How effective is vacuum erection device therapy for erectile dysfunction?

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How effective is vacuum erection device therapy for erectile dysfunction?

Vacuum erection device (VED) therapy is an effective and painless treatment for erectile dysfunction (ED), especially for those men who are refractory to oral therapy or injections. A VED works by fitting a vacuum seal over the penis, drawing blood into the penis in order to induce an erection. Let us take a closer look at how effective VED therapy is, its benefits, and shortcomings:

How a Vacuum Erection Device Works
A VED consists of three main components:

A plastic tube: It is fitted over the penis.

A pump: This may be manual or battery-operated and is employed to create a vacuum inside the tube.

A constriction ring: Once the penis has been erected, this ring is fitted around the root of the penis in order to help maintain the erection by preventing the blood from leaking out.

The process involves placing the penis inside the tube, forming a vacuum with the pump, which draws blood into the penis, and finally placing the ring at the base to keep the blood from escaping the penis for an erection.

Effectiveness of Vacuum Erection Devices
Success Rate:

VEDs are highly effective for achieving an erection in men with ED. Studies show that 70-80% of men who utilize a VED are able to achieve an erection sufficient for sexual intercourse.

The device’s success will depend upon the severity of the ED, and individuals with mild or moderate ED are typically more successful.

No drugs are needed

One of the most significant advantages of VED therapy is that it is very effective without the need for medication. This makes it a great option for men who are unable to take oral ED medications due to side effects, contraindications (e.g., men with specific heart conditions), or adverse responses to drugs.

Innovative Results:

In contrast to oral medications, which may take 30-60 minutes to work, a VED can obtain an erection within a few minutes. For this reason, it’s a great option for men needing a fast and efficient solution for ED.

Safe for Most Men:

VED therapy is usually safe in men with any number of medical illnesses, including diabetes and cardiovascular disease. It is routinely prescribed in men with diabetic neuropathy, prostate surgery, or spinal cord injury, all of which lead to ED.

Advantages of Vacuum Erection Device Therapy
Not Invasive:

VED therapy is non-surgical and doesn’t involve any drugs, thus it’s less invasive compared to other treatments like penile implants or injections.

Cost-Effective:

In comparison to other forms of treatment, such as penile implants or injections, VEDs are pretty cost-effective. Once bought, the device can be reused without additional cost.

Improved Confidence:

For many men, having command over erections with the use of a VED can boost confidence and alleviate worry about performing sexually.

No More Frequent Doctor Visits

After they have been trained to use the device for the first time, men can use it at home without having to go to a health care provider repeatedly.

Limitations and Considerations
Discomfort and Side Effects:

There is some discomfort or pain with the device, particularly if the constriction ring is put on too tightly.

There is some danger of bruising or numbness if the device is not used correctly. Reading instructions carefully helps avoid injury.

Erection Appearance:

The erection using a VED can appear artificial or softer than an average erection. This may be distressing for some men, although the device can continue to work well during intercourse.

Certain men dislike the appearance of a “mechanical” erection, but this is generally a matter of individual choice.

Manual Effort:

The process of using a VED is three-staged, including pumping, applying the constriction ring, and maintaining the erection. Some men who prefer a simpler or more natural means of achieving an erection might be turned off by this.

Temporary Solution:

Even though the VED is effective at causing an erection, it won’t treat the underlying cause of ED. It is temporary and needs to be applied each time sexual activity is considered.

Not Suitable For Every Man:

The VED is not recommended for men who have certain conditions, such as blood clot disorders or abnormal conditions of the penis like Peyronie’s disease, as it may cause injury or make the situation worse.

How to Maximize Effectiveness
Proper Training:

Receiving proper training from a healthcare provider on how to use the device is essential. This includes training in how to properly create a vacuum, how to use the constriction ring, and avoiding overuse.

Practice:

For the average man, it will take a few tries to master the use of a VED effectively and comfortably. It is advisable to practice device use before sex in order to establish confidence and comfort.

Use with Other Treatments:

A few men have found that using a VED together with oral medication (e.g., PDE5 inhibitors) or penile injections increases effectiveness, particularly for men with more severe ED.
Vacuum erection device therapy is an excellent, non-surgical option for most men with erectile dysfunction, especially for those who cannot take oral drugs or who do not want to undergo surgery. It has a high rate of success in causing erections and can increase sexual confidence but has some limitations, such as being uncomfortable, involving manual labor, and the ephemeral quality of the remedy. It is an effective option for men with mild to moderate ED, but should be used under the supervision of a physician for best effects.

Would you like more details on using a VED or on other treatments for ED?

Penile injections for erectile dysfunction (ED) are a form of intracavernosal injection therapy where medication is injected directly into the penis to cause an erection. It is most often used in individuals who are not responsive to oral medications (like Viagra or Cialis) or who suffer from severe ED. The injections trigger increased blood flow to the penis, allowing an erection to occur and be maintained.

Benefits of Penile Injections for Erectile Dysfunction
1. Extremely Effective Treatment
Success rate: The success rate is very high for penile injections, with 70% to 90% of men experiencing successful erections with the help of this treatment.

They are fast-acting, typically getting an erection in 5 to 20 minutes after injection.

2. Suitable for Men Not Responsive to Oral Medications
Penile shots are an ideal option for males who are unsuccessful with oral tablets like sildenafil (Viagra) or tadalafil (Cialis). Oral medicines work by increasing the amount of nitric oxide in the system to open blood vessels, but they are not as likely to work in males with more serious ED or those who have particular underlying diseases (like diabetes or heart disease) that make oral pills ineffective.

3. No Devices or Surgery Involved
In contrast to other ED treatments, such as penile implants and vacuum erection devices, penile injections involve neither surgery nor the use of any physical device, nor any prolonged recoveries.

Thus, they are a less invasive procedure for those that don’t wish to undergo surgery or who don’t like using devices and think of them as inconvenient.

4. Erection Quality and Duration Under Control
With penile injections, the user is in control of quality and timing of the erection. You can schedule the injection with sex, and it can assist you in achieving a hard erection adequate for intercourse.

The erection typically lasts 30 to 60 minutes, and this is sufficient time for sex, depending on the individual.

5. Independent of Psychological Issues
Penile injections are intended to increase blood flow, and thus they are less prone to emotional problems like stress, anxiety, or depression that may interfere with other medications like oral medications.

That is why injections are particularly suited to men whose ED is caused by physical factors (i.e., vascular disease, nerve damage, or hormonal imbalance) rather than by mental causes.

6. Variety of Medications
There are several medications that are injected penile and can be tailored to the needs of the patient. The most commonly used drugs are:

Alprostadil (Caverject, Edex): A prostaglandin that widens the penis’s blood vessels.

Trimix: A combination of three medications (alprostadil, papaverine, and phentolamine) that together widen the blood vessels.

Bimix: A combination of two medications (papaverine and phentolamine).

Depending on your response and preferences, your doctor can adjust the medication to find the one that works best for you.

7. Minimally Invasive with Immediate Results
The injection itself is relatively simple and involves a very fine needle that is injected into the corpora cavernosa (the two chambers of the penis responsible for filling with blood during an erection).

While it sounds scary, the needle is small and many patients report that it is less painful than they thought it would be.

It should only take a matter of minutes to administer and gives instantaneous results, which is a major benefit over oral drugs that take longer to become effective.

8. Potential for Long-Term Benefits
For other men, penile injection may lead to improved erectile functioning in the future, especially in conjunction with exercise, weight loss, and medication of underlying disease.

The injections themselves do not cure ED but can potentially add to the general penile flow of blood, which at times leads to the improvement of spontaneous erections.

Considerations and Risks
While penile injections are quite effective, they do have certain considerations and risks:

Possible Side Effects:

Pain or bruising at the injection site occurs frequently but temporarily.

Erection that is over 4 hours, priapism, is a rare but serious side effect necessitating urgent medical treatment.

With prolonged use, scar tissue can form at the injection site and potentially lead to making it harder to perform subsequent injections or causing penile curvature.

Low blood pressure may occur in some men, leading to dizziness or lightheadedness.

Need for Training:

You will need to be trained by a healthcare professional to correctly administer the injections. This involves learning how to inject at the right location and using proper hygiene to prevent infections.

This may feel intimidating at first, but with practice, most men become comfortable administering their own injections.

Cost:

Penile injections are expensive, particularly when oral medications are compared. Furthermore, most insurance policies might not cover the cost of the medication or the syringes fully.

It’s worth noting the recurring cost for frequent use, especially if long-term treatment is required.

Not a Cure for ED:

Penile injections cure the symptoms of ED but not the causes. For some men, continuous treatment might be required.

If ED is caused by some underlying condition such as diabetes, vascular disease, or hormonal imbalance, then those fundamental factors will need to be addressed to improve in the long term.

Who is a Good Candidate for Penile Injections?
Penile injections are usually recommended for men who:

Have severe ED which cannot be managed by oral medications or other less invasive therapies.

Are seeking a treatment which has immediate effects and no down time.

Are in good general health and can learn the technique of self-injection.

Experience vascular or nerve-related erectile dysfunction and may potentially benefit from a prompt increase in penile blood flow.

Conclusion
Penile injections are a effective and reliable erectile dysfunction treatment for men who have been resistant to or failed on oral drugs or other therapies. The treatment has fast, predictable outcomes, is less invasive, and can be tailored to meet individual needs. However, it should be weighed cautiously with respect to potential side effects, cost, and education to administer the injections safely.

If you are considering penile injections, it is recommended that you see a urologist or ED specialist so they can evaluate if this will be the most effective treatment for your specific situation and show you how to administer the injections safely.

Do you want more information about starting penile injections or have any questions about specific side effects?