Vacuum erection devices offer a non-invasive approach for managing erectile dysfunction, a common concern for many. These devices are recognized as a beneficial tool in the recovery process following radical prostatectomy. Their application aims to support penile health and function during a period of significant physiological adjustment.
Understanding Vacuum Erection Devices
A vacuum erection device (VED) consists of a clear plastic cylinder, a pump (manual or battery-operated), and one or more constriction rings. The cylinder is placed over the penis, forming a seal against the body.
The pump removes air from within the cylinder, creating a vacuum. This negative pressure draws blood into the penile shafts, causing the penis to expand and become rigid. Once an erection is achieved, a soft constriction ring is carefully slid from the base of the cylinder onto the base of the penis. This ring helps maintain the erection by trapping blood within the penis after the cylinder is removed.
Why Use a VED After Radical Prostatectomy
Radical prostatectomy, a surgical procedure to remove the prostate gland, can impact erectile function due to damage or stretching of the nerves and blood vessels surrounding the prostate. These nerves, known as neurovascular bundles, facilitate blood flow to the penis during an erection. Disruption of these pathways can lead to reduced blood flow and oxygen supply to the penile tissues.
Using a VED after this surgery is recommended as part of a “penile rehabilitation” strategy. Regular application of the vacuum and subsequent blood flow helps oxygenate penile tissues, which can be deprived of adequate blood supply immediately after surgery. This increased oxygenation helps preserve the health and elasticity of the smooth muscle within the penis. Promoting consistent blood flow also aims to prevent the formation of scar tissue and the development of penile atrophy, which is a decrease in penile size and elasticity.
Maintaining tissue health through regular engorgement also supports the recovery of nerve function over time. While not directly repairing nerves, the improved tissue environment and sustained blood flow create conditions more favorable for nerve regeneration and adaptation. VEDs serve as a proactive measure to mitigate long-term erectile dysfunction by preserving the physical characteristics of the penis and supporting its natural functions during the recovery period.
Using a VED Safely and Effectively
Starting VED use after radical prostatectomy occurs several weeks to a few months post-surgery, as advised by a healthcare provider. The exact timing depends on individual recovery and the surgeon’s recommendations, but many begin around 4-6 weeks after the procedure. Consistency is emphasized for rehabilitation, with protocols suggesting daily or every-other-day sessions lasting 10-20 minutes.
To use the device, apply a water-based lubricant to the base of the penis and the opening of the cylinder to create a good seal. Place the cylinder over the penis, ensuring it rests firmly against the pubic area. Begin pumping slowly until a firm erection is achieved, which may take several pumps.
Once the penis is erect, carefully slide the constriction ring from the end of the cylinder onto the base of the penis, then remove the cylinder. The constriction ring should not remain on for more than 30 minutes to prevent injury to the penile tissues. After use, the ring should be removed, and the penis will return to its flaccid state.
Temporary side effects can occur, such as mild bruising, numbness, or a feeling of coldness in the penis. These are minor and resolve quickly after the device is removed. If persistent pain, severe bruising, or any unusual changes occur, it is important to contact a healthcare provider promptly.
Anticipating Outcomes
The recovery of erectile function following radical prostatectomy with VED use can be a gradual process, extending over many months or even years. Individuals should anticipate that improvement in erectile quality will not be immediate and requires consistent effort. While VEDs are valuable for maintaining penile health and facilitating erections for sexual activity, they may not fully restore spontaneous natural erections for everyone.
VEDs are integrated into a comprehensive penile rehabilitation program that can also include medications or other therapies. The effectiveness of VEDs in restoring natural function varies, but they can significantly improve the ability to achieve and maintain an erection sufficient for intercourse. Regular follow-up appointments with healthcare providers are important to monitor progress, adjust rehabilitation strategies, and address any concerns that may arise during the recovery period.