Genitourinary Problems

Hematuria and proteinuria are also common findings in athletes. They may be caused by repetitive mechanical trauma to the bladder or by exercise-related changes in renal physiology. Initial workup is to rule out infection, refrain from exercising for 48 to 72 hours, and retest. If hematuria or proteinuria persists, a full evaluation should be performed (Abarbanel et al., 1990).

Genitourinary problems in male cyclists are particularly common. Pressure from the bicycle saddle can cause compression neuropathies (pudendal nerve), impotence, urethritis, or prostatitis (Leibovitch and Mor, 2005). Pudendal neuropathy manifests with numbness or tingling in the scrotum or penile shaft. Treatment involves relieving pressure by changing seat type, proper bicycle fitting, and wearing padded shorts.

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