II. Indications
- Erectile Dysfunction refractory to PDE-5 Inhibitors (e.g. Viagra) or other measures
III. Technique
- Requires practice
- Step 1: Vacuum tube placed over penis and sealed at base with lubricant
- Step 2: Vacuum pump removes air from tube (pulling blood into penis)
- Step 3: Apply constricting band around penis
- Step 4: Band must be removed within 30 minutes
IV. Efficacy
- Satisfaction with method: 66%
V. Adverse Effects
VI. Monitoring: Follow-up
- Initial: 1 month after starting method
- Yearly follow-up
VII. Management
- May be used in combination with PDE-5 Inhibitor (e.g. Viagra) or with Alprostadil (injection or intraurethral)