Erectile dysfunction pump
Erectile dysfunction is a common problem, especially after prostate surgery and in older men. Oral medications prescribed to treat erectile dysfunction are sildenafil (Viagra), vardenafil (Levitra, Staxyn), tadalafil (Cialis, Adcirca), and avanafil (Stendra).
Other treatments for erectile dysfunction are medications inserted through the tip of the penis through the tube through which urine and semen pass (urethra), vaccines that are injected into the penis (penile injections), and implants penis that are surgically placed.
A penile pump may be a good option if these treatments cause side effects, don’t work, or are not safe for you. Penile pumps can be a proper treatment for erectile dysfunction for several reasons:
- Penile pumps are effective. Through practice and with its correct use, most men can achieve an erection sufficient for sexual intercourse.
- Penile pumps represent a lower risk compared to other treatments. The risk of side effects or complications is less than that of any other treatment for erectile dysfunction.
- The overall cost is lower. After the initial purchase, a penile pump costs less than any other treatment for erectile dysfunction.
- Penile pumps are not invasive. They do not require surgery, the insertion of medications through the tip of the penis, or penile injections.
- Penile pumps can be used with other treatments. A penile pump can be used in conjunction with medications or with a penile implant. For some men, what works best is a combination of different treatments for erectile dysfunction.
- Using a penile pump can help you regain erectile function after specific procedures. For example, it can help restore your ability to achieve an erection naturally after prostate surgery or radiation therapy for prostate cancer.
While penile vacuum pumps are safe for most men, there are some potential risks. For example:
- You are at increased risk of bleeding if you take blood-thinning medications, such as warfarin (Coumadin, Jantoven) and clopidogrel (Plavix).
- A penile pump may not be safe if you have sickle cell anemia or another blood disorder. These diseases can predispose you to blood clots or bleeding.
Tell your doctor about all illnesses and medications you take, including herbal supplements. This way will help prevent potential problems.
Some of the side effects of using a penis vacuum pump are as follows:
- Red pinhead-sized dots (petechiae) caused by bleeding below the skin surface of the penis.
- Numbness, cold, or bluish skin can happen when the constriction band is in place.
- Pain or bruising. Knowing how o properly use the penis vacuum pump can help you prevent damage to the penis.
- Feeling of having semen withheld. You may feel that the semen is being held when you ejaculate or that the ejaculation is painful. Some manufacturers make constriction rings with a small cutout that can help prevent this.
Vacuum pumps for penis also have other possible disadvantages:
- Erections that don’t feel natural. Vacuum penis pumps can cause an erection that does not feel natural or spontaneous. You may notice a lack of firmness at the base of the penis, which may allow the penis to rotate or rotate more than would happen in a natural erection.
- Discomfort. Using a penis vacuum pump requires you and your partner to have patience and knowledge. It may take a while to get comfortable with the device.
- Requires manual coordination. Vacuum penis pumps require the use of the hands and fingers to function, and this can become a problem for some men or their partners.
How does the vacuum pump work, and how should it be used?
The vacuum pump consists of a transparent plastic cylinder with an opening at one end where the penis is inserted. The cylinder and pump are used to create a vacuum that draws blood into the penis, causing an erection. The appliance mainly consists of:
– a large silicone cylinder, with a suitable adapter, inside which the patient’s flaccid penis is inserted
– a suction pump (manual or electric) connected to the cylinder to suck the air creating a negative pressure of 100-150 mmHg inside it
The first step is to place a rubber constrictive ring over the open end of the cylinder. Now the penis is inserted into the cylinder, pressed firmly against the pubic bone, and the pump (manual or electric) is activated. When the erection is stiff enough, the constrictive ring slides to the root of the penis so that the blood stays and the erection is maintained. Usually, the pump is accompanied by several rings of different sizes and tension, which must be tested until finding the one that best suits them. Finally, the vacuum is deactivated, and the pump is removed.
During the entire duration of the sexual act, the ring must be kept at the base of the penis, but never more than 30 minutes. It is crucial to understand that exceeding that limit could damage the penis. Many manufacturers advise users of the “double pumping technique” before donning the ring. It consists of activating the negative pressure for 1-2 minutes, then deactivating the vacuum until the stiffness is lost, and reactivating again. The process is repeated several times until an erection is reached, which with each activation, is more rigid.
Who can and cannot use a vacuum pump?
Vacuum devices are safe and can be used by patients with erectile dysfunction from any cause, including vascular, neurological, prostate, bladder or colon cancer surgery, or even mental reasons such as anxiety or depression (in combination with psychotherapy). In these cases, the vacuum pump is a second-line treatment after the failure of lifestyle changes, psychological therapy, or oral drugs.
But in men who have undergone surgery for prostate, bladder, or rectal cancer, it is a first-line treatment for penile rehabilitation alone or oral medication. In this case, the constrictive ring should not be used. It is recommended to start one month after surgery and use it at least once a day for 5 minutes (it can be used up to 4-5 times a day). This helps to bring blood flow to the penis, prevent fibrosis of the corpora cavernosa, and avoid shortening the penis. Penile rehabilitation may be necessary between 6 and 12 months.
The vacuum pump can be difficult to use in obese men due to pubic fat. In these cases, it is necessary to lubricate well if needed to shave the pubic hair and fit the cylinder well against the skin to obtain a good seal that maintains the vacuum.
The use of vacuum devices is a safe form of treatment for the vast majority of patients with erectile dysfunction. Only in some particular cases do you have to take special precautions, or are they even discouraged :
- Use of antiplatelet agents: they increase the risk of penile hematoma.
- Clotting disorders: they must be very well treated and controlled.
- Decreased sensitivity of the penis: in the case of spinal cord injuries (paraplegics), there is a risk of injury due to the repeated use of the constrictive ring. It should be used with extreme caution and for very short periods.
- Penile curvature: if the curve is very marked, the straight cylinder can put too much pressure on the penis, injuring it.
- History of priapism (prolonged erection) or at risk: sickle cell anemia, leukemia, and other blood diseases. A vacuum pump should never be used in these cases.
- Use of oral anticoagulants: the pump should not be used. There is a significant risk of penile hematoma.
Most patients are comfortable with the use of the vacuum pump after 5-7 days of learning. But some people end up abandoning its use mainly for:
- Aesthetic reasons: edema and dilation of the superficial veins of the penis can occur, as well as cooling of the penis while the ring is at the base (approximately 1ºC less).
- The difficulty of integration in sexual relations is due to the mechanical nature of the device or the waiting time to achieve an erection (10-20 minutes).
How to choose a penis vacuum pump
There are over-the-counter penis vacuum pumps but check with your doctor before purchasing one. The doctor may recommend or prescribe a specific model. In this way, you will be sure that the pump adapted to your needs and made by a reputable manufacturer.
Vacuum penis pumps sold online, in magazines, and advertisements for sexual items may not be safe or effective. Ensure that the penile pump you use has a vacuum limiter, which prevents the pressure from increasing too much and injuring the penis.
Before using a penile pump for the first time, it is good to cut or shave the pubic hair near the base of the penis so that it does not get caught in the ring.
What you can expect
Using a penile pump involves following a few simple steps:
- Put the plastic tube over the penis.
- It uses a manual or electric pump connected to the tube to create a vacuum inside the tube and bring blood to the penis.
- Once you have an erection, slide a rubber constriction ring around the base of the penis. This helps you maintain an erection by keeping blood inside the penis.
- Remove the vacuum device. The erection usually lasts long enough to have sex.
Do not leave the tension ring in place for more than 30 minutes; cutting off blood flow too long could damage your penis. At 2 and 20 seconds of the video below, some vacuum devices’ practical application is shown, which we report for purely illustrative purposes without any advertising purpose.
Vacuum devices are beneficial devices in the treatment of forms of erectile dysfunction. They do not respond to first-line treatments, such as psychological support and the possible use of type 5 phosphodiesterase inhibiting drugs but it can create an erection firm enough to have sex. You may need to combine a penile pump with other treatments, such as erectile death medication. Simple to use and relatively inexpensive, as well as being sometimes poorly accepted, creating embarrassments or psychological discomfort, vacuum devices can sometimes cause bruising (small hematomas on the penis) and even more rarely cause acquired deformities of incorrect use.
The vacuum device should not be kept in place for more than 30 minutes to avoid bruising, bruising, and petechiae; moreover, it can cause a cold penis sensation, and ejaculation is generally blocked cause a less satisfactory orgasm.
Bathmate for improving your erection
ED has two causes, the psychological and the physical, and the Bathmate pump deals with both. Regular use of a penis pump such as the Bathmate Hydromax can help avoid erectile dysfunction developing in later life. Bathmate works on the supply of blood to the penis, the preservation of blood in the penis, and helps to exercise it. While using the pump, you’ll quickly develop a full erection. Men who are unable to maintain an erection with the exercise expand the Corpora Cavernosa and Corpus Spongiosum, resulting in a prolonged erection that lasts long enough for full sexual satisfaction.
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