vacuum pumps and maybe CaverStem next?

[Timbertim]

Sorry for the long message, but here you go...I am three years post op from radical prostatectomy. I'm 63 and was having some minor ED issues before cancer. Post surgery I worked with my local urologist and tried Cialis daily for rehab for about 8 months, switched to 100 mg Viagra for sex, but didn't get me hard enough, so I tried Trimix which also didn't get it done, upped the dosage, still didn't work well. I've now gone back to the surgeons larger practice and they did a blood test today, sonogram next week and they are talking about having me do a vacuum twice a day for ten minutes as rehab and then after reviewing the labs and sonogram looking at perhaps trying CaverStem treatments and/or moving to an implant, or???. Any advice about a vacuum unit and has anyone tried the CaverStem? Thank you for your help.

[bldoink]

They should have had you doing VED therapy as soon as you were healed. I have the Osbon ErecAid Vacuum erection device system. I've had it for 11+ years. I've found it to be very durable. It is medical grade. It does not have a gauge. It is more expensive than most. There may be less expensive alternatives that will work well but it's what I have and it works well. I have tried a couple of sex shop pumps. They worked but weren't very durable and were not designed to be easily used with medical grade constriction rings.

Injections did not work well for me at the very beginning but do work well now. Don't give up too soon. I use straight alprostadil mono-mix.

I have no first hand experience with the CaverStem. I'm a bit skeptical of it. I would have thought that it also would have been something to try early on after your surgery.

Good luck on your journey.

[AnotherOldMan]

Have they provided you with or directed you to a rehab routine?
For rehab a cheaper vacuum penis pump will probably suffice. There are plenty on Ebay and Amazon.

[Alan810]

I too use Osbon Erecaid Pump and Rings and very pleased with the results. I also tried Viagra, Cialis, Levitra and Trimix injections with little or no success.

[Oldboy]

They should have had you doing VED therapy as soon as you were healed. I have the Osbon ErecAid Vacuum erection device system. I've had it for 11+ years. I've found it to be very durable. It is medical grade. It does not have a gauge. It is more expensive than most. There may be less expensive alternatives that will work well but it's what I have and it works well. I have tried a couple of sex shop pumps. They worked but weren't very durable and were not designed to be easily used with medical grade constriction rings.

Injections did not work well for me at the very beginning but do work well now. Don't give up too soon. I use straight alprostadil mono-mix.

I have no first hand experience with the CaverStem. I'm a bit skeptical of it. I would have thought that it also would have been something to try early on after your surgery.

Good luck on your journey.

I purchased an Erecaid, manual type.
Could you suggest a slightly use to preserve to any damage?

[bldoink]

I'm not a medical professional of any kind. Anything I post is based on my own experiences at best and hallucinations and or delusions at worst. In this post I'm including posts from other forum members. I have no reason to suspect their credentials are any better than mine. Internet forum advice is often worth what you paid for it, or worse. Always ask your doctor and follow his/her advice.
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Off hand I don't recall what the official VED therapy regimens are. My routine usually takes 15 to 30 minutes. If you don't already do some I suggest some fairly serious manscaping before VED use, especially if you plan on using constriction rings with it. Hair can make it more difficult to get a good seal and hair can get pulled as you pump. Hair and rings don't get along well at all. You'll figure that out on your own pretty quickly if you don't do some manscaping first. Shaving isn't necessary. Major trimming is strongly suggested.

I also strongly suggest some lube. I use Sliquid a water based lube brand. However I guess any lube will work as long as it isn't harmful to you or your VED. I think coconut oil is pretty popular. I don't think silicone lube is good for silicone rings. The reason for the lube is to make sure your skin slides easily when it comes in contact with the VED cylinder. Otherwise you'll experience pain and potential tearing of your skin. Apparently some guys don't need lube but I don't see how that can be.

My routine:
After lubricating my dick and the inside of the cylinder I begin by giving a few pumps but not to discomfort. I hold that vacuum for a couple of minutes or until I start losing vacuum. I then release for30 seconds or so and then repeat. I continue this pattern until I start getting a fairly full erection at which time I'll start increasing the vacuum to the point of discomfort or one pump more. When I get to this level I'll also increase the rest interval. Nothing scientific here. If you start getting petechia or edema you need to back off some.

For whatever reason I have more difficulty pumping that many if not most guys. I suspect it's nerve damage but I don't know. It seems the valves in my arteries resist opening even under vacuum. I have found that taking some sildenafil (Viagra) before pumping helps a lot. Viagra will not give me an erection by itself at all but it does seem to aid pumping as well as injections. Sexual stimulation also seems to help. Sexual thoughts, help from your partner, visual or whatever, or visual aids. These seem to encourage the valves to open to allow easier pumping, at least for me.
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I have posted previously in 'My Pump Result, and yours?' if you like to check it out. I have a cheap VED w/no gauge, and I use the Blue Ultimate Rings. There are a lot of different type of rings/bands out there, so with experimentation the choice is yours as to what works best for you. The following is 'my' pumping times, you can develop what works for you. I care more about my penile health, not size, so this is my routine.

I pump 3x a week (M-W-W), once each day.
I do 4-5 sets of 5 minutes for each set.

Set 1: I pump up slowly allowing 12-15 seconds between 2 manual pumps (mine). I pump to 90% of my BPEL. for 5 minutes.
Rest: I release the pump vacuum a little at a time, pausing 5-10 seconds after each release until all the vacuum has been expelled. I then remove the hose from the cylinder and work the cylinder on and off my penis (to initiate blood flow/exchange) for 1 minute before going to set #2.

Set 2: I repeat Set 1 pumping procedure again, this time pumping to my BPEL. for 5 minutes
Rest: Same as before.

Set 3: I repeat the pumping procedure again, this time pumping to approximately 1/4" over of my BPEL. for 5 minutes.
Rest: Same as before.

Set 4: I repeat the pumping procedure again, this time pumping to approximately 3/8" over of my BPEL. for 5 minutes.
Rest: Same as before.

Set 5: I repeat the pumping procedure again, this time pumping to 3/8" again, or 1/2" over of my BPEL. for 5 minutes.
Rest: Same as before.

Again, this is my routine. I go slow on the 'pump up' and slow on the 'release'. I haven't experience petechia, or water blistering (donut) yet, and I don't want to, that's the reason for going slow. Your dick doesn't get instantly hard, and it doesn't deflate in one second normally either, why would you want it to here!

I hope this helps some of you, but it's NOT meant for enlargement, although I think you'll find over time that it will increase your girth some. Don't we have enough problems with our penis health, why else would we be here, don't make it worse. Do your own research and develop your own plan if this one's not for you, no one plan will fit everyone, but at least get informed on what works and what you should avoid. One piece of advice I offer from reading numerous posts here, and on other sites, STAY THE HELL AWAY FROM JELGING, it never ends well!

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So....... I am looking to embark on a pumping regimen to improve my penis health - I'm not necessarily looking to increase length or girth (I'm 6.5" and thick when erect), although that would be nice....

As I understand it, the pumping regimen to provide the regular oxygenation of penile tissues that I am no longer getting would be as follows:

- Pump the unit until 1/4 erect, then release pressure
- Pump until 1/3 erect, then release pressure
- Pump until 1/2 erect, then release pressure
- Pump until 3/4 erect, then release pressure
- Pump until fully erect, then release pressure
- Rinse and repeat daily for 30 minutes
I am not looking to use the VED device for sex, so no need for the constriction rings......

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Perhaps this will just muddy the waters for you, but there is another recommended VED regimen for getting things working again after prostate cancer treatment, which isn't your condition, but might be helpful.
https://www.youtube.com/watch?v=92NwnxWp4eA

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... I bought a sex-shop pump, no medical device at all, no pressure indicator and I roughly followed the instructions from the following medical paper :

https://file.scirp.org/Html/3-1990021_27133.htm

I performed the routine roughly twice per day, not very strict, sometimes I skipped it once, sometimes I didn't perform it for a day or 2.
I used my common sense and body feeling to stretch to the maximum extent that the pump and my penis would allow it, then I held it for 5 to 10 minutes under suction, then I was releasing the suction, paused for 30-60 seconds and started again for a total of between 20 and 30 minutes per session. I started in December and completed the routine the day prior to the surgery as per my surgeon suggestion, for a total of around 3 months routine in total.
Accordingly to the paper using this routine the average cylinder size has been brought from 18cm to 22cm, I was able to get a little more than the average with 23.5cm, so I cannot complain and to me it worked very well.

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That was a search but not a very thorough one.