VED with implant routine

[aussiePeyronies]

Some advice here please, I was under the impression that when using VED with the implant, it's best to inflate the implant to max then apply the VED chamber, pump the VED and hold for 15-30m.

I now read from another member that Dr Hakky advises to inflate to max, apply the VED chamber then pump and release (in cycles) to get as much oxygenated tissue into the penis as possible.

What do you all recommend? What methods have worked for you all? And, what have your Doctors recommended?

Thanks,
J

[PCHelp76180]

Some advice here please, I was under the impression that when using VED with the implant, it's best to inflate the implant to max then apply the VED chamber, pump the VED and hold for 15-30m.

I now read from another member that Dr Hakky advises to inflate to max, apply the VED chamber then pump and release (in cycles) to get as much oxygenated tissue into the penis as possible.

What do you all recommend? What methods have worked for you all? And, what have your Doctors recommended?

Thanks,
J

You first need to consult with your Urologist, using a VED will depend on your type of implant and the method in which it was installed. It is crucial that you don't do any damage to the tubing which runs near the base of the penis.

What I have started to do is a 30 minute session broken down into 10 minute chunks. Inflate the implant, take the VED to the point it is comfortable and hold. After 10 minutes release the vacuum, squeeze the penile pump again and repeat.

[Rider1400]

I was implanted infrapubic and I was told it wasn’t a good idea to do a VED at all as the tubing exits near the top of the penis approx where the VED would press into your pubic bone. I got great results simply pumping to max twice daily for 30 minutes and doing the perito exercises. Why risk it anything other than what your Dr specifically recommended

[Rodsmen]

Some advice here please, I was under the impression that when using VED with the implant, it's best to inflate the implant to max then apply the VED chamber, pump the VED and hold for 15-30m.

I now read from another member that Dr Hakky advises to inflate to max, apply the VED chamber then pump and release (in cycles) to get as much oxygenated tissue into the penis as possible.

What do you all recommend? What methods have worked for you all? And, what have your Doctors recommended?

Thanks,
J

They are recommended. Check out the attached paper, which is one of three I have found that says to use a pump after (as well as before) surgery. (I just noticed that the Journal of Sexual Medicine's abbreviation is jsm, pronounced "jism." LOL

Best regards,
Kevin

[Discovernew]

I see this post is about a year old. For those of you guys who have been doing VED for several months or more. Have you noticed significant size gains? if so, how much?

[easymoney]

I have a Rigicon and was told not to use a VED because it could possibly over time stretch the tissue enough that I might get floppy glans out of it.

[Discovernew]

I have a Rigicon and was told not to use a VED because it could possibly over time stretch the tissue enough that I might get floppy glans out of it.

Yep this clearly doesn't work for malleables. But I am curious how it worked out for those using it with IPPs

[Jage64]

I realize this is an old thread, but in 2018 Dr. Perito posted this video and he recommends post implant VED more so than pre implant VED, although he states there can be some benefit. Personally, I used my VED for 3 weeks prior to implant every day for 10 on, 5 off, 10 on, 5 off, 10 on, 5 off, 10 on. I felt I was training for the surgical measurement olympics and I didn't want to leave any possible advantage on the table.

I waited for probably 6 months before I used it again post-surgery, just to make sure everything was all healed up and where it belonged. Now, I use it maybe once a month for the same cycle as above. I don't believe it has added any length, but I could be persuaded that it does result in some increase to my natural girth when aroused.

https://peritourology.com/2018/08/mtp-1 ... -implants/

[Discovernew]

I realize this is an old thread, but in 2018 Dr. Perito posted this video and he recommends post implant VED more so than pre implant VED, although he states there can be some benefit. Personally, I used my VED for 3 weeks prior to implant every day for 10 on, 5 off, 10 on, 5 off, 10 on, 5 off, 10 on. I felt I was training for the surgical measurement olympics and I didn't want to leave any possible advantage on the table.

I waited for probably 6 months before I used it again post-surgery, just to make sure everything was all healed up and where it belonged. Now, I use it maybe once a month for the same cycle as above. I don't believe it has added any length, but I could be persuaded that it does result in some increase to my natural girth when aroused.

https://peritourology.com/2018/08/mtp-1 ... -implants/

Thank you! Did you gain any length compared to your immediate post op or stayed the same?

[2435tjklAS]

Some advice here please, I was under the impression that when using VED with the implant, it's best to inflate the implant to max then apply the VED chamber, pump the VED and hold for 15-30m.

I now read from another member that Dr Hakky advises to inflate to max, apply the VED chamber then pump and release (in cycles) to get as much oxygenated tissue into the penis as possible.

What do you all recommend? What methods have worked for you all? And, what have your Doctors recommended?

Thanks,
J

They are recommended. Check out the attached paper, which is one of three I have found that says to use a pump after (as well as before) surgery. (I just noticed that the Journal of Sexual Medicine's abbreviation is jsm, pronounced "jism." LOL

Best regards,
Kevin

I thought this too but if you look closely at their methods that study does not use VEDs after surgery. It does mention VEDs on the bottom of page 1303 and it references the Seller et al. study but it mainly speaks to the benefits of using one before implant or after infection. I do think this could be interpreted as a good thing that it's not only the AMS 700 LGX that is proven to expand in length and girth, but also the Titan will with only fairly aggressive cycling.

If you want to see the studies specifically about using a VED after you get an implant, Dr. Wang put together all the existing research that had been done before 05/2022:

Penile size has been a concern for many patients and implant surgeons. Few studies evaluated the use of VED to improve the penile size in men undergoing penile prosthesis placement. The earliest such study was a phone survey of 12 men who had been utilizing VED following penile implants and found that 11 of the 12 patients reported improved erectile rigidity and girth when using the VED concomitantly.16 Another prospective study investigated VED use after penile implant for PD as part of post-implant rehabilitation in 145 patients. There was significant reduction of residual curvature and improvement of IIEF-5 scores.17 A third study looked at the VED use preoperatively for at least 10-15 minutes/twice daily for a minimum of 3 months in 13 men with severe corporal fibrosis. VED appeared to soften corporal fibrosis and facilitate placement of penile prosthesis. Patients also had a mean increase of SPL of 0.92 cm after penile implants compared to preoperative lengths.18 Lastly, a study randomized 51 patients to 10-15 minutes daily VED use preoperatively versus no pre-op interventions and found that daily VED for at least 1 month led to a statistically significant increase of SPL by a mean of 0.8 cm compared to the control group.19

Wang, R. (2022). Is there still a role for vacuum erection devices in contemporary sexual medicine? The Journal of Sexual Medicine, 19(5), Article 5. https://doi.org/10.1016/j.jsxm.2022.02.013

Here's what he cited:

Soderdahl, D. W., Petroski, R. A., Mode, D., Schwartz, B. F., & Thrasher, J. B. (1997). The use of an external vacuum device to augment a penile prosthesis. Techniques in Urology, 3(2), 100–102. https://pubmed.ncbi.nlm.nih.gov/9297771/

Antonini, G., De Berardinis, E., Del Giudice, F., Busetto, G. M., Lauretti, S., Fragas, R., Chung, B. I., Conti, S. L., Giannarelli, D., Sperduti, I., Gross, M. S., & Perito, P. E. (2018). Inflatable penile prosthesis placement, scratch technique and postoperative vacuum therapy as a combined approach to definitive treatment of Peyronie’s Disease. Journal of Urology, 2003. https://doi.org/10.1016/j.juro.2018.04.060

Tsambarlis, P. N., Chaus, F., & Levine, L. A. (2017). Successful placement of penile prostheses in men with severe corporal fibrosis following vacuum therapy protocol. The Journal of Sexual Medicine, 14(1), Article 1. https://doi.org/10.1016/j.jsxm.2016.11.304

Canguven, O., Talib, R. A., Campbell, J., De Young, L., El Ansari, W., & Al-Ansari, A. (2017). Is the daily use of vacuum erection device for a month before penile prosthesis implantation beneficial? A randomized controlled trial. Andrology, 5(1), Article 1. https://doi.org/10.1111/andr.12258

I wrote about that with a lot more detail here: viewtopic.php?f=6&t=17292&start=20

My link also shows the newer Cai et al. (2023) study that gives further proof to the success of VED use after implant.

I see this post is about a year old. For those of you guys who have been doing VED for several months or more. Have you noticed significant size gains? if so, how much?

I don't think it's correct to say VEDs themselves lead to size gains. What they do is treat or heal fibrosis caused by aging or other factors. That works excellently to give the surgeon enough available space to fit you with an implant size that best meets your real, natural erection, just like when you were a horny 22 year old. And then after implant I think newbie's argument is still the most supported theory. In short, VEDs are great before implants, and there's a pyramid of medical research proving it. After implant, there's also a decent amount of proof to the benefits of using VEDs and no negative findings have been reported, but cycling alone can also get you to your biggest size, although it will take a little longer.

Going back to that Henry et al. study Rodsmen initially cited, I do think you can interpret his section that mentions VEDs to explain how using them can allow the implants to expand to their largest possible sizes.

Tissue expansion involves making the tunica albuginea more compliant so it will stretch and allow larger distention by the inflated cylinder. Experience with repetitive vacuum device application shows the tunica will respond with short exposures to the vacuum therapy.

But can cycling alone and Perito's THE exercise cause the same results? I think that might be a yes.