Treating erectile dysfunction with a vacuum tumescence device: a retrospective analysis of acceptance and satisfaction

Baltacı, Sümer; Aydos, Kaan; Koşar, Alim; Anafarta, Kadri

doi:10.1111/j.1464-410x.1995.tb00769.x

Cited by 64 publications

(31 citation statements)

References 14 publications

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“…For those with arteriogenic ED, VCD therapy achieved the efficacy and satisfaction rates of 67 and 84%, respectively. 37 For the corporeal veno-occlusive dysfunction ED, Kolettis et al 38 reported a 56% satisfaction rate. For diabetic ED, Arauz-Pacheco et al 41 and Bodansky et al 42 reported successful rates of 75 and 58%, respectively.…”

Section: Clinical Resultsmentioning

confidence: 99%

“…The most common side effects include numbness, pain, penile bruising or petechiae. 9,32,37,[44][45][46] Due to the constriction rings, painful ejaculation or sensation of trapped ejaculate has also been commonly reported. 7,9 Other rare complications such as leg spasms, testicular migration, urethral varicosities/bleeding have been reported.…”

Section: Complicationsmentioning

confidence: 99%

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Vacuum therapy in erectile dysfunction—science and clinical evidence

et al. 2010

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Vacuum therapy (VT) utilizes negative pressure to distend the corporal sinusoids and to increase the blood inflow to the penis. Depending on its purpose, VT could be used as vacuum constriction device (VCD), with the aid of an external constricting ring which is placed at the base of penis to prevent blood outflow, maintaining the erection for sexual intercourse. Also, as a vacuum erectile device (VED), without the application of a constriction ring, just increases blood oxygenation to the corpora cavernosa and for other purposes. The emerging of phosphodiesterase 5 inhibitors (PDE 5 I) for the treatment of erectile dysfunction (ED) eclipsed VCD as therapeutic choice for ED; however, widespread usage of VED as part of penile rehabilitation after radical prostatectomy and other purposes rekindle the interest for VT. The underlying hypothesis is that the artificial induction of erections shortly after surgery facilitates tissue oxygenation, reducing cavernosal fibrosis in the absence of nocturnal erections, and potentially increases the likelihood of preserving erectile function. Due to its ability to draw blood into the penis regardless of nerve disturbance, VED has become the centerpiece of penile rehabilitation protocols. Herein, we reviewed the history, mechanism, application, side effects and future direction of VT in ED.

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Section: Clinical Resultsmentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

Vacuum therapy in erectile dysfunction—science and clinical evidence

et al. 2010

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“…Many are disconcerted by either the pivoting nature of the erection or suffer sideeffects such as bruising and pain at the site of the constricting rubber ring and penile ischaemia and coldness (Baltaci et al, 1995;Turner et al, 1990;Gilbert & Gingell, 1992;Bosshardt et al, 1995;Soderdahl et al, 1997). The cost of the appliance for the user is a further disadvantage.…”

Section: External Vacuum Devicesmentioning

confidence: 99%

Non‐surgical management of erectile dysfunction

Levy

Crowley

Gingell

2000

Clinical Endocrinology

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“…Les raisons le plus souvent invoqu~es par les patients pour refuser ou abandonner l'~recteur sont non seulem e n t la gu~rison ou l'inefficacit6 du syst~me, mais 6galement les effets secondaires, des problames techniques, le refus de la partenaire, des probl~mes conjugaux, le rejet du syst~me en raison de son aspect i n s t r u m e n t a l encombrant et du m a n q u e de naturel, enfin son cofit excessif [1,4,8,9,13,16,21,25].…”

Section: A B a N D O N S (Tableau 3)unclassified

“…c) Blocage de rdjaculation [1,4,21,24] I1 survient chez 20 ~ 40 % des patients avec parfois des douleurs par distension de l'ur6tre bulbaire [27].…”

Section: B) Pdtdehies Contusions Eutandes Et Eeehymoses [4 9 21 27]unclassified

Erecteur a dépression (Vacuum erection device): Mise au point

Delavierre

1999

Androl.

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RESUMEL'4recteur ~ d4pression (Vacuum erection device) est une m4thode th~rapeutique palliative de l'insuffisance 4rectile utilisant le vide et un anneau constricteur. II provoque une 4rection dont les caract4ristiques sont diff4rentes de l'4rection naturelle en raison d'une rSduction du flux sanguin p4nien et de la temperature cutan$e, d'une congestion des tissus extra-caverneux, d'une bascule de la verge et d'un blocage de l'4jaculation. Les r4sultats de la litt4rature nous permettent d'estimer qu'environ 30 ~ 60 % des patients qui une p4riode d'essai a 4t$ propos~e achetent l'4recteur. 60 ~ 80 % des acheteurs continuent d'utiliser le syst~me ~ moyen terme. Les abandons semblent moins fr4quents qu'avec les auto-injections intra-caverneuses. Les inconv4nients du syst~me, outre ceux lids aux caract4ristiques de l'4rection, sont domin4s par les douleurs et la survenue de p4t4-chies ou ecchymoses au niveau de la verge. Actuellement, au m~me titre que les autoinjections intra-caverneuses, l'4recteur concerne les patients ne r4agissant pas aux nouveaux traitements oraux ou ne pouvant prendre ceux-ci en raison d'une contre-indication. Mots

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Treating erectile dysfunction with a vacuum tumescence device: a retrospective analysis of acceptance and satisfaction

Abstract: These results suggest that the vacuum device is an effective and safe treatment for impotence of various aetiologies, especially for those patients with arteriogenic impotence.

Cited by 64 publications

References 14 publications

Vacuum therapy in erectile dysfunction—science and clinical evidence

Vacuum therapy in erectile dysfunction—science and clinical evidence

Non‐surgical management of erectile dysfunction

Erecteur a dépression (Vacuum erection device): Mise au point

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