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Cutting off the nose to save the penis.

Schrader-S; Breitenstein-M; Lowe-B
J Androl 2008 Mar/Apr; 29(S):30
Introduction and Objectives: The average bicycle police officer spends over 25 hours a week on his bicycle and previous studies have shown riding a bicycle with a traditional saddle has been associated with urogenital paresthesia and sexual dysfunction. The objectives of this study were to assess the effectiveness of the no-nose bicycle saddle to mitigate these health issues among male bicycling police officers and to assess their use and acceptance of this alternative saddle. Methods: Bicycle police officers from 5 metropolitan areas were recruited for this study. Participants completed the following measures prior to adopting the no-nose saddle and after riding with a no-nose saddle exclusively for 6 months: 1. the International Index of Erectile Function Questionnaire (IIEF); 2. computerized pressure measurements at the points 01 contact on the bicycle. handlebars, pedals, and saddle; 3. one night of Rigiscan assessment; and 4. penile neurological function assessed by computerized biothesiometry. Officers selected a no-nose saddle for their bicycles and were asked to use this saddle for 6 months, at which point they were retested. Results: After 6 months, 90 men were reassessed. Only three of these officers had returned to B traditional saddle. The results are presented for those who used the no-nose saddle continuously for 6 months. A 66% reduction in saddle contact pressure in the perineal region (p<O.OO1) was found. There was an improvement in penile tactile sensation (p=O.O15) as assessed by biothesiometry. There was also an improvement in erectile function assessed by IIEF (p=O.O15). There were no changes noted in the Rigiscan measures. The number of men indicating they had never experienced urogenital paresthesia in the previous 6 months rose from 29% to 81% when using the no-nose saddle. Conclusions: 1. With few exceptions, bicycle police officers were able to effectively use no-nose saddles in their police work. 2. Use of no-nose saddles reduced most perineal pressure. 3. Penile health improved after 6 months of using no-nose saddles as measured by biothesiometry and IIEF. There were no changes in Rigiscan measures after 6 months of using no-nose saddles, suggesting that a longer recovery time may be needed.
Police-officers; Emergency-responders; Bicycles; Ergonomics; Urogenital-system-disorders; Men; Humans
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Journal of Andrology
Page last reviewed: September 2, 2020
Content source: National Institute for Occupational Safety and Health Education and Information Division