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Related Experiment Videos

The negative pressure device for erectile disorders: when does it fail?

W Meinhardt1, A A Lycklama a Nijeholt, R F Kropman

  • 1Department of Urology, University Hospital Leiden, The Netherlands.

The Journal of Urology
|May 1, 1993
PubMed
Summary
This summary is machine-generated.

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Vacuum erection devices had low satisfaction rates (20%) in men with erectile dysfunction, especially those with fibrosis or psychogenic impotence. Patient selection significantly impacted the disappointing overall results.

Area of Science:

  • Urology
  • Andrology
  • Sexual Medicine

Background:

  • Erectile dysfunction (ED) affects a significant number of men.
  • Vacuum erection devices (VEDs) are a treatment option for ED.
  • Previous treatments may have failed for patients considered for VEDs.

Purpose of the Study:

  • To evaluate the satisfaction rates and success of VEDs in a specific patient population.
  • To identify factors influencing VED outcomes in men with difficult-to-treat ED.

Main Methods:

  • A study involving 74 men with erectile dysfunction who used a VED at home.
  • Inclusion criteria focused on patients refractory to other treatments or with specific conditions like fibrosis or penile implants.
  • Psychogenic impotence was also assessed.

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Main Results:

  • Only 20% of the 74 men were satisfied with VED use.
  • Success rates were particularly low in patients with fibrosis (2/14) and psychogenic impotence (0/9).
  • Some men achieved erections but disliked the device, preventing regular use.

Conclusions:

  • The overall disappointing results suggest negative patient selection may have contributed.
  • VEDs may have limited efficacy in men with specific conditions like fibrosis or psychogenic ED.
  • Patient acceptance and satisfaction are crucial for successful VED implementation.