Name of the Procedure:

Male Vacuum Erection System (L7900)

Summary

A male vacuum erection system is a non-invasive medical device used to help men achieve and maintain an erection. It involves a plastic tube, a pump, and a constriction ring to facilitate blood flow into the penis and maintain the erection.

Purpose

This procedure addresses erectile dysfunction (ED), which is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. The goal is to enable sexual activity and improve quality of life.

Indications

• Erectile dysfunction due to medical conditions such as diabetes, heart disease, or prostate surgery.
• Psychological factors leading to ED.
• Inadequate response to oral ED medications.
• Preference for a non-pharmacological approach to managing ED.

Preparation

• Generally, no specific preparation is required.
• Patients should be educated on the proper use and maintenance of the device.
• Assessment by a healthcare provider to ensure suitability.

Procedure Description

1. Place the plastic tube over the penis.
2. Use the pump to create a vacuum inside the tube, which draws blood into the penis.
3. Once an erection is achieved, slide a constriction ring from the base of the tube to the base of the penis to maintain the erection.
4. Remove the tube, leaving the constriction ring in place.
5. The ring should be removed after 30 minutes to restore normal circulation.

Duration

The procedure typically takes about 5-10 minutes.

Setting

The procedure can be performed at home once the patient is trained, though initial guidance is usually provided in a clinic or healthcare provider's office.

Personnel

• Training and initial supervision by a healthcare provider such as a urologist or nurse.
• The patient can perform the procedure independently thereafter.

Risks and Complications

• Temporary discomfort or bruising.
• Numbness or cold sensation due to the constriction ring.
• Risk of blood clotting if the ring is worn too long.
• Mechanical failure or improper use.

Benefits

• Achievable erections sufficient for sexual activity.
• Non-invasive and drug-free option.
• Immediate results with proper use.
• Can be used multiple times.

Recovery

• Minimal recovery as the procedure is non-invasive.
• Instructions include proper cleaning and storage of the device.
• Follow-up appointments may be necessary to ensure correct usage and address issues.

Alternatives

• Oral medications (e.g., sildenafil, tadalafil).
• Penile injections or suppositories.
• Penile implants.
• Lifestyle changes and psychological counseling.
• Each alternative has its own set of pros and cons, such as convenience, invasiveness, side effects, and effectiveness.

Patient Experience

Patients may feel a slight discomfort while using the vacuum, but it is generally well-tolerated. Pain management typically involves addressing any issues with technique or fit of the device. Proper training helps in minimizing discomfort and ensuring a positive experience.