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Vacuum Erection Devices: A Comprehensive Guide for Healthcare Providers
Written by a menMD Expert
1115 Words. 5 minute read.
Vacuum Erection Devices (VEDs) are a highly effective treatment option for erectile dysfunction (ED), offering healthcare providers a non-invasive and non-pharmacological intervention option with clear clinical efficacy.
Current clinical data indicates that 94% of patients and their partners reported regaining satisfactory sexual activities after VED treatment
The clinical significance of VEDs extends beyond primary ED treatment, playing crucial roles in:
- Post-prostatectomy penile rehabilitation
- Maintenance of penile length in severe ED cases
- Combination therapy with PDE5 inhibitors
- Pre-implant length maximization
For healthcare providers, a comprehensive understanding of VED mechanisms, applications, and proper patient education strategies is essential for optimal outcomes.
This review will examine current clinical applications, usage protocols, and patient communication strategies, incorporating recent trial data and treatment guidelines.
VED functionality and types of devices
VEDs operate through a precisely controlled negative pressure mechanism, creating a vacuum environment of up to 250 mmHg to facilitate blood flow into the corpora cavernosa. This mechanical action proves particularly valuable because it remains effective regardless of underlying nerve function, making it suitable for patients with neurogenic ED or post-surgical complications.
Two primary categories of FDA-approved devices exist:
- Manual pump systems: Requiring hand activation, offering greater control
- Battery-powered systems: Providing consistent, automated pressure regulation
FDA approval remains a critical differentiator in device selection. Medical-grade devices must meet specific safety and efficacy standards which are listed on the FDA website here. In summary, devices must show through clinical trials that they:
- Have precise pressure regulation (≤250 mmHg)
- Use medical-grade materials
- Have a safety release mechanism
- Include standardized constriction rings
We’d advise healthcare providers to inform patients of the critical importance of using only FDA-approved devices.
Non-medical grade devices pose significant risks, including:
- Uncontrolled pressure levels that can damage penile tissue
- Poor-quality materials that may cause injury or infection
- Lack of safety release mechanisms
- Unreliable constriction rings
- Aggravation of existing medical conditions including:
- Peyronie’s disease
- Priapism
- Urethral strictures
While non-medical grade options may be less expensive, the risks of tissue damage and long-term complications far outweigh any potential cost savings. Each of the devices available through the menMD shop has been clinically tested and are all FDA-approved.
Clinical applications of VEDs
As we mentioned previously, VEDs are effective treatments beyond just erectile dysfunction. Clinical data demonstrates that VEDs are particularly effective for specific patient populations, with treatment protocols tailored to each presentation:
Post-Prostatectomy Rehabilitation:
- 80% of patients using VEDs early after surgery achieve successful intercourse
- 97% maintain preoperative penile length when used within 90 days post-surgery
- Best outcomes are when treatments are initiated within the first month post-surgery
Non-Responders to PDE5 Inhibitors:
- VEDs provide an effective alternative, with 94% of patients reporting success
- Can be used in combination with oral medications
- Particularly effective for patients with:
- Diabetes-related ED
- Vascular insufficiency
- Post-surgical ED
Penile Length Preservation:
- Critical for patients with severe ED or prolonged disuse
- Helps maintain tissue elasticity and oxygenation
- Essential for preventing fibrotic changes
Pre-Implant Preparation:
- Helps maximize potential length before penile prosthesis
- Reduces risk of shortened post-implant length
- Recommended 2-4 months before scheduled surgery
Understanding the benefits and limitations of VEDs enables healthcare providers to set appropriate patient expectations and optimize treatment outcomes
Breaking down the pros and cons of VEDs
Understanding the benefits and limitations of VEDs enables healthcare providers to set appropriate patient expectations and optimize treatment outcomes. Here are some of the advantages and disadvantages of this treatment modality.
Advantages
Clinical Benefits:
- Non-invasive treatment modality
- Success rates of 56-85% depending on ED etiology
- No systemic side effects
- Immediate results
- Compatible with most medications
Practical Considerations:
- Cost-effective long-term solution
- One-time purchase with minimal maintenance
- Available through insurance with proper documentation
- Can be combined with other ED treatments
- Effective regardless of ED etiology
Disadvantages
Physical Limitations:
- Requires planning, reducing spontaneity
- Initial learning curve (28.6% report early discomfort)
- Constriction ring should be removed after 30 minutes of use
Usage Challenges:
- Requires proper technique for optimal results
- Initial sessions need patience and practice
- May feel mechanical or unnatural
- Partner acceptance varies
- Requires manual dexterity
Addressing these advantages and disadvantages directly with patients improves compliance and satisfaction rates. Clinical data shows that proper patient education regarding these factors results in 70% continued use after 29 months.
As with any treatment protocol, effective patient education and communication can significantly impact VED treatment success.
Patient communication strategies
As with any treatment protocol, effective patient education and communication can significantly impact VED treatment success.
For starters, when introducing VEDs we recommend presenting them as you would any other standard medical treatment option backed by strong clinical evidence. Share the 94% satisfaction rate and proactively address common concerns.
Long-term success can hinge on patients understanding that there is a bit of a learning curve for proper use. Using anatomical models for demonstration can assist in reducing the time it takes. Nevertheless, set realistic expectations about outcomes and the learning process during this first conversation.
Moreover, discuss the importance of partner involvement in the treatment process. It can be useful to outline a typical timeline for feeling comfortable with using the device. Include specific guidance about maintenance, cleaning protocols, and expected outcomes based on their individual case.
Finally, and most importantly, involves selection. We strongly recommend that you emphasize the importance of choosing only FDA-approved devices for safety and efficacy.
MenMD offers a selection of FDA-approved devices, including the SomaTherapy Manual and SomaTherapy Premium models by Augusta Medical which can help make the decision-making process easier. We also offer replacement tension rings that could either offer a better, more comfortable fit for patients or replace rings that have been worn out.
Proper Usage
Below is a quick 5-step guide you can share with patients for proper vacuum erection device use..
Preparation: Clean the device and genital area, trim pubic hair, and have water-based lubricant ready for optimal seal creation.
- Basic Operation: Follow the “3-pump, 10-second pause” rule, allowing adequate time for blood flow between pumping sessions.
- Constriction Ring: Apply the ring at full rigidity, considering double-ring technique if needed, and never exceed 30 minutes of use.
- Safety Protocol: Know the location of the quick-release valve and stop immediately if experiencing any pain or discomfort.
- Maintenance: Clean the device after each use and regularly inspect all components for wear or damage.
For more information and a full video demonstration, check out one of our VED online clinics or visit our YouTube page for more educational material. We’d recommend you share these resources with patients as well.
Closing Thoughts
When properly prescribed and supported with appropriate patient education, VEDs offer a safe, effective, and economical long-term solution for erectile dysfunction.
The versatility of VEDs in addressing primary ED treatment—as well as specialized applications like post-prostatectomy rehabilitation—makes them an essential tool for healthcare providers.
To learn more about our VED offerings, visit our shop or reach out to your menMD account manager to learn more or request patient education materials for your office.
Remember, the menMD support teams are here to streamline your practice by handling patient education, basic questions, and medication troubleshooting, freeing you to focus on delivering exceptional care.