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 Male Enhancement Product orDevice 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 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 Sexual Enhancement Product 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 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.
