Updated:PROTOCOL THERAPY WITH THE VITALITY OTC ONE CYLINDER VED

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Angus

    To all users of the Vitality OTC one cylinder VED protocol: The protocol instructions have been updated to reflect a clearer presentation of intent concerning the amount of pumping and length of time spent per step. Each of the three steps have been standardized to show 20% erection for step one, 30% erection for step two, and 50% erection for step three.
   The first step previously read "pump to a comfortable level of erection" and was misunderstood by a few using the protocol. This step now reads "20% erection".
   If you are using or thinking of using the single cylinder VED protocol, please go to that page, refresh your browser and print out the revised version.
   And as stated in the instructions, please follow each step as carefully as you can.
   This is not a change in the actual protocol so you will continue just like before if using the protocol. The text of step one was the only change made, and that change was only for clarity.  

usapd

Thanks for posting - I've been using VED for three weeks now - in the acute phase...   I was interrupting step1 - "pump to a comfortable level of erection" to mean 'a comfortable full erection' hoping this hasn't caused any damage...  Slowing things down...  One thing I have noticed is that a 'full erection' in the VED is pretty straight it is the natural erections that appear to be in the 45 to 60 degree range that cause me concern...  Any ideas why the difference or additional guidance?

USAPD

Old Man

usapd:

You are missing the point of the protocol about the amount of erection you should be seeing while doing the VED exercises. Nowhere in the protocol does it now state getting a full erection.

You should be adhering to the percentages stated in the steps of the protocol. The percentages relate to the size of your penis when you were able to get a full and natural erection. You must remember that less pressure as stated in the protocol is much better than less which can cause further trauma. Suggest that you read the protocol again and practice using the steps as written. You will have a much better situation in getting some good results. Over pumping the vacuum pressure has caused several members to develop more trauma.

Old Man
Age 92. Peyronies Disease at age 24, Peyronies Disease after
stage four radical prostatectomy in 1995, Heart surgery 2004 with three bypasses/three stents.
Three more stents in 2016. Hiatal hernia surgery 2017 with 1/3 stomach reduction. Many other surgeries too.

MoatazKad

I have a question about the protocol with regards to the percentages listed. I am not sure ho to discern the 20% from the 30% exactly, so would it be fine just to skip to step 3 all together?

Old Man

MoatazKad and all members:

OK, we have spent much time and effort to try and make the protocol as simple as we could. So many guys had questions about how to discern what percentage of pumping up the vacuum pressure. The protocol has been modified from where there was no percentage of erection listed = just to a comfortable level. This was abused as when a member saw his dick ''climbing up'' in size, they got ''dick happy'' and over pumped  way beyond a safe level of erection. Caused much more trauma.  One must REMEMBER THIS: LESS VACUUM PRESSURE IS MUCH BETTER THAN MORE! SO BE CAREFUL WITH THE PUMPING CYCLES!

Then, we revised it to show different levels by percentage which proved to be about the same problem as the earlier versions of the protocol. Again, trauma was experienced by some members and they could not even continue with the protocol is any form. The protocol was modified just late in 2014 to the one prior to the  current format. Again, confusion reared up its ugly head, so the present modification was presented so that there would be no confusion about percentages of erections.

Now, what is an erection and how to determine when you have reached a percentage of one. This question applies to each and every member of the forum using VED therapy. We tried to design it so that it could be used by anyone desiring to do so.

So, to determine what an individual member's percentage of erection is, each member must make his own percentage based on the length and girth of what was or is a natural erection before Peyronies Disease struck. The member must develop the best erection he can and observe the dimension all the way from flaccid to full erection. The member must be careful to observe the level he would want to use for each step in the protocol based on how his erection looks to his personal eye, etc.

This may take a bit of practice with the VED to determine what each member's percentage is by each step of the protocol as it develops. So, bottom line, take the time to get oriented with your own percentage level before embarking on the schedule of the protocol. This will apply to any and forms or models of VEDs.

Old Man
Age 92. Peyronies Disease at age 24, Peyronies Disease after
stage four radical prostatectomy in 1995, Heart surgery 2004 with three bypasses/three stents.
Three more stents in 2016. Hiatal hernia surgery 2017 with 1/3 stomach reduction. Many other surgeries too.

Busy Beaver

I just received my Encore Manual Premium one cylinder VED from the VA here in Arizona. I've read the instruction manual and watched the instructional DVD, but there is nothing mentioned in terms of treatment protocols for Peyronie's Disease, just attaining an erection for sexual intimacy.

What are the protocols discussed in this section of the forum? Do I need to use the compression rings? How often should I use the VED? For how long per treatment? What is 'modeling' and is this something I should do in conjunction with the VED? Leave the penis in the VED to achieve a better degree of straightening or use the compression rings and remove the cylinder for 'modeling'?

Finally, my urologist(s) say because I'm still feeling pain since my first symptoms appeared in July/August of 2014, that I should put off any Xiaflex injections until I enter the chronic stage. I've had three doses of Verapamil with no improvement. Once the pain goes away, if I achieve some significant straightening with the VED, Pentox and other oral treatments, am I cured? Or will I always have to keep exercising with the VED and taking the supplements/Pentox? (P.S. - I currently exhibit about a 40 degree upward curvature, starting almost at the base of my penis, with about a 10 degree tilt to the left.)

james1947

Busy Beaver

Spending a little bit time by reading the forum will give you answers to all your questions.

James
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe ED.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

Busy Beaver

Old Man got back to me, so I think I'm good to go.  

NotWorking

Full quote removed by Admin. Please edit full quotes to just the relevant part.

I might be wrong, but I don't think you can determine a specific amount of time that needs to be dedicated to achieve the desired result. It really depends on the person. About the VED devices, it seems that to get the required result it takes months not weeks or days of regular wearing, up to several hours a day. I personally am wearing a VED device for a few months now and gradually, slowly, starting to see some improvement (although very minor). I talked with one guy in similar shoes who supposedly had the issue 90% fixed at end of 14 month mark. Will see.
Straightening it out

Old Man

Not Working:

quoted from your reply #29 dated 6/24/15.

"it seems that to get the required result it takes months not weeks or days of regular wearing, up to several hours a day. I personally am wearing a VED device for a few months now and gradually, slowly, starting to see some improvement (although very minor)."  

I copied the above quote from your last post about your VED sessions. First, I don't think "wearing your VED for several hours a day" is a good idea. You don't say how much vacuum you have applied and the holding time of that pressure, etc. You can do serious damage to your penis if you do not at least follow a modified version of the suggested protocols listed in the VED board section of the home page index.

Please, at least for my sake and that of new members, explain a bit more about the procedure you are following and what model VED, one or three cylinder, you are using. (You do however, state that you are seeing some improvement through your VED usage.)

These protocols have been modified somewhat over the past year or two and new cautions have been added. Several members have reported doing damage to their penises by over pumping the vacuum and holding the pumped up pressure way too long.

Old Man

Age 92. Peyronies Disease at age 24, Peyronies Disease after
stage four radical prostatectomy in 1995, Heart surgery 2004 with three bypasses/three stents.
Three more stents in 2016. Hiatal hernia surgery 2017 with 1/3 stomach reduction. Many other surgeries too.

nemo

NotWorking, are you sure you're not talking about traction?  I can't imagine anyone even attempting to wear a VED (Vacuum Erection Device) for an hour, much less hours (plural). However, with traction, this is how you are supposed to do it.  

Nemo
51 yrs. old, multiple auto-immune conditions. First episode of Peyronies Disease in 2002. Recurred a couple times since. Over the years I have tried Topical Verapamil, Iontophoresis, all the supps and Cialis + Pentoxifylline. Still functional, always worried.

Peyronies_No_More

1) I am looking for the file which gives a detailed protocol on a therapy schedule for a 3-cylinder VED.

2) My doctor did not really explain much to me at all about how to use the VED. I am aware of how it works, but in using it for treating Peyronie's (daily); is the ring which fits on the base of the penis required for the protocol therapy?  I realize the purpose of the ring is for maintaining an erection during intercourse. But I'm not sure about whether it is needed during the daily treatment using the VED.. Can someone please explain to me if the ring is required and if so, what is its role in the therapy (when sexual intercourse is not taking place)?

Jonbinspain

PROTOCOL THERAPY FOR 3 CYLINDER MEDICAL VED'S, 26 WEEK - Peyronies Society Forums

Peyronies no more;


Here is the link for the three cylinder VED protocol.

If you are using it for therapy only, the constriction ring is not necessary.,

QuackAttack

Jon

Would this apply more to hourglassing or would dorsal curvature be the same and is this to be used as a combination therapy with Pentox etc.?

Gutted

Quack

I wouldn't say anyone could clearly say it's better for one or the other, it's just that there are many more stories of success on the Forum using VED for Hourglassing than curvature.

It makes sense when you compare the 3D stretch you get from VED with the linear only stretch of traction. With VED, it's almost like you could equate the dents to being 'pulled' or 'popped' out but if you imagine, the linear stretch from traction would logically be less effective on a dent.

Again, it's a moot point as to whether you need the oral stack to go with VED. I know from my conversations with 'Old Man', the resident Forum VED expert that he got his reults from VED alone with no drugs many years ago. Some believe VED is effective because of the mechanical force alone. Others believe VED is more effective with the oral drug stack.

I follow this VED therapy myself. Like most these days, I use the Pentox and low dose Cialis stack with the VED therapy. Since the post on heatpacks, I also use those. The heat pack is on for a minimum of 1 hour before a VED session, then straight back on afterwards

Lucketts



Just talked to my VED company.  If it helps anyone, their recommendations are to do for10 minutes a day.

Pump

Hold 30 seconds

Release

They feel it makes no difference the size you use, as long as there is enough room for the penis.

For peyronies, doing it for enlargement and blood flow is what you need.  But if not uncomfortable, a person can do it until erection, because that's obviously what the device was intended for.

They have no idea why I don't see the peyronies curve when I use it.

It's hard to be persistent as Old Man recommends, because you really don't see any immediate results from it.  But hopefully, long term results will occur.

Inquisitive_Bent

I am wondering how you measure the percent erection as in  "Each of the three steps have been standardized to show 20% erection for step one, 30% erection for step two, and 50% erection for step three."
Can you please clarify?

Inquisitive_Bent

Just to make sure that I've got this right...


I like Diagrams - so here is my attempt at clarifying this (thanks Old Man for your PM)
Imagine that the following lines run along the length of the center of your VED cylinder:

Flaccid Length     ------------
Erect Length       --------------------------------------------------------------
20% is about here  ----------------------
30% is about here  ---------------------------
50% is about here  -------------------------------------

If you measure your penis length while flaccid (which is a bit tricky) and erect (or BPSFL) and mark both of these on the cylinder. Then mark half way between these two marks - which will be the 50% erection line. Multiply the difference between the flaccid and erect lengths by 0.2 and that gives you the 20% mark etc.
Hope that helps (and is correct)

Old Man

IB:

Yep, you are right with your diagram for percentages of erections. That is about the only way that the procedure will work for all sizes of Dicks/penises. Take a few practice ''runs'' of trying to get the best overall flaccid length.

Thanks for the help. NOTE: This procedure may or may not be a problem to get a good flaccid length. The BPSL might work best, especially if one had any turtle effect when flaccid.

Best to all:  Old Man
Age 92. Peyronies Disease at age 24, Peyronies Disease after
stage four radical prostatectomy in 1995, Heart surgery 2004 with three bypasses/three stents.
Three more stents in 2016. Hiatal hernia surgery 2017 with 1/3 stomach reduction. Many other surgeries too.

RedWilly

I've been pumping with an electric pump and pretty much going to full erection size.. not painful but very full. I figured since it was an electric pump I couldn't get too much pressure.

Is this not the right way to do it? It seems like my erection quality has been down but when I use the pump it seems easier to obtain after...

Old Man

Redwilly:

You should be following the protocol per the weekly scheduled cylinders if you are using a three cylinder VED. If you are using a one cylinder, which the subject line indicates, you should never go to a full erection when doing the VED for therapy. i suggest that you leave out the percentage portion of the one cylinder VED protocol and divide your erection size into three segments. Add a bit more vacuum when moving from one 5 minute segment to the next.

OVER PUMPING THE VACUUM PRESSURE EVEN THOUGH YOU DO NOT FEEL ANY PAIN OR DISCOMFORT, YOU ARE STILL OVER EXTENDING THE ERECTILE TISSUE AND CAUSING FURTHER DAMAGE TO AN ALREADY INJURED PENIS.

Let me know by PM if the above is not understood by you.

Old Man
Age 92. Peyronies Disease at age 24, Peyronies Disease after
stage four radical prostatectomy in 1995, Heart surgery 2004 with three bypasses/three stents.
Three more stents in 2016. Hiatal hernia surgery 2017 with 1/3 stomach reduction. Many other surgeries too.