Posted on Leave a comment

Benefits of Using a Penis Pump Before and After Prostate Surgery

Penis Pump before and after prostate surgery


What Is a Radical Prostatectomy?


Radical prostatectomy (prostate surgery to remove the prostate gland) is most often done to treat localized prostate cancer. Less often, a simple prostatectomy is done to relieve symptoms associated with BPH (benign enlargement of the prostate gland). Radical prostatectomy involves removing the entire prostate as well as some of the surrounding tissue, including nerves and lymph nodes.

One of the side effects of prostate surgery is erectile dysfunction. In fact, several studies cite an 85% occurrence rate, which means about up to 9 out of 10 men who undergo this procedure end up with some degree of impotence. Penile rehabilitation refers to therapies that can help preserve penile tissue and restore erectile function in men who have undergone prostate removal.

A vacuum erection device or penis pump is an effective intervention to improve penis health in men with impaired erectile function after surgery. What are the benefits of using a penis pump before and after prostate surgery? Let’s find out.


Why does prostate surgery cause erectile dysfunction?


Why does prostate surgery cause erectile dysfunction?In men with prostate cancer that has not spread outside the gland itself, surgery is often the recommended treatment. Radical prostatectomy involves removing the entire gland along with the seminal vesicles and some surrounding tissue. There are several types of prostate surgery, including laparoscopic and robotic-assisted procedures.

In the retropubic approach, the surgeon makes an incision in the lower abdomen, from the navel to the pubic area. The prostate is carefully separated from surrounding nerves and blood vessels before it is removed along with adjoining tissue. In the perineal approach, an incision is made between the anus and the scrotum.

This is a shorter operation and is preferred when lymph nodes do not need to be removed. However, the perineal approach is associated with a higher incidence of post-surgery erectile dysfunction.

Erectile dysfunction is one of the most common side effects of prostate surgery. Nerves in the penis play a critical role in the development of erections. Two bundles of nerves are present on either side of the prostate gland. Although surgeons take great care to avoid cutting these nerves during the procedure, some degree of damage does occur. This is the reason that erection problems are common after prostate removal even with a nerve-sparing approach.

Not everyone suffers from loss of spontaneous erections after prostatectomy. The ability to have an erection after prostate surgery depends on a number of factors, including:

  • Age
  • Erectile function before the operation
  • The degree of nerve injury during the procedure
  • Type of surgery
  • Experience of the surgeon

Older men are more likely to suffer from erectile dysfunction following prostate removal due to age-related effects. A man’s erectile function before surgery also plays a role, and men with good penis health are more likely to retain erectile ability post-procedure. The type of procedure performed is also important.

Surgeons do their best to preserve the nerves during the surgery, but as noted, the perineal approach is associated with a higher rate of ED. Erection problems are equally common following a laparoscopic approach versus an open approach. However, studies show that robotic-assisted prostatectomy has better erectile function recovery rates.


Should I use a penis pump to help improve penile health before prostate surgery?


A penis pump use is like exercise for the penis. Just like exercising the body is good for overall general health, regular use of a penis pump is good preparation for prostate surgery. Erections occur when an immense amount of blood flows into the penis and engorges it. When the penis remains flaccid for Penis Pumplong periods of time, penile tissue is deprived of oxygen-rich blood.

This leads to a loss of flexibility and scar tissue formation in the corpora cavernosa (the smooth muscles that relax and allow blood to flow into the penis during erections). The resultant inability of the penis to expand leads to erectile dysfunction Simply put, erectile function is a use-it-or-lose-it deal. Using a penis pump before prostate removal can improve penis health.


Why is it recommended to start using the vacuum device before the prostate surgery?


A penis pump or vacuum erection device (VED) consists of an acrylic cylinder that is placed around the penis. When air is pumped out of the cylinder, the vacuum that is created causes blood to flow into the penis, making it rigid and erect. Using a vacuum erection device before prostate surgery, therefore, improves blood circulation, which in turn helps to maintain a healthy penis.

Healthy tissue recovers faster from surgery. A common side effect of prostate removal is penile shrinkage in terms of both length and circumference. Penis pumps help maintain preoperative penis size and minimize the effect of shrinkage following surgery.


How do penis pumps help with penile rehabilitation after prostate surgery?


The nerves in the penis that trigger erections may be damaged during the procedure to remove the prostate. The neuropraxia (temporary loss in nerve function) takes time to recover. This means that the ability to have spontaneous erections after surgery often returns slowly. In fact, it can take several months to years to regain sexual function after prostate cancer. During this time, men are unable to experience even nighttime erections.

Rather than waiting for erectile function to return on its own, doctors feel that regaining erectile function after prostate surgery can be helped along by a penile rehabilitation program. Penile rehabilitation is a type of physical therapy for the penis. Following prostate removal, a penis pump helps recover erectile function by regularly exercising the penis.

This keeps the penile tissue healthy and allows the nerves in the penis to regenerate so that eventually satisfactory erections can occur. Studies show that penis pumps are a safe, well-tolerated, and effective method of penile rehabilitation.

A penis pump creates negative pressure and increases blood flow to the penis. Engorgement of the penis with blood is necessary for strong and long-lasting erections. In addition, the blood flowing into the penis carries nutrients that are essential for a healthy penis. By mechanically pumping blood into the penis, a VED helps preserve the tissue and minimize damage while allowing the nerves time to heal.


How long after the surgery may I start using the penis pump for rehabilitation exercises?


Most men are advised to begin using a vacuum constriction device within two months of nerve-sparing radical prostatectomy. A survey of more than 600 urologists from the American Urological Association showed that the overwhelming majority (97%) of physicians start rehab within four months of prostate surgery.

Authors Dalkin BL and Christopher BA published a clinical study in the International Journal of Impotence Research.  In an article titled Preservation of penile length after radical prostatectomy: early intervention with a vacuum erection device. Sep-Oct;19(5):501-4. Epub 2007 Jul 26. In this article, they describe when the participants of the study used a penis pump for penile rehabilitation.  Daily use of a vacuum erection device was begun the day after catheter removal and continued for 90 days.  It is recommended to work with your physician to determine when to start using the penis pump for rehabilitation exercises. 


How do the results impact penile tissue?


Fibrotic changes (scarring) lead to shortening and decrease in girth of the penis following surgery. Venous leakage from damaged tissues is also thought to play a role in the development of erectile dysfunction after prostate surgery. Penile rehabilitation with a penis pump helps maintain penile length and girth. It also helps with nerve recovery and overall tissue health for quicker recovery.

The authors of a 2016 clinical study determined that the average loss of penile length (penile shortening) after radical prostatectomy was 1.87 cm and 1.82 cm respectively. They further determined that men who use a vacuum erection device that no significant changes in penile length (penile shortening) were observed in men using a vacuum erection device after surgery.


How long does it take to see results?


Results are not immediate and it can take several months to notice a difference. One study found that 17 percent of men had a return of natural erections after using a VED device for nine months. Doctors typically recommend the use of a penis pump for at least 12-18 months after prostate surgery for penile rehabilitation.

Posted on 3 Comments

Tips for Coping With ED: Erectile Dysfunction Exercises

Causes of erectile dysfunction may vary greatly.  Regardless of your particular cause of ED, one ED symptom shared by all who are effected by the condition is decreased blood flow to the penis.

If your cause of ED is a medical condition, medication, or any one of many potential causes, it is likely that decreased blood flow to penile tissues can be positively impacted by erectile dysfunction exercises.  If you have erectile dysfunction and want to learn how to fix ED, there are effective treatments that will increase blood flow to the penis.

Regular exercise is routinely recommended to counteract heart disease, increase mental clarity, and improve overall health and wellbeing. Penile health is no different, and blood flow can be increased with erectile dysfunction exercises and significantly improve the quality, frequency, and strength of your erections.

Better Erections

A very old adage applies to erectile dysfunction exercise, “if you don’t use it you lose it.” We take regular walks and make trips to the gym so we don’t lose the health of joints, muscles, and blood vessels by increasing activity and blood flow.

The more you achieve regular erections, the better your penile health.  Daily erections, even if you have erectile dysfunction, is the key to fuller, firmer, and stronger erections.

If you suffer from ED and require treatment to achieve daily erections the following methods can produce daily erections and blood flow to the penis:

  • Oral medications
  • Penile Injections
  • Erectile dysfunction pump

Erectile Dysfunction Pump and Stronger Erections

Using Soma Therapy ED for erectile dysfunction exercises is a very effective option and one of the natural ED remedies.  It is the guaranteed treatment that has the unique ability to create and release 2-3 erections in 10-15 minutes.  This ability to ensure multiple erections on a daily basis is an advantage of an erectile dysfunction pump for exercise since the average man without erectile dysfunction obtains three to six erections per night in (REM) rapid-eye-movement sleep. Soma Therapy ED can create daily blood flow to the penis like men, who do not have ED, without drugs or needles.

The fact that Soma Therapy ED devices pull blood from the body to the penis without drugs and needles is very important to men who are health conscious and want results. Pills and needles are not good choices for erectile dysfunction exercise when you consider that Soma Therapy ED is not only a non-invasive treatment, but in also has the unique ability to create and release multiple erections in a short amount of time unlike other interventions.  Soma Therapy ED can by used somewhat like interval training for better erections.

The Absence of Regular Erections

It is recognized that a prolonged erection problem can lead to shrinkage of the penile tissues and a reduction in penile circulation (non-use atrophy). Regular use of the Soma Therapy ED vacuum therapy device will create penile rigidity.  Daily penile rigidity through erectile dysfunction exercise will duplicate the benefits of nocturnal erections, reversing penile shrinkage, reconditioning penile tissues with blood circulation and promoting a return to good penile health.

This therapeutic benefit of regular device use is perhaps best understood as the Soma Therapy ED “Penis GYM” concept. In other words, we can talk in terms of regular device usage equating to penile “exercise” with a resulting improvement in penile “fitness” – hence a physiotherapeutic effect.

How to use Soma Therapy ED for Stronger Erections

Like all other forms of life style changes, the trick is to make ED exercises part of your regular routine.  In the morning or evening, dependent upon when you shower of bath, is probably the best time.

You want to train penile tissues using erectile dysfunction exercises before bathing because you are naturally undressing and the small amounts of lubricant needed to apply the device will be washed away when you bath.

Once you make the training protocol part of your schedule, it will become second nature to perform this simple 10-15 minute exercises.  Here are the steps:

  1. Apply lubricant to the body and device.  Do not use the tension system at all for this exercise.
  2. Use the system to slowly create an erection by pumping the handle 3-5 times and waiting ten seconds for blood to flow into the penis.
  3. Repeat to step two (2) until the penis has become fully erect.
  4. Hold the erection within the cylinder for 2-3 minutes
  5. Release the erection within the cylinder be pressing the release button on the back of the pump head. Note: do not remove the cylinder from around the penis at all during this process.

Repeat this 5-step process of creating and releasing erections three times, remove and clean the device and take your shower or bath.

Posted on 3 Comments

Erectile Dysfunction Exercises

Benjamin Franklin famously coined the phrase “an ounce of prevention is worth a pound of cure.”  This expression has been applied by physicians and members of the medical community for years as a practical way to avoid chronic health conditions.  Diet and exercise recommendations are becoming not only more common for prevention, but also prescribed as a practical way to combat existing cases of heart disease, diabetes, and cancer to prevent or halt the progression of an illness. Urologist who treat erectile dysfunction and prostate cancer have coined a medical term used to describe exercise of the penis, they call this type of exercise “Penile Rehabilitation.”


For more information, check out our “Guide to Erectile Dysfunction“.


Erectile Dysfunction and Penile Rehabilitation

Urologist are medical doctors who study and treat disorders of the urinary system.  They are considered the foremost experts in the treatment of erectile dysfunction.  Even though all urologist are trained surgeons, non-surgical treatments for erectile dysfunction are gaining acceptance among the most respected urologist and medical centers in the world.  The University of Texas MD Anderson Center is a leading thought leader in which penile rehabilitation using vacuum therapy is common place.  The Director of Sexual Medicine is Dr. Run Wang who published a clinical study titled “Vacuum Therapy Device for Penile Rehabilitation.” Dr. Wang makes a compelling case that using vacuum therapy following prostate cancer is a preventative form of exercise that significantly improves a man’s chance of returning to normal sexual function following a surgical procedure to treat prostate cancer known as a radical prostatectomy.

Erectile Dysfunction Exercises

There is clinical research that indicates that the use of a vacuum erection device as a first-line therapy in treatment of erectile dysfunction following a radical prostatectomy is recommended as a very effective preventative treatment.  The Journal of Sexual Medicine publish an article in February of 2017 Titled “Vacuum Erectile Device for Rehabilitation after Radical Prostatectomy” Volume 14, Issue 2, p184-186.  This study recommends men start using vacuum therapy 2 weeks following a radical prostatectomy as part of an exercise or penile rehabilitation regiment in which it is used 5 minutes twice daily with a 1 minute interval, Monday through Friday.  This research is very focused on prostate cancer patients and does not address the benefits of creating erections using vacuum therapy to decrease penile shortening, penile shrinkage, or the prevention of program cell death in men who suffer from diabetes or other medical conditions.  It will be interesting to see if this type of research emerges in the future.

Natural Ways to Treat Erectile Dysfunction

In a medical community that often focuses on drug therapies and surgeries it is very exciting to see more and more thought leaders and leading medical institutions focusing on natural ways to treat erectile dysfunction.  When a man uses vacuum therapy, no drugs pass the skin through needles.  Oral medications are commonly used in those cases in which they are effective, but oral medication use the circulatory system and pass drugs throughout the whole body.  Surgical procedures are without argument the most invasive form of erectile dysfunction treatment.  Each of these treatments has a place in medicine and are effective forms of managing erectile dysfunction depending on the goals of the physician and medical condition of the individual who is seeking treatment.  Vacuum therapy is the only proven treatment in which no chemicals are ingested or surgical procedures are performed.

Soma Therapy-ED for Erectile Dysfunction

Many of the most respected medical centers, including those mentioned in this article, in the United States and around the world have prescribed Soma Therapy-ED for erectile dysfunction or penile rehabilitation.  If you would like to order a Soma Therapy-ED device without a prescription you can do so directly on our website or give us a call at 1-800-827-8382.