When pre-operative VED is used, SPL could increase by a
mean of 0.80 0.38 cm. In addition, the surgeon is provided
with better opportunity to restore longer penile length that replicates
an appearance more consistent with the patient’s natural
erection. Ease of corporal dilation allows for an appropriate size
cylinder to be inserted, and thus helps to maximize patient satisfaction
post-operatively. There were no negative intraoperative
complications associated with the use of pre-operative VED, and
therefore, if patients have access to it, VEDs can safely be recommended.
Future studies among larger samples will help assess
the long-term outcomes and outline the role of VED as a valuable
intervention prior to PP implantation.
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), 103–106. https://doi.org/10.1111/andr.12258
Use a VED/penis pump after surgery too. Here's why:
Penile shortening after inflatable penile prosthesis placement for erectile dysfunction is a common postoperative patient complaint and can reduce overall satisfaction with the procedure. In this prospective study we report our results regarding penile dimensions and patient satisfaction outcomes after 1 year of follow-up from AMSTMLGX700® penile prosthesis implant with 6 months of vacuum erectile device therapy. Seventy-four selected patients with medically refractory erectile dysfunction underwent AMSTM LGX 700® IPP placement. Postoperatively, patients were assigned vacuum device therapy for 5 min twice daily. Follow-up continued for 1 year after surgery. Dimensional and functional results were assessed. Baseline median preoperative stretched penile length and girth were 14 cm (range 10-17) and 9 cm (range 7-12), respectively. At the end of the study penile median dimensional outcomes were 17 cm (range 13-23) for length and 11 cm (range 10-13) for girth while a median number of 24 pumps (range 18–29) to fully inflate the device was seen. Baseline median International Index of Erectile Function (IIEF-5) score was 9 (range 5-11), at 6 months 20 (range 18-26) and at 1 year was 25 (range 20-27) (p<0.0001). Median Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) score at the end of the follow-up was 74 (range 66–78). Our postoperative rehabilitation program is feasible and should be recommended after prothesis surgery in order to increase overall satisfaction with the procedure. Penile postoperative dimensional outcomes were statistically significant improved and complications were negligible.
Antonini, G., De Berardinis, E., Busetto, G. M., Del Giudice, F., Chung, B. I., Conti, S. L., Ferro, M., Musi, G., Fragas, R., De Cobelli, O., Sperduti, I., Gross, M. S., & Perito, P. E. (2020). Postoperative vacuum therapy following AMSTM LGX 700® inflatable penile prosthesis placement: Penile dimension outcomes and overall satisfaction. International Journal of Impotence Research, 32(1), 133–139. https://doi.org/10.1038/s41443-019-0125-z
If your doctor tells you very specifically that your penis cannot be safely used a VED, maybe don't do it. As far as my admittedly uneducated (but fairly well researched) brain would admit, though, your dick is gonna be able to survive one of these, so do it.
