II. Indications

  1. Erectile Dysfunction refractory to PDE-5 Inhibitors (e.g. Viagra) or other measures

III. Technique

  1. Requires practice
  2. Step 1: Vacuum tube placed over penis and sealed at base with lubricant
  3. Step 2: Vacuum pump removes air from tube (pulling blood into penis)
  4. Step 3: Apply constricting band around penis
  5. Step 4: Band must be removed within 30 minutes

IV. Efficacy

  1. Satisfaction with method: 66%

V. Adverse Effects

  1. Penis cooler to touch (apply warm washcloth)
  2. Penis dark pink to blue color with constricting band
  3. Penis may bend at base at site of constricting band

VI. Monitoring: Follow-up

  1. Initial: 1 month after starting method
  2. Yearly follow-up

VII. Management

  1. May be used in combination with PDE-5 Inhibitor (e.g. Viagra) or with Alprostadil (injection or intraurethral)

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