Using a Penis Pump

Vacuum Erection Device (VED) / Penis Pump

Discovered in 1874 by American physician John King, many versions have been invented but it wasn't until the 1960's that vacuum erection devices (VED's) / penis pumps became popular, with the first patent granted in 1974. A medical model was FDA approved in the US in 1982.

47_androvacuum_how_to_use_01.jpgVacuum erection devices work by generating a vacuum by slowly taking out part of the air within the cylinder (technically producing a negative pressure within it). This low pressure causes both arterial and venous blood to flow into the erectile chambers of the penis, causing an erection. Once achieved, the erection can be held by the penis itself or with the aid of a constriction ring, which restricts the flow of blood back out of the penis.

Most devices consist of a pump (either manual or battery powered) on the end of a clear cylinder. Devices with a manual pump require two-handed operation – one to pump, and the other to hold the cylinder in place against the body to ensure a seal is maintained.

Battery operated machines, like the Androvacuum (sold here) can be operated one handed, as the pump button is located so the positioning hand can operate it easily. This can be very helpful to men with conditions that affect hand dexterity or strength.

A constriction ring is sometimes included with the device or can be purchased separately. The ring is initially placed on one end of the cylinder, and the pump is connected to the other.

After adequate penile rigidity has been obtained, if sex is to follow the constriction ring is slid down the cylinder onto the base of the penis. The vacuum is released, the cylinder is removed and the erection remains.

 ** VERY IMPORTANT - A CONSTRICTION RING SHOULD NOT BE LEFT ON THE PENIS FOR MORE THAN 30 MINUTES **

 You should not use a pump with a constriction ring without checking with your GP if:

  • You are using blood thinners or have a history of bleeding disorders
  • You have diminished penile sensation
  • You have significant penile curvature
  • You have a history of priapism (prolonged erection) or are at risk of developing it
  • If you have Peyronie’s disease and / or the curve in your penis would make insertion into a penis pump difficult, traumatic or painful.

When used correctly with low pressure, VEDs have few side effects. These may include penile numbness and / or pain, a feeling of penile coldness, and bruising. You should not use them if you have bleeding disorders and or problems with priapism (prolonged erection). VED's are generally considered safe and are well accepted for ED associated with a variety of conditions.

Some men complain that they experience a hinge effect, where the penis is hard beyond where the ring sits, but goes soft inside the body, making it hard to control the direction of your thrusts. It is important to place the ring as close to the base of the penis as you can.

Patients who were not satisfied, or who discontinued use of the device, cited premature loss of tumescence and rigidity, pain or discomfort as reasons. A constriction ring can also interfere with ejaculation, with the sensation of orgasm happens but the ring stops the ejaculate from being expelled. Research shows that training and support contribute significantly to patient satisfaction and continued use.

IMPORTANT NOTE: Please contact me (Lynda Carlyle at lynda@lyndacarlyle.com or phone 0424 264 288) to arrange an appointment for coaching and trouble-shooting if you have problems with using VED's or constriction rings.

I recommend you first try using a penis pump on your own, as practice may be required to get comfortable with their use, especially if you are also using a penis ring. Allow yourself time to get the hang of combining the two, so you are not frustrated or disappointed. The penis is often sensitized as a result of using a pump, and until you are experienced, it might be best to wait a few hours before having sex.

Before Using the HANDSOME UP Penis Pump

  1. Of the 3 rubber sleeves provided, choose the one that your penis fits through most snugly and apply it to the open end of the transparent tube.
  2. Connect the hose and air pump kit to the nipple on the other end of the tube.
  3. Push the centre of the rubber sleeve in, to make it recessed and flat.

Getting Ready to use a Pump

  1. Put aside some time for yourself to use your penis pump undisturbed.
  2. Trimming or shaving the pubic hair is strongly recommended as you will find it easier to create a seal and they can be painful if caught in constriction rings. You do not need to clip it all - clear a 1cm radius around where the pump sits with hair no longer than 5mm, then trim the rest to 15mm.
  3. Do not ejaculate for several hours prior to using the penis pump to allow for maximum expansion.
  4. Warm the penis, body and scrotum before using the pump. You could have a bath or shower, sit in a spa or use a heat pack. This will open the blood vessels and relax the tissues.
  5. Urinate and wash your hands before starting.
  6. Find a comfortable place to sit, stand or lie. You want the pelvis pushed slightly forward so your pubic bone is protruding. Try lying with a small pillow under your buttocks. Many men find sitting in a comfortable chair, leaning back with their legs spread works best. Alternately, you might prefer standing with your hips jutting forward.
  7. Massage the penis and scrotum for 3 - 5 minutes. A semi-erect penis can make the pump easier to use.

Instructions for Using a VED / Penis Pump

      1. Make sure you use the correct size bushing / sleeve that surrounds the end of the tube nearest the body. It should be as small as you can fit your penis through to ensure a good seal and prevent the scrotal skin being pulled into the tube.
      2. Use a moderate amount of lube and keep it away from your scrotum as much as possible. Only lubricate the tube, not your skin. Lubricate well around the end of the tube and on the inside of the bushing / sleeve to help it create a seal.
      3. If you want to have sex and are going to use a constriction ring, lubricate around the outside of the tube, underneath where the ring will sit so it can slide off more easily. Apply the constriction ring onto the end of the lubricated tube, making sure it is not twisted. Position it as close to the edge of the tube as you can.
      4. Pay particular attention to the positioning of the tube before you put it on. If you elect to use a "winged ring", such as the Rejoyn Constriction Ring, make sure the ring is "north / south", that is, one handle of the ring is on the top of the penis, and the other is positioned underneath, above the testicles.
      5. Place the head of the penis at the opening of the sleeve and begin to pump - the penis should slide evenly inside the tube. Press the bottom edge of the tube / sleeve into the fat pad at the base of the penis, then adjust the angle of the tube until it is at 90 degrees to the body and the top of the tube / ring is pressing into the pubic bone on the abdomen above the penis.
      6. Pump gently until you feel the vacuum seal. If it doesn't seem to seal, try changing position, massage the penis until it is more erect or apply more lubricant at the base of the penis (on the tube). Remember to use lubricant sparingly, more on the tube than the skin.

 IMPORTANT NOTE: Pump gently, gradually increasing the vacuum pressure - if you create a vacuum that is too powerful, not only can it be painful, you can cause vascular damage to your penis.

You should never feel discomfort or pain. If you do, or there is any swelling or discolouration, press the quick release valve immediately and discontinue use for at least 24 hours.

      1. Start to pump and when you have sufficient vacuum to keep the tube in place, grab the loose scrotal skin and pull it gently away from the tube / ring and out of the way (don't grab your testicles).
      2. Always pump gently. Pump for 10 - 20 seconds and then release the vacuum slightly, then repeat. This “waxing and waning,” sometimes known as “double pumping” for the first few minutes allows time for the penis to stretch and the erection to build. Easing off on the pressure encourages better results.
      3. Pump gently for 5 - 10 minutes. You may then choose to take a break, where you massage the penis for 3 - 5 minutes, before gently pumping again for 5 - 10 minutes.
      4. Urinate and wash your penis at the end of each session.

Frequency of Use

Research indicates that consistency is a key factor in using vacuum erection devices, with daily use encouraged for 10 minutes, especially if penile rehabilitation is the goal. The absolute minimum to give you the best chance of benefiting from the treatment is 3 - 4 times per week.

However, it is important to notice what your penis tells you. If your penis is sensitive, swollen or you feel discomfort after using your pump, it makes sense to rest it for a day or two before using the pump again. As your penis gets used to its exercise routine and becomes less sensitive, you may increase the total length of your workout, up to half an hour.

NOTE: There is no supporting evidence that using a penis pump permanently increases the size of the penis, although many men notice an increase if they use a pump regularly - once you stop using the pump, the penis will return to its previous size.

The only treatment, other than surgery, that will permanently increase penis size is the regular use of a traction penis extender device (YES I do sell them) over a period of months.

Possible Side Effects

According to the manufacturers' information and published literature, complications may include discomfort, local irritation, petechial (small (1-2mm) red or purple spots, caused by broken capillary blood vessels) and haematoma (collection of blood that causes a lump and bruise).

Rare side effects include urethral bleeding, skin necrosis at the ring site, development of a cystic mass, penile ecchymosis, and development of Peyronie's disease.

If you have concerns about any injuries to your penis, you should rest the penis and not use the pump again until you consult your doctor.

 ** DO NOT HAVE A CONSTRICTION RING IN PLACE FOR LONGER THAN 30 MINUTES **

 

Scientific Research on Penis Pump Use

There is much evidence supporting the use of penis pumps after Radical Prostatectomy (RP), for penile rehabilitation and to help reduce penile shortening, and similar results exist that show they improve erections in men experiencing erectile dysfunction (ED) caused by physical, psychological and mixed causes, including diabetes and spinal cord injury.

Pumps can be used as an alternative to medical management in erectile dysfunction, when other treatments don't work and, and in combination, can enhance the effectiveness of PDE5i medications like Viagra, Cialis and Levitra.

Penile rehabilitation is defined as "the use of any drug or device at or after Radical Prostatectomy to maximize erectile function recovery". A potential benefit of penile rehabilitation is that of increased oxygen saturation in cavernosal (erectile) tissue. At this time there is no standard protocol or guidelines for penile rehabilitation, primarily due to a lack of studies that provide definitive data as to the best treatment(s), timing for initiation of therapy, and optimal frequency of treatment. However, penile rehabilitation subsequent to RP has been reported with most types of ED therapies, including PDE5i (tablets), ICI (injections), intraurethral alprostadil (Muse), and VEDs.

Studies on VED's have highlighted the importance of starting penile rehabilitation and the use of a VED as soon as possible after surgery, that early use of the pump following RP facilitates early sexual intercourse, early patient / spousal sexual satisfaction, and potentially an earlier return of natural erections. Studies have also demonstrated the benefit of using a VED after RP in terms of decreasing the effect of surgery on penile shortening.

Even with the advent of nerve- sparing RP in the 1980s, there is great variability in the incidence of ED, with reports ranging between 16% and 82%. It is suggested combining early treatment with PDE5's with a vacuum device that is not dependent on nerve function but acts mechanically to increase blood flow should provide a better response than the PDE5i alone.

One study showed that after 12 months 92% of combination patients vs. 57% of tadalafil (Cialis) patients gained an erection sufficient for vaginal penetration, while in another, 92% of combination patients compared with 29% of Cialis patients answered yes as to whether they had intercourse to orgasm.

Vacuum devices act by increasing arterial blood flow and thereby the delivery of oxygen to the cavernosal tissue. By providing more oxygen, a VED may have both an acute effect, i.e., provide an erection, and also a more chronic, healing effect on tissues and nerves that have been damaged by the surgical procedure.

There is evidence to suggest that the VED may become a first-line treatment for penile rehabilitation after surgery for prostate cancer.

Reference: "The Resurgence of the Vacuum Erection Device (VED) for Treatment of Erectile Dysfunction by Daniel Brison, MD, Allen Seftel, MD, and Hossein Sadeghi-Nejad, MD, FACS, published in the Journal of Sexual Medicine 2013; 10: p 1124-1135

Thank you to the staff at D.vice for sharing their wisdom on using penis pumps

Penis Pumps & Men's Health - Medical