Unusual Complications of the Vacuum Erection Device

Ganem, J; Lucey, Donald T.; Janosko, Edward O.; Carson, Culley C.

doi:10.1016/s0090-4295(97)00706-1

Cited by 41 publications

(13 citation statements)

References 17 publications

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“…7,9 Other rare complications such as leg spasms, testicular migration, urethral varicosities/bleeding have been reported. 47 Major complications like Peyronie's disease, penile skin necrosis, penile gangrene and Fournier's syndrome have been reported anecdotally.…”

Section: Complicationsmentioning

confidence: 99%

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: Complicationsmentioning

confidence: 99%

Vacuum therapy in erectile dysfunction—science and clinical evidence

et al. 2010

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“…At 1 year, seven (9%) continued to use the vacuum erection device and another four patients (5%) used a combination of a vacuum erection device and intracorporeal injection. Adverse events associated with the vacuum erection device include corporeal fibrosis, pain, and inhibition of ejaculation [43].…”

Section: Phosphodiesterase-5 Failuresmentioning

confidence: 99%

Erectile dysfunction and treatment of carcinoma of the prostate

Carson

Hubbard²,

Wallen³

2005

Curr Urol Rep

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Prostate cancer is the leading malignancy in men in the United States and causes more than 60,000 deaths annually. Treatment of prostate cancer, whether it be with surgery, radiation therapy, cryotherapy, or medical treatment, is associated with significant life-altering morbidity. Incontinence and erectile dysfunction (ED) too often are sequelae of these treatment alternatives. ED can be a significant complication and can alter the life of the patient with prostate cancer and his partner. Newer modifications of the radical prostatectomy with nerve-sparing techniques are the cornerstone of erection preservation. Time following radical prostatectomy has been shown to increase erectile function such that more patients have functional erections at 3 years than 1 year after surgery. With the advent of phosphodiesterase-5 (PDE-5) inhibitors, many men can have improved functional erections and return to active coitus. Prevention of ED also is an important management technique. Evidence is gathering that prophylaxis with regular vasoactive injection or daily PDE-5 agents may be an integral part of preservation of corpus cavernosum smooth muscle function. Combination medical therapy and surgical penile prosthesis implantation also are options for patients who do not respond to oral PDE-5 inhibitors.

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“…One caution for patients with SCI in which sensation may be diminished: vacuum constriction device-induced erections should only be used for intercourse for about 30 minutes, because ischemic complications caused by the restriction of blood flow by the constriction band begin to set in. A recent review [74] details injuries, such as penile skin necrosis (leaving constriction band on too long--6 hours) and urethral bleeding, and the potential for exacerbating plaques or curvature in patients predisposed to Peyronie's disease.…”

Section: Vacuum Constriction Devicesmentioning

confidence: 99%

Neurogenic erectile dysfunction

Lue

2001

Clinical Autonomic Research

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Penile erection is a neurovascular event modulated by psyche and hormones. Erectile dysfunction (ED) has been classified as psychogenic, arteriogenic, neurogenic, endocrinologic, and cavernosal, based on the organs that are involved in penile erection. Among these types, neurogenic ED may be the most common, probably because a deficiency of neurotransmitters is the final common pathway in many diseases and conditions. This review discusses the physiology, pathophysiology, diagnosis, and treatment of erectile function and dysfunction, as well as strategies for future research.

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Unusual Complications of the Vacuum Erection Device

Cited by 41 publications

References 17 publications

Vacuum therapy in erectile dysfunction—science and clinical evidence

Vacuum therapy in erectile dysfunction—science and clinical evidence

Erectile dysfunction and treatment of carcinoma of the prostate

Neurogenic erectile dysfunction

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