{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T23:00:57Z","timestamp":1785452457413,"version":"3.56.0"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aktuelle Urol"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Urogenitale Beschwerden wie perinealer Druckschmerz, penile Taubheit oder Miktionsbeschwerden im Zusammenhang mit dem Fahrradfahren werden im klinischen Alltag urologischer Praxen regelm\u00e4\u00dfig berichtet und k\u00f6nnen insbesondere bei vorerkrankten Patienten klinische Relevanz besitzen.<\/jats:p>\n                  <jats:p>Ziel der vorliegenden Studie war es, die Pr\u00e4valenz von radfahrassoziierten Beschwerden in einer urologischen Kohorte zu erfassen und die perineale Druckverteilung unter Verwendung eines prostatavolumenadaptierten Fahrradsattels (Prostasella) zu untersuchen. Zus\u00e4tzlich wurde ein explorativer Algorithmus zur nicht-invasiven Absch\u00e4tzung des Prostatavolumens entwickelt, um eine patientenspezifische Sattelgr\u00f6\u00dfenbestimmung zu erm\u00f6glichen.<\/jats:p>\n                  <jats:p>Insgesamt wurden 50 m\u00e4nnliche Patienten einer urologischen Praxis klinisch untersucht und standardisiert befragt. Das Prostatavolumen wurde mittels transrektaler Sonographie bestimmt. Die sensorbasierte perineale Druckmessung erfolgte in einer Subkohorte von 24 Patienten. Hierbei wurden zwei voneinander unabh\u00e4ngige Gruppen untersucht: eine Interventionsgruppe unter Verwendung eines prostatavolumenadaptierten Fahrradsattels sowie eine Kontrollgruppe unter Verwendung eines konventionellen Fahrradsattels unter vergleichbaren Messbedingungen.Der Vergleich der zentralen perinealen Druckbelastung erfolgte als unabh\u00e4ngiger Gruppenvergleich und nicht als intraindividueller Crossover-Vergleich.Prim\u00e4rer Endpunkt war die zentrale perineale Druckbelastung im definierten perinealen Messbereich.<\/jats:p>\n                  <jats:p>Die Verwendung des prostatavolumenadaptierten Fahrradsattels f\u00fchrte zu einer signifikanten Reduktion der zentralen perinealen Druckbelastung im Vergleich zu konventionellen Sattelsystemen (Reduktion um ca. 88 %, P &lt; 0,001).<\/jats:p>\n                  <jats:p>Eine prostatavolumenadaptierte Sattelkonstruktion erm\u00f6glicht eine relevante Reduktion der perinealen Druckbelastung und stellt einen potenziell klinisch relevanten Ansatz zur Pr\u00e4vention und Therapie radfahrassoziierter urogenitaler Beschwerden dar. Der entwickelte Algorithmus ist als explorativer Ansatz zu werten und bedarf weiterer Validierung.<\/jats:p>","DOI":"10.1055\/a-2879-3182","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T22:51:06Z","timestamp":1781045466000},"page":"392-399","source":"Crossref","is-referenced-by-count":0,"title":["Urogenitale Beschwerden bei Radfahrern und Reduktion der perinealen Druckbelastung durch einen prostatavolumenadaptierten Fahrradsattel"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-3340-870X","authenticated-orcid":false,"given":"Horst","family":"Hohmuth","sequence":"additional","affiliation":[{"name":"Uropraxis Ulm, Germany","place":["Ulm"],"department":["Urologie Andrologie Sportmedizin"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"M\u00f6ller","sequence":"additional","affiliation":[{"name":"Universit\u00e4t Ulm, Germany","place":["Ulm"],"department":["Medizinische 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