vacuum-device-better-penis-erection-size

• What is Vacuum Device?
• What does Vacuum Device look like?
• How does Vacuum Device work?
• What is the method of using Vacuum Device?
• Who should consider using Vacuum Device?
• What side effects can happen?
• Who should not use Vacuum Device?
• Technical Details
• Where not to buy?
• What is the price?
• Is it covered under Insurance?
• Further reading

VACUUM CONSTRICTION DEVICE(VD) is a small handy apparatus that consists of:
(1) There is a cylinder to place over the penis.
(2) There is mechanism to create negative pressure.
(3) A constriction ring/band is applied to the base of the penis to prevent back flow of blood.
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ENSURE that the instrument you are using is FDA approved so that you will not harm your penis.

First use is recommended in the Doctor’s office.

HOW DOES IT WORK – MECHANISM

Vacuum or negative pressure is created over the penis. A constriction band is applied at the base of the penis.
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The penis becomes hard and sexual intercourse can be done satisfactorily.
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Then remove the constriction band. The erection will disappear.

Creating vacuum is the opposite of what is done when Doctor uses sphygmo manometer – that is – Blood Pressure Measuring Device. For measuring Blood Pressure doctor pumps in to build pressure, whereas in Vacuum Device pumping creates negative pressure to suck blood in the penis.

The pump mechanism can be in the form of either a manually operated or a battery-operated system

The 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 an important consideration for patients with poor manual dexterity or strength, such as men with Parkinson’s disease or rheumatoid arthritis.
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Note:
All FDA approved cylinders have pop-off valves, which limit the amount of pressure held within the chamber.

HOW TO USE VACUUM DEVICE

TECHNIQUE
1]
Water-soluble jelly is applied to the base of the penis. This maneuver prevents air from seeping into the chamber, by creating a water-tight seal, thus maintaining the negative pressure within the cylinder. Some men may find that trimming the pubic hair may aid achieving this water-tight seal.

2]
Place the cylinder over the penile shaft and hold firmly against the pubic bone. Use the pump either by hand or battery.
Let the negative pressure develop slowly. This prevents penile pain due to too rapid a build-up of pressure within the cylinder. The negative pressure causes an inflow of blood into the corporal bodies, both arterial and venous in nature. The latter blood is drawn into the erectile chambers in a retrograde fashion.
3]
Once the erection has been achieved, a constriction ring (band) must be applied to the base of the penis to act as an artificial valve, thus maintaining the blood within the corporal bodies. The rings come in a variety of shapes, sizes, and most importantly tension (tightness). Trial and error is used to define which ring size is most comfortable and efficient. Most manufacturers suggest that the constriction ring remain in place for no longer than 30 minutes. Once the ring is in place the plastic cylinder can be removed and sexual relations may commence.
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WHO CAN BENEFIT WITH VACUUM DEVICE

People with Erectile Dysfunction

1. who do not prefer oral medication or are advised against taking PGE 5 inhibitors (Sildenafil, Tadalafil, Vardenafil, Udenafil)
2. People with Erectile Dysfunction (ED) due to Diabetes, Depression, Other Medical Illness.

3. People with surgery for prostrate or colon cancer.

WHAT NOT TO FEAR

A black and blue mark or small area of bruising on the shaft of the penis. This is usually painless and generally will resolve in a few days.

Semen will not spurt out. Ejaculation will be oozing of semen. When the constriction band is removed all semen leaks out. The pleasure or orgasm is same. Does not harm sperms in the semen.
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WHO SHOULD NOT USE VACUUM DEVICE (VD)

1
Patients who have reduced sensation in their penis, as those who have spinal cord injury. They are at risk for trauma with repeated use of the constriction band. They should apply the ring for only short periods of time.

2
Men with significant degree of curvature of penis as those with Peyronie’s disease (acquired penile curvature) or congenital penile curvature.
Reason: The straight cylinder may exert significant stress on the curved penis resulting in trauma to the already bent shaft of the penis.

3
(i)
Patients with hematologic forms of venocclusive priapism (sickle cell disease, thalassemia, or leukemia) should not use a vacuum device under any circumstances.
(ii)
Men who are using blood-thinners or have a history of bleeding disorders.
(iii)
Anticoagulant therapy may cause the patient to develop bruising and swelling in the penis due to rupture of the superficial veins on the shaft of the penis (this can happen in normal men as well, but body repairs it) resulting from the constriction ring.
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DETAILS

• This pressure is approximately 200-250 mmHg.

• The surface temperature of the penis during use of VD is 1⁰C lower than the temperature prior to application of the device because of constriction of blood vessels.

• The average man using such a device will typically take 10-20 minutes to obtain a significant erection of penetration rigidity.

Warning

If you fall a prey to advertisements that claim to increase the size of the penis or to give super power erection you may be buying ‘penis developer’. Penis developer work with the same principle as vacuum device, but are not standardized for safety. Your penis is at risk of excessive pressure that can cause temporarily or permanently damage. Often these devices can be obtained through mail order via internet.

PRICE

$300 to $ 500
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GOOD NEWS

Most insurance policies, including Medicare, cover at least part of the costs of a vacuum constriction device, especially if a medical cause for ED has been documented. Medicaid, however, does not cover the device.
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http://www.medicinenet.com/penis_prosthesis/page2.htm

Source
Courtesy:
http://www.cornellurology.com/sexualmedicine/ed/vacuum.shtml

The Cleveland Clinic Taussig Cancer Center.
Edited by John M. Baird, FACS, MD, January 1, 2007.
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Reading 1 Marmar JL. Vacuum constriction devices. In W.J.G. Hellstrom (ed), Male Infertility And Sexual Dysfunction. Springer Verlag, New York, pp 409, 1997.
2 Bosshardt BJ et al. Objective measurement of the effectiveness, therapeutic success and dynamic mechanisms of the vacuum erection device. British Journal of Urology. 75:786, 1995
3 Katz PG et al. The effect of vacuum devices on penile hemodynamics. Journal of Urology. 143:55, 1990
4 Sidi AA et al. Patient acceptance of and satisfaction with an external negative pressure device for impotence. Journal of Urology. 144:1154, 1990
5 Bataci S et al. Treating erectile dysfunction with a vacuum tumescence device: a retrospective analysis of acceptance and satisfaction. British Journal of Urology. 76:757. 1995
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