Is impotence common?
Impotence affects about 40% of men over 40, and the incidence increases with age. However, many men find it challenging to address this issue, which can strain their relationships physically but eventually psychologically impact their self-esteem.
It is essential to seek medical attention if you experience ED because there are many ways to alleviate the burden and restore a satisfying sexual life. It's important to remember that penile erection is mainly a vascular process, and seeking medical help is crucial as ED may indicate a heart problem. Erectile dysfunction can precede health conditions like heart disease, stroke, and peripheral vascular (arterial) disease by an average of three years. Additionally, prostate cancer must be ruled out since ED could be a sign of its presentation.
What will happen during the initial consultation?
A detailed history will be taken, and a clinical examination will be conducted. Blood tests will be ordered, typically including a complete blood count, kidney and liver function, hormonal profile (testosterone/ prolactin/ thyroid/luteinising hormone/follicle stimulating hormone), PSA, lipid profile, and sugar levels.
What is the first action taken?
The first line of treatment for ED involves lifestyle changes, such as losing weight, exercising regularly, eating a healthy diet, quitting smoking, and reducing alcohol intake. These lifestyle modifications impact circulation and form the crucial building blocks of a comprehensive treatment plan.
What is the second action taken?
Along with the lifestyle changes mentioned above, oral erectile dysfunction medications called phosphodiesterase inhibitors (PDE5i) are available.
The four types of oral medications include:
- Sildenafil (Viagra)
- Tadalafil (Cialis)
- Verdanefil (Levitra or Staxyn)
- Avanafil (Stendra)
If oral medications fail, one can explore a vacuum pump for erectile dysfunction.
How vacuum therapy works
Explanation of vacuum constriction devices
A vacuum constriction device (VCD), or a vacuum pump treats erectile dysfunction (ED) in men. It is a non-invasive and safe method that creates negative pressure around the penis. The apparatus comprises a plastic cylinder, a pump, and a constriction ring.
The VCDs come in various sizes and types and can be operated manually or with battery-powered pumps. Manual pumps require the user to pump air out of the cylinder using a hand pump, while battery-operated pumps require the user to press a button to create the vacuum.
A penis pump is effective in males suffering from erectile dysfunction from radical prostatectomy and plays a role in managing Peyronie's disease.
How the penis pumps create a vacuum around the penis
When the cylinder is placed over the penis, the air is removed using the pump, creating a vacuum. This vacuum causes the blood to flow into the penis, erecting it. Once the penis is erect, a constriction ring is deployed at the base of the penis. The ring keeps the blood in the penis and maintains the erection.
What are the benefits of penis pumps?
One advantage of vacuum constriction devices is that they are non-invasive, generally safe and do not require any medication or surgery. They are also relatively affordable, making them an attractive option for men who cannot afford more expensive treatments.
What are the downsides of vacuum erectile devices?
However, VCDs are not without their limitations. The erection that the penis pump produces might not feel as natural or firm as a typical erection. Additionally, the constriction ring may cause discomfort, pain, or numbness. In rare cases, the penis may cause injury to the penis, such as bruising or rupture of blood vessels.
It is important to note that vacuum constriction devices are not recommended for men with bleeding disorders or taking blood-thinning medicines, as they increase the risk of bleeding.
Additionally, men with penile implants should not use VCDs, which may damage the implant.
How to choose the right penis pump for your needs
What types of vacuum pumps are available?
There are three main types of vacuum therapy devices available:
- manual
- battery-powered pump
- rechargeable
Manual vacuum erectile devices are the simplest and most cost-effective but may require more effort.
Battery-powered devices offer greater convenience, while rechargeable devices provide longer-lasting power.
To choose a suitable device, consider your personal preferences and lifestyle.
How do I choose the size and fit?
Choosing the right size and fit for the penis pumps is crucial for maximising their effectiveness and minimizing discomfort or injury. Devices are available in different sizes and can often be adjusted to fit an individual's penis.
It is essential to measure the penis to ensure a proper fit. Using a device that is too small may not provide enough pressure to achieve an erection, while using a device that is too large may cause discomfort or injury.
The ring used should be of the appropriate size to prevent injury.
Use a ruler or measuring tape to measure the length of your penis from the base to the tip. You should also measure the girth or circumference of your penis at its widest point.
Each vacuum therapy device comes with a sizing chart that correlates the device's size with the measurements of your penis. Consult the chart to determine which size is appropriate for you.
Some penis pumps come with adjustable components, such as a stretchable sleeve or a removable cylinder, which can provide a more customised fit. If you have an unusual penis size or shape, consider choosing a device with adjustable components.
The vacuum erection device should fit comfortably around your penis without causing pain or discomfort. If the device feels too tight or loose, try a different size or adjust the device to achieve a better fit.
Do I need to consider the vacuum pressure when buying the penis pump?
The amount of vacuum pressure the penis pumps generate is also essential in achieving successful treatment. Devices may offer different levels of vacuum pressure. It is crucial to choose a penis pump that provides enough pressure to achieve an erection but not so much that it causes discomfort or injury. Some penis pumps may have adjustable vacuum pressure, allowing for more customisation to the individual's needs.
Most vacuum therapy devices generate a vacuum pressure between 100 to 400 mmHg (millimetres of mercury), the standard unit of measurement for pressure. The optimal level of vacuum pressure for achieving an erection may vary from person to person, depending on factors such as the severity of erectile dysfunction, the individual's penis size and sensitivity, and the type of penis pump used.
Effectiveness of vacuum therapy
Results of clinical studies on vacuum therapy
There have been several studies that have investigated the effectiveness of vacuum therapy in treating erectile dysfunction. A study published in the International Journal of Impotence Research found that penis pumps were effective in 83% of men with ED. Another study published in the Journal of Sexual Medicine found that using a penis pump was effective in 76% of men with ED.
How does vacuum therapy compare with other treatment options for impotence?
While the effectiveness of vacuum therapy may vary depending on the individual, it is generally considered as effective as medication and less invasive than penile implants.
What factors can impact the effectiveness of vacuum therapy?
The effectiveness of vacuum therapy may vary depending on several factors, including the severity of the ED, the presence of other medical conditions, and the individual's age. Additionally, the type of penis pump used and the level of expertise in using the device may impact the effectiveness of the therapy.
What safety considerations for vacuum therapy should I take?
Consultation with a healthcare professional
Before using a penis pump, it is essential to consult with a healthcare professional, such as a urologist. They can help determine if the therapy is appropriate for the individual's medical history and condition. Additionally, they can guide the proper use of the device to ensure safe and effective treatment.
Using a penis pump properly
Following the manufacturer's instructions for properly using the device is essential. Improper use may result in injury to the penis or other complications.
The vacuum pressure should not exceed the recommended level.
There are different sizes of rings, and one needs to find the ideal size. The ring should only be worn for the recommended time (not more than 30 minutes).
Ensuring the penis pump is adequately cleaned and stored after use is also essential.
Know the risks of injury.
Common injuries include bruising, discomfort, and pain.
In rare cases, the device may cause damage to the penis from too much pressure, such as rupturing blood vessels or causing tissue damage.
If pain or discomfort is experienced during or after use, the device should be immediately removed and medical attention sought.
Am I eligible for vacuum therapy?
Vacuum therapy may not be appropriate for all men with ED. Men with certain medical conditions, such as bleeding disorders, should not use the device. Additionally, men taking blood-thinning medications should use the device cautiously, as it may increase the risk of bleeding. It is essential to consult a healthcare professional to determine if vacuum therapy is appropriate for the individual's medical history and condition.
Practical considerations for using vacuum therapy
Combination with other treatments
Combining vacuum therapy with other treatments, such as medication or therapy, may also improve its effectiveness. For example, using vacuum therapy in combination with medication such as sildenafil (Viagra) may produce a more robust and longer-lasting erection.
Increased frequency of use:
Some men may find that using the device every other day or several times weekly produces the best results.
How much do medical vacuum devices cost?
Manual devices are generally the most cost-effective, while battery-powered and rechargeable devices may be more expensive.
What is the life shell of the vacuum device?
Anything between 5 to 10 years
