A vacuum constriction device (VCD) is an external pump with a band on it that a man with erectile dysfunction can use to get and maintain an erection.
The VCD consists of an acrylic cylinder with a pump that may be attached directly to the end of the penis. A constriction ring or band is placed on the cylinder at the other end, which is applied to the body. The cylinder and pump are used to create a vacuum to help the penis become erect; the band or constriction ring is used to help maintain the erection.
How Do Vacuum Constriction Devices Work?
To use a vacuum constriction device:
- Place the pump, which can be pumped by hand or run on batteries, over the penis.
- Pump the air out of the cylinder so that a vacuum is created. The vacuum draws blood into the shaft of the penis and causes it to swell and become erect.
- Once the penis is erect, with the help of lubricant, slide the retaining band down onto the lower end of the penis.
- Remove the pump after releasing the vacuum.
Intercourse can be attempted with the constriction band in place to help maintain the erection. The band can be left on safely for up to 30 minutes to allow for successful intercourse.
Be sure that devices brought without a prescription contains a "quick release" feature, as there have been reports of penile injuries due to devices that did not release its vacuum on-demand or released it too slowly.
How Well Do Vacuum Constriction Devices Work?
Studies suggest that about 50%-80% of men are satisfied with the results of VCDs. As with any other method of treatment for erectile dysfunction (ED), satisfaction rates may decrease with time.
Who Should Consider Using a Vacuum Constriction Device?
Vacuum constriction devices are safe and can be used by patients with ED caused by many conditions, including:
- Poor blood flow to the penis
- Diabetes
- Surgery for prostate or colon cancer
- Psychological issues such as anxiety or depression
Vacuum constriction devices should not be used by men who may have a significant congenital bleeding disorder or a disorder that predisposes them to a condition called priapism (a prolonged, sometime painful erection lasting over several hours). Examples include sickle cell anemia, some forms of leukemia, and other blood conditions.
What Are the Side Effects of Vacuum Constriction Devices?
An erection obtained by the vacuum constriction device is not the same as an erection achieved naturally. The penis tends to be purplish in color and can be cold or numb. Other side effects can include:
- A black and blue mark or small area of bruising on the shaft of the penis. This is usually painless and generally will resolve in a few days.
- Decrease in the force of the ejaculation. The constriction band traps the ejaculate or semen at the time of orgasm. This is not dangerous and usually does not cause pain. The semen will usually dribble out once the constriction band is removed. Generally, this does not interfere with the pleasure of a climax or orgasm.
How Much Does a Vacuum Constriction Device Cost?
Vacuum constriction devices vary in cost from $300 to $500, depending on the brand and type. The battery-powered versions tend to be more expensive, but also tend to work a little more quickly. Battery-powered devices are especially helpful for men who do not have good hand strength or coordination or who have arthritis.
There are several devices currently on the market that work effectively. Some of these devices can be obtained without a prescription.
Does Insurance Cover Vacuum Constriction Devices?
Most insurance policies, including Medicare, cover at least part of the costs of a vacuum constriction device, especially if a medical cause for ED has been documented. Medicaid, however, does not cover the device except under extreme circumstances in certain states.
WebMD Medical Reference
QUESTION
Erectile dysfunction (ED) is… See AnswerHealth Solutions From Our Sponsors
Reviewed by Charles E. Jennings, MD on February 23, 2011
Edited by John M. Baird, MD, FACS
Top Penis Prosthesis Related Articles
Anxiety Disorders
Anxiety is a feeling of apprehension and fear characterized by symptoms such as trouble concentrating, headaches, sleep problems, and irritability. Anxiety disorders are serious medical illnesses that affect approximately 19 million American adults. Treatment for anxiety may incorporate medications and psychotherapy.
Bumps and Bruises (Contusions and Ecchymoses)
A bruise, or contusion, is caused when blood vessels are damaged or broken as the result of a blow to the skin. The raised area of a bump or bruise results from blood leaking from these injured blood vessels into the tissues as well as from the body's response to the injury. Treatments include applying an ice pack and pressure to the area by hand.
Colon Cancer (Colorectal Cancer)
Colon Cancer (Colorectal Cancer) is a malignancy that arises from the inner lining of the colon. Most, if not all, of these cancers, develop from colonic polyps. Removal of these precancerous polyps can prevent colon cancer.
Depression
Depression is an illness that involves the body, mood, and thoughts and affects the way a person eats and sleeps, the way one feels about oneself, and the way one thinks about things. The principal types of depression are major depression, dysthymia, and bipolar disease (also called manic-depressive disease).
Diabetes (Type 1 and Type 2)
Diabetes is a chronic condition characterized by high levels of sugar (glucose) in the blood. The two types of diabetes are referred to as type 1 (insulin dependent) and type 2 (non-insulin dependent). Symptoms of diabetes include increased urine output, thirst, hunger, and fatigue. Treatment of diabetes depends on the type.
What Is Diabetic Neuropathy?
Diabetic neuropathy a condition in which nerve damage has occurred as a complication of diabetes. The pain from the nerve damage can be severe with tingling or numbness in the part of the body affected. Diabetic neuropathy can occur anywhere in the body. Diabetic neuropathy can cause symptoms like intense pain, numbness, burning, or tingling in the part of the body affected by the condition. There are four types of neuropathy include peripheral, autonomic, proximal and focal. Natural therapies and medications may help relieve the pain and other symptoms of diabetic neuropathy.
Erectile Dysfunction (ED, Impotence)
Erectile dysfunction (ED, impotence) is the failure to achieve or maintain an erection. There are many potential underlying causes of erectile dysfunction, including stress and emotional problems, brain dysfunction, problems with blood supply to the penis, and structural problems with the penis.
Can Erectile Dysfunction Caused By Diabetes Be Reversed?
Erectile dysfunction is a frustrating condition where your penis cannot get or maintain an erection firm enough for sex. There is no specific treatment to reverse damage to blood vessels caused by diabetes, there are several options to help you have erections.
Impotence Quiz
Did you know that certain medical condition may be responsible for ED? Some causes of impotence are medically treatable and reversible. Learn more about what can be done about erectile dysfunction with the Impotence Quiz.
Impotence Slideshow
Having erection problems? What is erectile dysfunction (ED)? Learn about erectile dysfunction causes and treatments such as drugs (pills), pumps, and more.
Leukemia
Leukemia is a type of cancer of the blood cells in which the growth and development of the blood cells are abnormal. Strictly speaking, leukemia should refer only to cancer of the white blood cells (the leukocytes) but in practice, it can apply to malignancy of any cellular element in the blood or bone marrow, as in red cell leukemia (erythroleukemia).
Penis Picture
The penis is the male sex organ, reaching its full size during puberty. See a picture of the Penis and learn more about the health topic.
Healthy Aging: Better Sex After 50`
It's never too late to improve your sex life. Learn how older adults can overcome common health conditions affecting seniors over 50 such as heart disease, diabetes, and arthritis in order to have a healthy sex life.
Sickle Cell Disease (Anemia)
Sickle cell anemia (sickle cell disease), a blood disease that shortens life expectancy, is caused by inherited abnormal hemoglobin. Symptoms of sickle cell anemia may include bacterial infections, painful swelling of the hands and feet, fever, leg ulcers, fatigue, anemia, eye damage, and lung and heart injury. Treatment for sickle cell anemia aims to manage and prevent the worst manifestations of the disease and focuses on therapies that block red blood cells from stacking together, which can lead to tissue and organ damage and pain.