Vacuum erection devices have been utilized for improving erectile rigidity for over a century. Its current form it has gained popularity only over the past ten years. It has been FDA approved for use in the management of men with erectile dysfunction (ED). There are a number of medical equipment companies that have specially-designed devices which are carefully constructed so that a limited amount of pressure is allowed to develop. This is reduce the likelihood of pressure-induced penile injury or anything. This pressure is approximately 200-230 mmHg. In contrast, there are devices available, generally termed “penis developers” .
TECHNIQUE
Once a decision has been made to pursue sexual relations, Here need to water-soluble jelly is applied to the base of the penis and maneuver prevents air from seeping into the chamber, by creating a water-tight seal packed, thus maintaining the negative pressure within the cylinder. Many men may find that trimming the pubic hair may aid achieving this water-tight seal. Once a cylinder has been placed over the penile shaft and held firmly against the pubic bone, the pump mechanism can be activated either by hand or battery. Slow generation of the negative pressure prevents penile pain due to too rapid a build-up of pressure within the cylinder. Negative pressure causes an inflow of blood into the corporal bodies. The latter blood is drawn into the erectile chambers in a retrograde fashion.
THE DEVICE
The Vacuum Therapy Device or
Male Enhancement Product consists of a clear plastic cylinder with an aperture at one end that is placed over the penile shaft. The other end of the cylinder is a pump mechanism that is used to generate negative pressure within the cylinder. The pump mechanism can be in the form of either a manually operated or a battery operated system. The former generally requires two hands to control the devices, one on the pump handle and the other to steady the cylinder on the penis itself. Battery-operated device can be used with one hand. In this system the trigger mechanism is on the top end of the cylinder and thus one hand can activate the pump and steady the cylinder at the same time. This is a very important consideration for patients with poor manual dexterity or strength, such as men’s with Parkinson’s disease or rheumatoid arthritis. The All FDA approved cylinders have pop-off valves, which and how to limit the amount of pressure held within the chamber.
INDICATIONS
The Vacuum Therapy Device or
Sexual Enhancement Product is short form for men with ED. There are no any specific conditions that would interfere with the use of ED these devices. Here caution should be exercised by men if they are- (1) using blood-thinners or have a history of bleeding disorders (2) have diminished penile sensation (3) have significant penile curvature or (4) have a history of priapism (prolonged erection) or are at risk for its development (see section on Priapism). Therapy may cause the patient to develop bruising and swelling in penis due to rupture of the superficial veins on the shaft of the penis resulting from the constriction ring.
Patients who have reduced sensation in their penis, here especially men with spinal cord injury, at risk for trauma with repeated use of the constriction band. It should be used to extreme caution in this group and the ring should be applied for only short periods of time. Men with Peyronie’s disease (acquired penile curvature) or congenital penile curvature, with the significant degrees of curvature should be discouraged from using a vacuum device as the straight cylinder may exert significant stress on the curved penis resulting in trauma to the already bent shaft of the penis. The Patients with hematologic forms of venocclusive priapism should not use a vacuum device under any circumstances.
SIDE EFFECTS
Bruising, skin breakdown, and penile pain associated with the application of the constriction band have already been discussed, tightness of the band may also result in failure to achieve an ejaculation (although no interference with orgasm should occur) and the development of a temporary penile numbness. The other problems is with the erection achieved with the
Male Enhancement Product device is that it may hinge at the point of application of the constriction ring. That is, the penis behind the ring is very soft and only that portion of the shaft that is beyond the ring has any degree of hardness and inhancement. Therefore, the ring must be applied as far towards the base of the penis as possible.
RESULTS
Despite the apparent drawbacks to the use of vacuum therapy devices, there is a population of patients who find its use easy and it has allowed many couples to successfully resume penetrative sexual relations. Number of reports have cited satisfaction rates above 80%. This treatment has been shown to result in definite improvement in erection hardness, enhancement in frequency of sex and increase in overall sexual satisfaction. Increased full satisfaction for the partner has also been demonstrated. Drop-out rates of up to 30% have been cited and the commonest reasons for drop-out include, inadequate rigidity, penile pain, P looseness, failure to ejaculate and dissatisfaction with penile appearance and temperature. The vacuum therapy device is suitable for all groups of patients with ED except those listed as contraindications above. Patients should be counseled regarding the pros and cons of this modality. Furthermore, patients would not be just sent home with a video for watching, they should have in office counseling by a health care worker experienced in the working of the device. This approach maximum patient acceptance, satisfaction, and long-term positive compliance. In the era of oral therapy, the vacuum device is currently viewed as a 2nd-line therapy, one which, however, has good patient/partner satisfaction and an excellent safety profile.
Vacuum erection devices have been utilized for improving erectile rigidity for over a century. Its current form it has gained popularity only over the past ten years. It has been FDA approved for use in the management of men with erectile dysfunction (ED). There are a number of medical equipment companies that have specially-designed devices which are carefully constructed so that a limited amount of pressure is allowed to develop. This is reduce the likelihood of pressure-induced penile injury or anything. This pressure is approximately 200-230 mmHg. In contrast, there are devices available, generally termed “penis developers” .
TECHNIQUE
Once a decision has been made to pursue sexual relations, Here need to water-soluble jelly is applied to the base of the penis and maneuver prevents air from seeping into the chamber, by creating a water-tight seal packed, thus maintaining the negative pressure within the cylinder. Many men may find that trimming the pubic hair may aid achieving this water-tight seal. Once a cylinder has been placed over the penile shaft and held firmly against the pubic bone, the pump mechanism can be activated either by hand or battery. Slow generation of the negative pressure prevents penile pain due to too rapid a build-up of pressure within the cylinder. Negative pressure causes an inflow of blood into the corporal bodies. The latter blood is drawn into the erectile chambers in a retrograde fashion.
THE DEVICE
The Device consists of a clear plastic cylinder with an aperture at one end that is placed over the penile shaft. The other end of the cylinder is a pump mechanism that is used to generate negative pressure within the cylinder. The pump mechanism can be in the form of either a manually operated or a battery operated system. The former generally requires two hands to control the devices, one on the pump handle and the other to steady the cylinder on the penis itself. Battery-operated device can be used with one hand. In this system the trigger mechanism is on the top end of the cylinder and thus one hand can activate the pump and steady the cylinder at the same time. This is a very important consideration for patients with poor manual dexterity or strength, such as men’s with Parkinson’s disease or rheumatoid arthritis. The All FDA approved cylinders have pop-off valves, which and how to limit the amount of pressure held within the chamber.
INDICATIONS
The Vacuum Therapy Device or
Sexual Enhancement Product is short form for men with ED. There are no any specific conditions that would interfere with the use of ED these devices. Here caution should be exercised by men if they are- (1) using blood-thinners or have a history of bleeding disorders (2) have diminished penile sensation (3) have significant penile curvature or (4) have a history of priapism (prolonged erection) or are at risk for its development (see section on Priapism). Therapy may cause the patient to develop bruising and swelling in penis due to rupture of the superficial veins on the shaft of the penis resulting from the constriction ring.
Patients who have reduced sensation in their penis, here especially men with spinal cord injury, at risk for trauma with repeated use of the constriction band. It should be used to extreme caution in this group and the ring should be applied for only short periods of time. Men with Peyronie’s disease (acquired penile curvature) or congenital penile curvature, with the significant degrees of curvature should be discouraged from using a vacuum device as the straight cylinder may exert significant stress on the curved penis resulting in trauma to the already bent shaft of the penis. The Patients with hematologic forms of venocclusive priapism should not use a vacuum device under any circumstances.
SIDE EFFECTS
Bruising, skin breakdown, and penile pain associated with the application of the constriction band have already been discussed, tightness of the band may also result in failure to achieve an ejaculation (although no interference with orgasm should occur) and the development of a temporary penile numbness. The other problems is with the erection achieved with the vacuum therapy device is that it may hinge at the point of application of the constriction ring. That is, the penis behind the ring is very soft and only that portion of the shaft that is beyond the ring has any degree of hardness and inhancement. Therefore, the ring must be applied as far towards the base of the penis as possible.
RESULTS
Despite the apparent drawbacks to the use of
Male Enhancement Product, there is a population of patients who find its use easy and it has allowed many couples to successfully resume penetrative sexual relations. Number of reports have cited satisfaction rates above 80%. This treatment has been shown to result in definite improvement in erection hardness, enhancement in frequency of sex and increase in overall sexual satisfaction. Increased full satisfaction for the partner has also been demonstrated. Drop-out rates of up to 30% have been cited and the commonest reasons for drop-out include, inadequate rigidity, penile pain, P looseness, failure to ejaculate and dissatisfaction with penile appearance and temperature. The vacuum therapy device is suitable for all groups of patients with ED except those listed as contraindications above. Patients should be counseled regarding the pros and cons of this modality. Furthermore, patients would not be just sent home with a video for watching, they should have in office counseling by a health care worker experienced in the working of the device. This approach maximum patient acceptance, satisfaction, and long-term positive compliance. In the era of oral therapy, the vacuum device is currently viewed as a 2nd-line therapy, one which, however, has good patient/partner satisfaction and an excellent safety profile.
