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I read often here that when you can't get anymore erections of your own and especially nocturnal erections VED is needed to maintain size and avoid scarring. I think I am far from the case because I still get nocturnal erections or on my own but they need constant stimulation. But I wanna be prepared for the time I can't get anymore erections to maintain my size for the future implant. I've read some that use VED 30 minutes a day but how does this work? You put the dick in the pump and let it there erected for 30 minutes or take small breaks and inflate it again by the pump?
Can you tell me your best protocol for an amateur like me and how to use the VED optimally? Thanks

Frenchie wrote: Can you tell me your best protocol for an amateur like me and how to use the VED optimally?

How long have you been experiencing ED?

If it hasn't been long and if you're planning to get an implant shortly, the need to use a VED to maintain your size preop is questionable. It can't "hurt" to use the VED as long as you don't over do it but, if you haven't suffered ED for long, it's questionable whether you need to use it at all.

That said, short VED sessions (10-15 mins) at low pressure (5hg) -- 1 or 2x's daily -- should be sufficient to maintain your size.

No need to try pump for longer sessions & at higher pressure in order to fill the tube. Just make sure to get a pump w/a gauge on it. Doing it by "feel" is foolish.

Longer sessions at higher pressures just increase the risk of penile damage (commonly, venous leak) but, if you're planning to get an implant eventually, that wouldn't be that much of an issue.

FWIW, I believe that I suffered a venous leak due to improper use of a VED which contributed to my ED but I got an implant very quickly after my ED became incapacitating.

So, I didn't need to use the VED to maintain my dick size preop but I have been able to increase my dick size slightly w/light VED use post op.

I do 10 minutes per day, at 5hg. Thats it, nothing more.

Frenchie wrote:I read often here that when you can't get anymore erections of your own and especially nocturnal erections VED is needed to maintain size and avoid scarring. I think I am far from the case because I still get nocturnal erections or on my own but they need constant stimulation. But I wanna be prepared for the time I can't get anymore erections to maintain my size for the future implant. I've read some that use VED 30 minutes a day but how does this work? You put the dick in the pump and let it there erected for 30 minutes or take small breaks and inflate it again by the pump?
Can you tell me your best protocol for an amateur like me and how to use the VED optimally? Thanks

If you go to the General Discussion section of this forum there is a thread pinned to the top titled Documents Worth reading. You will need to scroll down a bit to find a document on Penile Exercise. That explains thing fairly well. You can ask your urologist about this and see if insurance will help with a medical grade VED. Those limit max vacuum, but the article explains a bit about going slow as even low vacuum applied too fast can cause damage. As posted less is better in this case. You can buy a cheep $20-$30 manual VED on line and again to repeat the previous post get one with a gauge. Not only to try to limit max vacuum to around 5hg but to watch how fast the needle moves indication supper fast vacuum. Some of these cheep VED's are converted automotive Vacuum pumps that apply vacuum supper fast. So you need to go slow motion to gradually apply vacuum. Doctors have been against VED use in the past due to men buying the cheep devices on line for penis enlargement and greatly over doing it causing damage. I guess doctors have seen enough men with damage for this improper VED use that they are slow to recognize the benefits. My experience with doctors is the care a lot more about preventing any damage than they do about our size loss. Take a look over on the documents worth reading thread and read that article. It is a bit long and there is even a bit more to it if you want to research some more. While you are over there you may even find some others you would like to look at or read.

Good luck.

Lots of good research in the area of VED use prior to IPP surgery....

"Vacuum prepared patients’ cylinder length typically is up
to 3.5 cm longer (18.4 cm vs 22.03 cm) when compared
to patients not participating in vacuum therapy."

"...one of the two American manufacturers of IPP devices
indicate that the national “average” cylinder length implanted in the United States increased in 2002-2007 from
18.1 cm to 18.7 cm. Today in our practice we average 22 cm. amongst the patients employing the vacuum protocol.

--https://www.scirp.org/pdf/ASM_2013012514045982.pdf


See also

https://www.scirp.org/journal/paperinfo ... erid=27133

https://www.researchgate.net/publicatio ... lled_trial

https://pubmed.ncbi.nlm.nih.gov/32580912/