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Old 10-26-11, 10:14 AM   #1
TromboneAl
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Repeated Prostate Abuse

After almost every 60+ mile ride, I get a mild prostate symptom: slow start when peeing. It correlates exactly with riding. Although there's no pain, I usually take two aspirin after a ride to reduce swelling.

It's not much of a bother, but I wonder whether causing inflammation like this several times a week is not a good thing. I realize that it doesn't cause prostate cancer.

I had mentioned this to my doctor, and he didn't seem concerned.

Note that I have a Specialized Alias seat, tilted forward so that all my weight is on my sit bones.

Do any of you get this? Do you think there is a need for concern?
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Old 10-26-11, 10:41 AM   #2
jim hughes
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My advice: forget the special seats. Quit messing around with this problem, quit 'bargaining' with your health, get a good recumbent and get back to simply enjoying cycling.

Last edited by jim hughes; 10-26-11 at 10:46 AM.
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Old 10-26-11, 10:54 AM   #3
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I would say that even if your saddle is tilted forward, it might still be the culprit. If all your weight was truly on your sit bones, there's no reason to be getting these symptoms. Another thought is that your cycling shorts may be too tight.

I had a problem after my first 60+ mile ride of the season (for which I also had a new saddle that I hadn't dialed in correctly), wherein I had excruciatingly painful urination for the next 24 hours. It freaked me out and I was ready to go to the ER, but by the next day, it had improved, and completely disappeared a couple of days later. In my case, it was simply a matter of not having the saddle tilted forward enough. But in your case, there may be something fundamental about your saddle's shape that's causing the problem.
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Old 10-26-11, 11:20 AM   #4
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No prostate but I get the same problem if I don't drink enough. Morning at work and If I get stuck at the desk then no chance for a drink for a good couple of hours and I get the same problem. On the bike and I drink but if not enough- the same problem.

At work I try to get fully hydrated before the other staff come in as after that it can be mayhem. Same on morning of the rides with plenty to drink before the ride. Provided I do that- no problem.
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Old 10-26-11, 11:25 AM   #5
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If it were me, I would get a seat with a cutout in the middle to relieve pressure on the taint area and see if that helps.

Personal recommendation is a Terry Butterfly (yes, it is marketed to women but it works great for me)

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Old 10-26-11, 11:29 AM   #6
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I have had a couple of bouts of prostatitus that I have linked to bicycling. I changed saddles on all my bikes to ones with deep cutouts and the prostate problems have disappeared. It's been a least seven or eight years since I've had any problem at all. Try a saddle designed to relieve pressure and you might be OK.
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Old 10-26-11, 11:39 AM   #7
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Something in the saddle choice and/or adjustment or possibly some other aspect of bike fit is not quite right. I would keep trying variations until something works.
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Old 10-26-11, 12:18 PM   #8
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Originally Posted by jim hughes View Post
My advice: forget the special seats. Quit messing around with this problem, quit 'bargaining' with your health, get a good recumbent and get back to simply enjoying cycling.
Where can I find a good recumbent mountain bike?
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Old 10-26-11, 12:45 PM   #9
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Originally Posted by TromboneAl View Post
After almost every 60+ mile ride, I get a mild prostate symptom: slow start when peeing. It correlates exactly with riding. Although there's no pain, I usually take two aspirin after a ride to reduce swelling.

It's not much of a bother, but I wonder whether causing inflammation like this several times a week is not a good thing. I realize that it doesn't cause prostate cancer.

I had mentioned this to my doctor, and he didn't seem concerned.

Note that I have a Specialized Alias seat, tilted forward so that all my weight is on my sit bones.

Do any of you get this? Do you think there is a need for concern?
I don't understand so please help me. You have seen your doc and received an answer. Seems to me that should be the end of it unless you don't have faith in the doc. Then the next step would be to find another doc, not post here.

Apparently there is something in the logic chain I'm missing. Please educate me.
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Old 10-26-11, 12:50 PM   #10
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I had mentioned this to my doctor, and he didn't seem concerned.
Why would he be. It's not his prostate.


Tilting the nose of the saddle down has been counterproductive for me as it makes me slide forward putting more weight where I don't want it. Flat to very slightly nose up works for me. I also prefer saddles that are more flat in the transverse direction. Currently using a Fizik Antares. YMMV
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Old 10-26-11, 12:53 PM   #11
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Get a fit done by a well respected pro. It is not just the seat issue, it can be a product of the type of seat, seat tilt, seat height, seat seat fore and aft position, reach to the bars and bar height in relation to the seat height.

Tell the guy/gal doing the fit what your experiences are in regards to the prostate issue.

If that does not fix it, ask your doc to refer you to a specialist.
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Old 10-26-11, 01:51 PM   #12
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Mine has done MUCH better with riding. Just lucky. No more lower back pain from the inflammation.
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Old 10-26-11, 02:34 PM   #13
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I have read that draining the prostate of fluid before the ride reduces the incidence of prostatosis. I have not done the experiment, however.
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Old 10-26-11, 04:38 PM   #14
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Originally Posted by TromboneAl View Post
After almost every 60+ mile ride, I get a mild prostate symptom: slow start when peeing. It correlates exactly with riding. Although there's no pain, I usually take two aspirin after a ride to reduce swelling.

It's not much of a bother, but I wonder whether causing inflammation like this several times a week is not a good thing. I realize that it doesn't cause prostate cancer.

I had mentioned this to my doctor, and he didn't seem concerned.

Note that I have a Specialized Alias seat, tilted forward so that all my weight is on my sit bones.

Do any of you get this? Do you think there is a need for concern?
Al, If I were you I'd press my doctor REAL HARD about this since constant irritation of any part of the body will ,in time, cause problems that otherwise could have avoided.

If you are still uneasy about this then it will do you good to see a urologist about it. It may be a simple as you need to 'drain' your prostate more often.
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Old 10-26-11, 04:50 PM   #15
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Where can I find a good recumbent mountain bike?
In the next world, right after that last big tree root that you just rolled over.
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Old 10-27-11, 12:20 AM   #16
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Can you explain to me why you are taking aspirin to reduce swelling. Is this a doctor's recommendation?

In my book, aspirin does not influence swelling of anything in any way. I take it post-heart attack -- have done for almost 15 years. If you want to reduce swelling through build up of fluid or irritation, then ibuprofen would be my choice.

I would think seriously about getting another seat. You don't mention how old this seat is, but it may be that the foam under your sitbones is collapsing, allowing the seat ahead of that area to press up into your prostate area.

Experiment with some other seats and preferably the firm the better around the sitbone region. In my opinion, tilting the nose of the seat down will create problems with wrists, arms, shoulders and back.
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Old 10-27-11, 01:22 PM   #17
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Where can I find a good recumbent mountain bike?
Almost a recumbent... and the owner is very happy
http://www.bentrideronline.com/messa...ad.php?t=77967
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Old 10-27-11, 06:44 PM   #18
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Can you explain to me why you are taking aspirin to reduce swelling. Is this a doctor's recommendation?

In my book, aspirin does not influence swelling of anything in any way. I take it post-heart attack -- have done for almost 15 years. If you want to reduce swelling through build up of fluid or irritation, then ibuprofen would be my choice.
.
Aspirin is the original nonsteroidal anti-inflammatory drug (NSAID) but I've never heard of this use of it. Interesting.
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Old 10-27-11, 06:45 PM   #19
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I'm 62 and switched to a Koobi Century that has deep cutouts for the sensitive areas. These saddles can be adjusted for your weight.

http://www.koobi.com/koobisaddles.aspx
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Old 10-27-11, 10:01 PM   #20
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I've talked with my primary care physician. He researched the subject and told me to change bikes or bike saddles. He sent me to a urologist after I finally got a urinary tract infection and had to wear a catheter for 2+ weeks. The urologist says it's no mystery: stop riding the bike.

There are experts here in these forums who insist the doctors and specialists don't know anything. My guess is, they haven't experienced the joys of wearing a bag strapped to their legs for a couple weeks.
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Old 10-28-11, 08:44 AM   #21
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Thanks for the advice, guys.

The saddle is a Specialized Alias with a big cutout:



The padding is minimal, so I don't sink down much.
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Old 10-28-11, 12:41 PM   #22
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Originally Posted by TromboneAl View Post
After almost every 60+ mile ride, I get a mild prostate symptom: slow start when peeing. It correlates exactly with riding. Although there's no pain, I usually take two aspirin after a ride to reduce swelling.

It's not much of a bother, but I wonder whether causing inflammation like this several times a week is not a good thing. I realize that it doesn't cause prostate cancer.

I had mentioned this to my doctor, and he didn't seem concerned.

Note that I have a Specialized Alias seat, tilted forward so that all my weight is on my sit bones.

Do any of you get this? Do you think there is a need for concern?
Find a new doctor, yours is an idiot. Any good doctor will investigate ANY pain, because pain is the bodies way of telling us that something is not quite right. That means investigating what is going on down there, it could be riding that is causing it, it could also be something else that riding is aggravating, so it needs to be investigated. If it is riding, check your bike fit, most bicycle related issues are related to fit..
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Old 10-28-11, 02:19 PM   #23
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My advice: forget the special seats. Quit messing around with this problem, quit 'bargaining' with your health, get a good recumbent and get back to simply enjoying cycling.
Jim has it right. Go 'bent now and save doing all the experiments that fail. Slow start is just the beginning. bk
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Old 10-29-11, 03:33 PM   #24
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I used Specialized BG saddles for years; the Milano is still my favorite. But right now I'm using a Selle SMP Trk that works pretty well for any ride under about 40 miles (and 40 on a MTB is significant).

Since you have a BG saddle, the only other thing I can suggest is: stand up more, get off the saddle for a couple minutes every half hour or so.
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