Join the 200th Anniversary Celebration

Correspondence

Spinner's Hematuria

N Engl J Med 2002; 346:1676May 23, 2002

Article

To the Editor:

Spinning is an aerobic activity performed on a stationary bicycle and carried out in groups in enclosed rooms, with instructors increasing and intensifying the workout by varying the resistance of the bike, altering the pace, or “jumping,” which is repetitive standing and sitting. This form of recreation is becoming extremely popular, and physicians should be aware of the possibility of gross hematuria in patients who participate in spinning.

A 58-year-old man was spinning five or six times per week. Gross hematuria was noted during routine examinations. Cystoscopy, retrograde ureteroscopy, intravenous pyelography, computed tomographic scanning, and cytologic studies failed to reveal the cause.

As spinning becomes more popular, hematuria will be noted in participants. Although it may be of a benign nature, this exercise could precipitate bleeding in a local lesion, so investigation is mandatory.

Kenneth M. Algazy, M.D.
University of Pennsylvania School of Medicine, Philadelphia, PA 19104

Citing Articles (2)

Citing Articles

  1. 1

    Chad Asplund, Thad Barkdull, Barry D. Weiss. (2007) Genitourinary problems in bicyclists. Current Sports Medicine Reports 6:5, 333-339
    CrossRef

  2. 2

    Maarten Albersen, Luc J.M. Mortelmans, Joost A. Baert. (2006) Mountainbiker??s hematuria: a case report. European Journal of Emergency Medicine 13:4, 236-237
    CrossRef