
Meta Description: [ Bicycle saddles and impotence...what's the real story? ]

Cycling and Sex - Newsgroup article discussed the effects cycling has on sex and impotence.
Meta Description: [ Free, easy email groups ]

Men Should Never Ride Bicycles - Article by Irwin Goldstein, M.D., Boston, MA about biking and effects it has on impotence.

Mountain Biking Damages the Scrotum 11/5/00 - Men who go mountain biking run a high risk of injuries to the scrotum that could affect their fertility, a new study suggests. Austrian researchers studied 45 male mountain bikers and found that 96% had scrotal abnormalities.
Meta Description: [ Men who go mountain biking run a high risk of injuries to the scrotum that could affect their fertility, a new study suggests. Austrian researchers studied 45 male mountain bikers and found that 96% had scrotal abnormalities. ]

404 Mountainbike Study - Clinical point of view on how mountain biking affects impotence in men.

Much Riding On A Sore Subject - Article by Roy Furchgott in the Washington Post, August 28, 2001, raises questions about the claims that bicycle seats cause impotence.

Pro-sexual Bicycling - Author Timothy McSweeney gives reasons why bicycling improves a man's sexual ability.
Meta Description: [ Timothy McSweeney's Internet Tendency ]

Saddle Seats and Erectile Dysfunction - A presentation during a urology conference at the NYU Medical Center. Exploring the flaws in current studies on cycling and erectile dysfunction.

WebMD - Is Biking Bad for the Bedroom? - Article that talkes about the effects cycling has on the bedroom and impotence.
Meta Description: [ Male cyclists are at risk for erectile dysfunction, unless the bike seat fits properly. Now they don't have to choose between cycling or sex. ]

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