Vacuum pumps, also known as vacuum erection devices
(VEDs), are one of the non-invasive treatment options available for erectile
dysfunction (ED). They are typically recommended for individuals who have
difficulty achieving or maintaining an erection.
Studies
Vacuum pumps for treating ED involve creating a vacuum
around the penis that forces blood into the corporal bodies. This blood is
maintained within the corporal bodies by securing a ring around the base of the
penis, enabling the penis to remain erect. Vacuum erection devices are usually
tolerated and effective, with low morbidity and few recognized complications. A
2005 study showed that men who had moderate ED had a higher success rate with
vacuum erection devices than patients with mild or severe ED.
Research into the efficacy of and satisfaction with
vacuum therapy alone has shown variable results, with patient satisfaction
ranging from around 60% to as high as 82%, and little research has been
done on the newer devices. Although many studies have shown good outcomes for
achieving erections, they have also shown dissatisfaction with some aspects of
the device, such as pain and the inability to achieve adequate erection for
intercourse. Men, especially those older than 60 years, who used combined
pharmacologic therapy with vacuum erection devices were more satisfied than
those who used either therapy alone.
How it Works?
A vacuum pump consists of a cylinder that is placed over
the penis, creating a vacuum environment. This vacuum draw blood into the
penis, causing it to become erect. Once an erection is achieved, a constriction
ring is placed at the base of the penis to maintain the erection for sexual
activity. So, the constriction ring helps to maintain the erection by
preventing blood from flowing out of the penis.
Effectiveness
Vacuum pumps, or vacuum erection devices (VEDs), have
been found to be effective for many men with erectile dysfunction (ED). They
are considered a non-invasive and drug-free treatment option. However, the
effectiveness of vacuum pumps can vary among individuals, and it may depend on
the underlying causes of the erectile dysfunction and individual factors.
Studies have shown that vacuum pumps can produce
successful erections in a significant percentage of men with ED. According to
research, the success rates can range from 60% to 90%, depending on the study
and the population being evaluated.
Vacuum pumps are especially effective for men who are
unable or prefer not to use oral medications for ED, such as
phosphodiesterase-5 (PDE5) inhibitors like Viagra or Cialis. They can also be
beneficial for men with certain medical conditions that make other treatments
less suitable.
Safety
Vacuum pumps are generally safe when used correctly. It's
important to follow the instructions provided by the manufacturer and consult a
healthcare professional for guidance. However, like any medical device, there
are potential side effects and considerations to be aware of. Here is some
information on the safety and possible side effects of vacuum pumps for
erectile dysfunction (ED):
1. Bruising
and discomfort: Some men may experience mild bruising or discomfort,
particularly at the base of the penis, due to the use of a vacuum pump. This
usually resolves quickly and is not a cause for concern. Applying lubricant to
the base of the penis and using a proper-sized cylinder can help minimize these
side effects.
2. Coldness
or numbness: During the use of a vacuum pump, the vacuum pressure may
temporarily cause the penis to feel cold or numb. This is usually temporary and
should resolve once the device is removed.
3. Skin
irritation: In some cases, the use of a vacuum pump may cause minor skin
irritation or redness on the penis. Ensuring proper hygiene and following the
instructions provided by the manufacturer can help minimize the risk of skin
irritation.
4. Risk
of injury: It's important to follow the instructions for using the vacuum pump
carefully to avoid potential injury. Excessive or prolonged use of the device
can cause tissue damage or potentially lead to penile fractures. Working with a
healthcare professional can help ensure proper usage and minimize the risk of
injury.
5. Contraindications:
Vacuum pumps may not be suitable for everyone. They are not recommended for
individuals with certain bleeding disorders or those taking blood-thinning
medications. Additionally, individuals with certain anatomical abnormalities or
severe vascular disease may not be good candidates for this treatment option.
Consulting with a healthcare professional is important to determine if a vacuum
pump is safe and appropriate for your specific situation.
Proper usage
It's crucial to learn how to use a vacuum pump correctly.
Working with a healthcare professional, such as a urologist or sexual health
specialist, can help ensure proper usage and maximize effectiveness. Here are
general guidelines for the proper use of a vacuum pump:
1. Familiarize
yourself with the device: Read and understand the instructions provided by the
manufacturer of the vacuum pump. Different models may have slight variations in
their operation, so it's important to follow the specific guidelines for your
device.
2. Lubrication:
Apply a water-based lubricant to the base of the penis and the rim of the
cylinder. This helps create a seal and reduces discomfort or potential skin
irritation.
3. Create
a seal: Place the cylinder over the flaccid penis, ensuring a snug fit at the
base. Holding the cylinder firmly against your body, create a seal by pressing
it against your skin. Air should not be able to enter the cylinder during the
pumping process.
4. Create
a vacuum: Begin pumping the device, either manually or using an electric pump
if provided. This creates a vacuum inside the cylinder, causing blood to flow
into the penis and facilitating an erection. Pump gradually and avoid
over-pumping, as excessive pressure may cause discomfort or injury.
5. Maintain
the erection: Once an erection is achieved, slide a constriction ring or
tension band to the base of the penis. This ring helps maintain the erection by
preventing blood from flowing out of the penis. It's essential to use the
correct size of ring to ensure it is not too tight or too loose.
6. Time
limitations: It's generally recommended to limit the duration of using a vacuum
pump to around 30 minutes. Prolonged use may cause tissue damage. If an
erection lasts longer than 30 minutes and becomes painful (priapism), seek
immediate medical attention.
7. Release
the vacuum: After sexual activity or when you're finished using the vacuum
pump, release the vacuum by pressing the release valve or releasing the pump
mechanism. This allows air to enter the cylinder and removes the vacuum
pressure.
Combination therapy
Vacuum pumps can be used in combination with other
treatments for erectile dysfunction, such as medications (e.g.,
phosphodiesterase-5 inhibitors) or psychotherapy. Your healthcare provider can
guide you in developing a comprehensive treatment plan based on your specific
needs.
