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J Sex Med. 2013 Apr;10(4):1124-35. doi: 10.1111/jsm.12046. Epub 2013 Jan 24.

The resurgence of the vacuum erection device (VED) for treatment of erectile dysfunction.

Author information

1
Urology, Facey Medical Group, Mission Hills, CA, USA.

Abstract

INTRODUCTION:

Vacuum erection devices (VEDs) have been approved in the United States since 1982 and offer a viable alternative to oral phosphodiesterase type 5 inhibitors (PDE5i), injections and transurethral suppositories. Studies have demonstrated efficacy in erectile dysfunction (ED) associated with a variety of conditions. More recently, this modality has been evaluated in initial phosphodiesterase inhibitor nonresponders as well as for post-prostatectomy penile rehabilitation.

AIM:

This article provides a detailed overview of the history of VEDs, a review of the literature, and a concise description of their new applications in modern urological practice.

METHODS:

A retrospective review of publications relevant to the field of VEDs.

MAIN OUTCOME MEASURES:

Review of the historical milestones, evolution, and modern utilization of VEDs in modern urological protocols.

RESULTS:

Studies have demonstrated efficacy in ED associated with a variety of conditions. Early penile rehabilitation after surgery for prostate cancer with the VED appears to improve erectile function and penile length. Adverse events are transient and not serious.

CONCLUSIONS:

The VED has continued to show efficacy for treatment of ED due to various etiologies and should be considered an attractive second-line therapy. In select cases such post-prostatectomy penile rehabilitation, as well as in men who cannot use a PDE5i, the vacuum device should be considered first-line treatment.

PMID:
23347150
DOI:
10.1111/jsm.12046
[Indexed for MEDLINE]

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