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Long-term results with vacuum constriction device

M S Cookson1, P W Nadig

  • 1Division of Urology, University of Texas Health Science Center, San Antonio 78284-7845.

The Journal of Urology
|February 1, 1993
PubMed
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Vacuum constriction devices offer effective treatment for impotence, showing high patient and partner satisfaction rates. These positive outcomes, including improved erection quality and increased intercourse frequency, are sustained long-term.

Area of Science:

  • Urology
  • Andrology
  • Sexual Medicine

Background:

  • Impotence, or erectile dysfunction, significantly impacts quality of life.
  • Vacuum constriction devices (VCDs) are a non-invasive treatment option for erectile dysfunction.

Purpose of the Study:

  • To evaluate the long-term efficacy and patient satisfaction with vacuum constriction devices for treating impotence.
  • To assess the durability of VCD treatment outcomes over time.

Main Methods:

  • A cohort of 216 patients used VCDs between 1985 and 1990.
  • Patients completed questionnaires at initial follow-up (median 3 months) and long-term follow-up (median 29 months).
  • Outcomes measured included device usage, patient/partner satisfaction, erection quality, and frequency of intercourse.

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Main Results:

  • High regular use rates (69-70%) and satisfaction (82-89%) were reported by patients and partners.
  • Excellent erection quality (hardness, length, circumference) was achieved in over 90% of users.
  • A significant increase in intercourse frequency was observed during VCD use and sustained long-term.

Conclusions:

  • Vacuum constriction devices are an effective and durable treatment for impotence.
  • High rates of regular use and satisfaction indicate VCDs are a valuable therapeutic option.
  • VCDs significantly improve sexual function and relationship satisfaction for men with erectile dysfunction.