ceekay87 wrote:I’m new to this site and considering an implant for my worsening (seemingly by the day) ED. As I read about all the newly bionic brothers, I see many references to “cycling”. Could you please share what exactly cycling is? Again, please forgive the dumb question from the newbie!
Cycling before implant is also beneficial. One does this using a VED (Vacuum Erection Device). This emulates the usual daily erections a man (without erectile dysfunction) gets (often at night where he does not even notice). These daily erections do several things; bring fresh blood into the penis to oxygenate the penile tissues; maintain size; maintain elasticity.
There are two protocols I know of. One is to pump up to an erection (inside the VED) and maintain that erection for about 30 minutes (sometimes adding a bit more vacuum as tissues relax). Do this twice a day for about 30 minutes. The other is to pump up to an erection inside the VED and release the vacuum, allowing the erection to go flaccid. This usually takes about a minute, then repeat for 30 minutes. Twice a day. Note that neither of these protocols use the constriction ring that one would use to have sex. Also note that a vacuum is a vacuum and the penis does not care if one uses a medical-grade VED or a novelty-store (sex shop) unit or builds one by cobbling together a simple cylinder, tubing and automotive vacuum pump. As long as one gets a good seal and does not overdo the vacuum, it is all the same. Medical grade ones may have a longer service life and offer added utility (vacuum gauge, for instance).
The history of VED use is interesting. 10 years ago, VED use was not often recommended. But studies showed that pre-op VED use gave benefits. Post-op VED use remained controversial until just about 2020-2021 and is now gaining acceptance among implant surgeons.
Remember, and do not forget: DO NOT OVERDO the amount of vacuum!!!! It should be safe to pump up until you feel a pleasant strain in your penis (at this point your penis should be about the size of a natural erection or a half-inch more, due to the "pulling forward" effects of the vacuum). But no more than that!