Cyclists and prostate cancer

Does anyone have a recommendation for a road bike seat. I'll be finishing radiation treatments by end of January, hopefully, and want to get back on my bike ASAP. I ride about 2,000 miles a year. Thanks.

@gobucky
At a recent conference, they mentioned that getting on a bike seat that sits on the perineum and puts weight there causes erectile dysfunction, You want a seat that is wide in the back and does not have a narrow area for the perineum.

Others can give you some exact styles. I bought a bike seat that looks like this, But they say it’s no longer available. Something similar is probably what you want.

@gobucky I posted on this thread the other day specifically on this topic... I think I have a great recommendation for you. That's a fair bit of mileage! THE MOST comfortable seats I have tried (by a long shot) are the "NinetyK" brand (ninetyk.com). I have been a serious mountain, and to a lesser extent road, rider for 34 years (when riding road to train for mt biking events, I was putting in ~3000 km in a training season April - September). I went through a painful lapro RP procedure in August 2023. I experienced profound perineum sensitivity and pain for a long time. I ended up buying a recumbent stationary cycle with a padded bench seat just so I could pedal a bike for almost a year after surgery. I have tried multiple brands of seats and have found several that are pretty good - Ergon makes some good saddles; SQ Labs also makes some good saddles. BUT, by far, the most comfortable has been my NinetyK Nirvana saddle. I am back riding heavily-technical, steep mountain terrain in the North Shore, Sea-to-Sky region of BC, Canada. For road and/or gravel, you may wish to consider the NinetyK "The Jam"; "The Cure"; or the "Yes" saddle. They don't let you post links on the site here but if you go to ninetyk.com, you will find these. I also posted about a supercool, very innovative product called the "Aenomaly Switchgrade". This allows you to change the angle of your seat on-the-fly. It was primarily developed for mt biking, but would work for general cycling and gravel (especially if you log any significant climb-descend transitions). The device allows you to put your seat at the optimal angle for flat, climbing, or descending with an easy-to-access lever under the front end of the seat. It is amazingly well-crafted, robust and effective at reducing perineum pressure (can also help with back pain often associated with long, steep climbs). You can find it on aenomalyconstructs.com. BTW, I am NOT paid by any of these companies to recommend their products. I am simply sharing what has been helpful for me. Best to you!

@mtb63
You should be able to post links on this site. You can’t do it the first couple of months you join after that it works just fine. If not, you might ask one of the moderators what’s going on.

@jeffmarc Thanks Jeff... I tried when I first joined I guess and it got rejected... I left the basic info for people to get to the links 😉

@mtb63, you can post links now. 🙂

@gobucky, did you find a seat that you think will work for you?

@colleenyoung

Thanks Colleen... here are the links to ninetyk and aenomaly:
https://www.ninetyk.com/our-line-up
https://www.aenomalyconstructs.com/pages/why-use-a-switchgrade

@colleenyoung
I ended up going with a seat sold by Specialized- Romin Evo Comp Gel. It sold for $140.

I have been diagnosed with stage 4 prostate cancer about 6 weeks ago. I start my 5 week (25 sessions) at the end of September. With a split or 2 piece saddle, will I be able to ride during my treatment? I cycle 100-200 mikes weekly

@donniej
The problem is there frequently are urinary urgency or burning problems and many people get diarrhea that require them to Have a toilet Handy multiple times a day.

You may or may not have these problems. I’m working with somebody now that had them in the first week and then they settle down and he’s been OK. Another guy I was working with recently had the Side effects so intensely that he had to cut back to four days a week so he could recover. There’s no knowing how you are going to react since everyone is different.

You probably aren’t going to have enough fatigue that it will require you to not ride for a while. But that is a possibility.

I had 40 sessions and they gave less radiation in each session. I immediately went to work every morning right after radiation. Didn’t even notice the radiation doing anything to me. You have a lot fewer sessions so they give you more radiation each time and the side effects can be more intense.