VED usage general questions

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james1947

After reading in the past some posts regarding gentle massage of the penis or better say the plaques I have tried to do so including bending and stretching. I have tried that also in flaccid state.
I don't know if it is good or bad idea but after two months was no any improvement so I stop from doing that.
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

trevorrr

I'm worried that I could be on to something very good or very bad. When using the ved I get swelling around my dents and it fills them in and then some, when erect my erections are perfect and lots of increased girth and this swelling which looks like loops or rings of fat when flaccid, Will stay for the entire day and I can have sex that night with the gains. Is This form of swelling productive or counter productive I'm wondering.

Trevor

Old Man

trevorr:

I have not been presented with situation before, so it is a first for me. My suggestion is that you may be using too much vacuum pressure to achieve an erection. You should experiment using varying degrees of pressure to determine if using a high vacuum pressure is the problem.

Vacuum therapy does not work for 100% of guys with Peyronies Disease - so consider that you could be in that 10%. You do not , repeat do not, want to pump up the vacuum at any time higher that you can stand comfortably. VED therapy is not "torture" but a system to promote better blood flow in and out of your penile shaft.

Try the above for a few therapy sessions to determine if you are using the proper procedure and the right amount of vacuum. Let the forum know if this works for you as any and all would in interested in knowing your results as this is a first for VED therapy as far as I know.

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.

GS

Public forum question for Old Man:

Do you see any problem with removing the small suction ring during a VED session.  I did it today and it seemed like my penis got more engorged with blood than when using both rings.

Obviously, I had to use more caution to keep my scrotum from getting sucked into the tube.  But, other than that, it went very well.

GS

Old Man

GS:

There are two schools of thought about using the sizing inserts with VED therapy. One is that if using two does not interfere with getting a good blood flow into and out of the corpora, stay with the two. The other is that if the small ring does interfere with getting good blood flow to discontinue using two.

IMHO opinion, if one does not have any pain or discomfort with using two sizing rings, use them. My reasoning is that it helps reduce the possibility of having ones scrotum being drawn up into the VED cylinder which can and will cause extreme problems. I have had PMs from guys that have had this happen and it took several minutes and a lot of guts to "pull" their penises out of the VED. OUCH IT RIGHT!!!

Anyway, the above is my considered opinion based on over 17 years of using VEDs myself and that of helping many others using the VED therapy. Hope this answers your question, if not, let me know and I will endeavor to find a better answer for 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.

cowboyfood

GS,

I'll also make a comment to your question to Old Man.  

The Augusta Vitality 3-cylinder VED that I have came with two rubber insert rings, a larger and a smaller ring, that fit at the base of the tube(s) and holds the tube(s) in place. IMO, use of the smaller ring is optional.  I noticed immediately that it was much easier for me to engorge myself while using only the larger ring, and not using the second, smaller ring.

I've only been using the larger ring for the past three and a half years.

CF
Currently:  L-Arginine (2g), Vit D3)

GS

Thanks Guys.  I used only the larger ring again today with no issue and I agree it makes it a lot easier for me to get fully engorged with an erection that is bigger than the one I get using both rings.

A word of caution to anyone else trying to use only the larger ring; don't let your scrotum get in the vacuum tube.

GS

jackp

When I meet the VED rep in the urologist office one of the first things he told me was not to use the small insert that I did not need it.

Well curiosity "got the cat" and I tried it anyway. Sure enough I could barley get any expansion with it and it was difficult to get off.

I found a good tight seal kept my scrotum from being pulled into the cylinder.

My 2 cents.

Jackp
http://jackp-penileimplant.blogspot.com/

cowboyfood

jackp,

In regard to the different size tubes, I too found it difficult to use the smallest tube.  However, with practice I learned how to effectively use the smallest insert.  

From what I understand, and I think Old Man will agree, one should use the smallest insert as the protocol calls for to get maximum benefit.

In using the smallest insert, I learned that the "key" to stretching out was to not remove the tube from your penis after each cycle (where a cycle is pumping, and then releasing the pressure).  IMO, in order to effectively use the smallest tube, one must NOT remove the tube between cycles.  I noticed that I was able to get an excellent "lengthwise" stretch, understanding that narrowness of the tube provided a different type of physical therapy then the two other larger tubes.

In fact, when I use the other two larger tubes, I do not remove the tube in between cycles.

-CF
Currently:  L-Arginine (2g), Vit D3)

Old Man

Note to all:

Supplementing cowboyfood's and JackP's posts below: Never, never ever remove your penis from the VED when doing the sessions. In fact, it is best not to lose the seal at all since it would have to be regained before continuing the stretching cycles of the protocol.

So, use of the small sizing insert totally depends on ones size flaccid. Once the pumping sessions are started DO NOT, REPEAT DO NOT REMOVE ONES PENIS FROM THE VED. IF YOU DO, YOU WILL EXPERIENCE SOME DIFFICULY GETTING THE HEAD AND SHAFT BACK INTO THE SMALL INSERT THEREFORE PRECLUDING ITS USE. IT IS DESIGNED TO HOLD ONES PENIS SHAFT IN A RESTRICTED MANNER TO HELP WITH MOLDING AND STRAIGHTENING, ETC.

So, bottom line, if at all possible, use both inserts following the suggested guidelines in the paragraphs above. The above knowledge has been gained by my over 17 years plus use of several model VEDs - one and three cylinder models.

Will be glad to answer any and all questions relative how to get started with VED therapy or any questions that arise after the protocol is begun.

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.

stuartmar

I assuming you're using the A tube this week...maybe some of the tightness is due to the narrow diameter of the A tube.  

tee-lee

So, I'm totally new to this forum...and to VED use.  I went through a treatment involving verapamil injections, which I didn't care for much. My uro suggested VED.  I immediately purchased the three-cylinder Augusta device, but have NEVER used it.  I'm ready to take the plunge.  The biggest concern that I have is the use of the A cylinder.  The Augusta rep asked me, upon consultation, if I thought I'd have any problems "fitting" into the A cylinder.  I replied, "no"....but once I received the device, I found that I can't imagine HOW I can fit into it at all.  In fact, I don't have much space when I place my natural erection into the C cylinder.  I'd like to start the protocol...and I get the science behind the use of all 3 cylinders.  Has anyone had to modify the treatment due to an inability to use the A cylinder?  I also read that Augusta sells an even larger cylinder than the C.  Has anyone used that one?  

Thanks in advance for any forthcoming replies....

Luciano

If you look at the protocols closely, there is (in red) a sentence written for those who cannot use the A cylinder, they should replace the A cylinder with the B cylinder in the protocol. (be aware though that the a cylinders purpose is to stretch lengthwise and not giving your penis a chance to curve itself)
Read the post )couple of posts below this one by old man:
Quote
... DO NOT, REPEAT DO NOT REMOVE ONES PENIS FROM THE VED. IF YOU DO, YOU WILL EXPERIENCE SOME DIFFICULY GETTING THE HEAD AND SHAFT BACK INTO THE SMALL INSERT THEREFORE PRECLUDING ITS USE. IT IS DESIGNED TO HOLD ONES PENIS SHAFT IN A RESTRICTED MANNER TO HELP WITH MOLDING AND STRAIGHTENING, ETC.
So when flaccid it is supposed to be tight... but again.. there is the addendum in the protocol...

As for the addendum, go to:
https://www.peyroniesforum.net/index.php/topic,697.0.html
go down to: Addendum 11/11/10

If you have further questions, THE ved specialist around here is "Old Man".
He is bound to have answers for you.

Luc


LWillisjr

Quote from: tee-lee on July 29, 2012, 09:18:13 AM
In fact, I don't have much space when I place my natural erection into the C cylinder.

Old Man is the expert on this.. but I noticed your comment. Just wanted to remind you that you don't use the VED while you have an erection.  
Developed peyronies 2007 - 70 degree dorsal curve
Traction/MEDs/Injections/Surgery 2008 16 years Peyronies free now
My History

tee-lee

Thanks guys for the response....I only inserted my natural erection into the C cylinder as a means of testing if I would have much space available when using the negative pressure to engorge an erection using the C, according to the protocol.  My question concerning the A cylinder was based on my attempts in a flaccid, though un-lubricated, state.  I'll give it a shot again.  Thanks, Luc, for the point concerning the amended protocol...I hadn't seen that.  I'm hoping to find a way to use the A (though I won't force it).  I'd like to use the protocol as it is prescribed.  

james1947

I just want to add that if the A cylinder is to small for you, don't use it. Use the B and C cylinders.
As lwillisjr stated, Old Man is the expert on the subject. You can send him a PM.

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

tee-lee

Still haven't used my VED yet.  But in preparation, I have another question.  IS SHAVING ABSOLUTELY NECESSARY?  I have read and seen comments about the importance of shaving in order to ensure a good "seal"...but has anyone been successful with using VED without shaving?  Or trimming without going completely bare?  I'm personally not much of a fan of the pre-pubescent look, and would prefer to not shave, especially a COMPLETE shave, if I don't really have to.  Thanks in advance for any and all forthcoming replies.  

tee-lee

Old Man

tee-lee:

To answer you question about a complete shave in preparation for VED therapy: the answer is no, you do not have to COMPLELTELY SHAVE THE GROIN AREA.

You only need to trim off the long hair immediately around the base of the shaft where where the VED cylinder mouth joins your body. Then after trimming this area, you have to shave the stubble in that area only, not all of the pubic hair. This area needs to be shaved on a routine basis to keep a good clean surface. This will provide a good tight seal for applying the vacuum.  I am with you, clean shaven in the groin presents problems when one gets sweaty from any activity, etc.

Ask any and all questions you might have once you get started with your VED therapy. Strongly suggest that you read all the instructions in the VED board protocol for the type VED you have = one cylinder or three cylinder models. There is a great protocol for each of these VEDs.

Lastly, be careful with the amount of vacuum you use for the first week or so of the scheduled cycles of the protocol. Also, suggest that you practice for a while assembling and setting up the VED for your therapy. Proper lubrication is another feature you should be careful with in order to provide a good slippery surface on your shaft during the exercise cycles.

Old Man

Edit: This is about the above recommendation for trimming and shaving the pubic hair: It is not necessary that any and all members trim and shave the pubic hair. This should be done only when there is a problem with getting a good tight seal while doing the exercise cycles. In my personal case, it was necessary to do this in order to obtain the seal needed to properly do the cycles.  
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.

LWillisjr

Quote from: tee-lee on August 07, 2012, 08:09:37 AM
IS SHAVING ABSOLUTELY NECESSARY?  I have read and seen comments about the importance of shaving in order to ensure a good "seal"...but has anyone been successful with using VED without shaving?  Or trimming without going completely bare?  
tee-lee

I've used the VED successfully without trimming.
Developed peyronies 2007 - 70 degree dorsal curve
Traction/MEDs/Injections/Surgery 2008 16 years Peyronies free now
My History

Luciano

Well I dont shave completely with VED.
I only shave the shaft up to base. And I do trim the hair when it gets too long.
That does feel better (and makes you look bigger ;) ).
I do though have to use more lube on the ring than when i used to shave completely.

nastyone

I was wondering what effects a VED  may have on me. I have always had a congenital curve of about 20 degrees to the left.  On the right side is my inflammation/scar formation which is always a dull pain.  Its caused indentations in atleast one spot, which wrap about halfway around the penis. I guess im wondering if the VED  is okay to use with congenital curving, though the problem mainly persists on the opposite side.

LWillisjr

Are you using the VED for penile health, or are you using it in hopes of straightening your curve? I don't know of any accounts or studies of either VED or traction improving a congenital curve.

Les
Developed peyronies 2007 - 70 degree dorsal curve
Traction/MEDs/Injections/Surgery 2008 16 years Peyronies free now
My History

nastyone

 No i have no problem whatsoever with my congenital curve. My only concern is the further development of this inflammation and scarring. Im only 21 and was recently diagnosed, though ive had inflammation for close to a year with scar formation within the last few months.  Its really constricting my erections about midshaft, wrapping around almost the whole shaft, stemming from the right side. Im really just wondering if a VED would benefit this type of scarring, or any other device that may help. Thank you, nastynate.

LWillisjr

If you are saying that you have been diagnosed with Peyronies Disease in addition to the congenital curve.... and you have some scarring/constriction mid-shaft, then yes I think use of a VED could help this.
Developed peyronies 2007 - 70 degree dorsal curve
Traction/MEDs/Injections/Surgery 2008 16 years Peyronies free now
My History

nastyone

alright, one more question.  ive read alot on this forum and ive gathered that you shouldnt use a VED if you experience any pain.  But at the same time, if you are still in the acute phase and experiencing pain on a constant basis, is it still okay to use a VED?  Thanks.

james1947

In my opinion, you should not use VED if you are experiencing pain.
You should first get solution to the pain and then begin VED.

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

Nevergonnagiveyouup

I have a question regarding lube. Im receiving my SOMAcorrect medical 3 cylinder VED in a few days and am now slowly beginning to look into how to use it for my curvature reduction treatment. Im planning on following the protocol listed on these forums for 3 cylinder medical VEDs.

How important is lube? I mean, is it possible to not use any form of lubrication at all?

/Never

Old Man

Never:

OK, you have asked one of the most important questions regarding use of any VED. Good lubrication is the key factor in how successful one will be in seeing any results with VED therapy. Without lubrication, ones penis and/or foreskin simply will not slide up and down the shaft of ones penis especially in the small A cylinder. In addition, it will cause much irritation to your most prized possession.

So again, the bottom line about lubrication is that without its use, VED therapy will become more of a bad experience rather than an enjoyable one. To prove my point, you might want to try using the VED without lubrication to see what I am speaking about. You will find that it is a most unpleasant experience. However, don't do any damage to yourself by trying it, take my word for it that it is really necessary. Proper use of adequate lubrication will enhance the therapy.

I am sure that you will have more questions arise as you embark on your therapy sessions using the 26 week protocol for the 3 cylinder VED. Strongly suggest that you practice assembling and trying to get the VED properly situated on your shaft in the proper manner before embarking on the weekly scheduled cycles using the various cylinders indicated in the schedule.

Most of us trim the long pubic hair and then shave the stubble in order to provide a clean skin surface to get a tighter/better seal around the base of the shaft. A good tight seal is one of the most important factors of VED usage.

Ask any and all questions that you might have with the proper use of the VED. Remember one thing above all others, DO NOT, repeat DO NOT overpump the vacuum pressure at any time. If you feel any pain or discomfort while pumping the exercise cycles, stop immediately, locate the cause before proceeding. Overpumping through a zealous desire to ''get it bigger'' certainly will cause you many problems, so go easy with the vacuum and remember that less is much better than more in the vacuum arena.

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.

Nevergonnagiveyouup

Thank you Old Man for you very informative answer. I really appreciate it and your willingness to answer any future questions.

I am definately gonna proceed slowly and with caution as I start my VED treatment. Already I am doin 4-9 hrs of traction with the andropeyronie from andropenis and I also took additional care during the first few weeks. Unfortunately not enough time has passed to be certain of any gains in curvature correction yet.

With regards to general VED usage another thing that comes to my mind is the minimum size of VED cylinder one can "squeeze" his penis into, and especially with a curvature. Is the cylinder too smal when the internal diameter of the cylinder equals the diameter of a normally erect penis or when is the limit? Also I have a 45 degree distinct angulation (it is not a banana like curvature); will pumping by the use in a VED force a straight erection or is certain discomfort expected from the penis pressing more to one side of the cylinder wall than the other?

On a final note I can't stress enough what a huge help these forums are and the people posting here. I am really thankful. I looking forward to updating on my progress when I have all of my treatment plans lined up properly.

/Never

Old Man

Never:

OK, it would only be fair to state that if your penile physical size in flaccid state is just too large to successfully enter the small A cylinder, just leave the A cylinder out of the schedule. However, before doing that take time to try using more lubricant in the small cylinder first. Some guys report using a small brush to reach further up into the A cylinder with more lube.

The main purpose of the small cylinder is to hold the penis in a confined straight condition in order to help remold the shape. When curves and bends are present, one must take the extra time to try their best effort to use the smaller cylinder for the purpose stated herein. It does take some time to get the hang of the VED therapy procedures. So, be patient and work slowly until you find the comfort zone with the therapy.

Again, we all are here to help in any manner, so feel free to ask any and all questions you might have as they arise.

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.

Nevergonnagiveyouup

Thank you for your answer Old Man. I think I'm finally beginning to understand how the VED actually works. I guess for curvature treatment it could be compared to a controlled erect bending in the opposite direction of the curvature. Obviously the VED will ensure better control of both force applied to the bend and strength of erection.

/Never  

tee-lee

I agree with "Never"...these posts and this forum are just AWESOME.  Old Man, what would we do without you??

I have yet another general question.  So, I'm experiencing some of my "plaque" issues at the very base of my penis.  Hence, I have curvature at the base, which causes my member to turn slightly.  

Has anyone else experienced this type of peyronie's plaque?  My larger question is how the VED would impact this type of plaque?  Or would it?  

Hawk

I have a moderate to large dent (not a curve) on the underside of the very base of my shaft.  As long as that area fits inside of the vacuum tube it gets as much benefit as it would anywhere else on the shaft.
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

Old Man

tee-lee

Hawk has answered your question about the area at the base of your shaft. As he said, if it fits within the confines of the cylinder, by all means proceed with VED therapy. If it does not, try to find a way to use the VED leaving out that area so it won't be subjected to the vacuum pressure.

Experiment with different approaches to what works best and gives you help. However, don't push your luck by using too much vacuum pressure as I have said in PMs to 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.

fubar

To all

When using the VED  be sure you not over pressure the vacuum in the cylinder. Meaning you feel piercing pain stop!!!!!!!

Pain is not gain in this exercise.


Fubar

ThisWontWork

What do you prefer? a VED with a gauge or one without? and WHY?
Pentox, CoQ-10, L-Arginine, VED, some Chinese herbs

james1947

I don't think the gauge is necessary because:
* You should pump not according to the gauge but according to your feeling not to have any pain or discomfort.
* A gauge should pass periodical examination for accuracy and you don't know from the beginning what the gauge quality is.
* The gauge is an other part that can fail/broke

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

Norm

Hello all. I have taken the big step and ordered my first VED. I ordered from a reputable supplier based upon a recommendation from a new friend. I have been two yrs with Peyronies Disease and am just fed up with a 70 degree curve and the advice of my Uro, "just wait, it may resolve itself". With all the reading I have done on this forum, I don't remember anyone testifying that it "resolved itself". I have a few years of sexual activity remaining and I want to enjoy them.

The device I ordered is the single cylinder version. The tube is 2.25" by 8". (Gee, I sure hope that's not too small! ) I am in a 200k population area, so I am confident I can find other tubular materials to construct different sleeves to fit inside it. I envision a sleeve that could maybe be slid over Mr. Dong prior to placing him in the VED. I don't think a free-floating sleeve would hurt would it? I should still get the same vacuum. And isn't the purpose of the smaller tube to force the erection straight? If so, a sleeve around my dong inside the sleeve of the device should accomplish that. Please correct me if I am mistaken. Rather than having 3 tubes that attach to the VED, I would have tubes that float inside the VED. Am I making this too simple in my mind?  
Plication Surgery Dec. 2013. Straight Again!

LWillisjr

Norm,
Interesting approach. Never thought about using a constricting sleeve. But it seems to me it would accomplish the same effect of the smaller tube but still applying a vacuum.
Developed peyronies 2007 - 70 degree dorsal curve
Traction/MEDs/Injections/Surgery 2008 16 years Peyronies free now
My History

tee-lee

Interesting that you should bring up a sleeve.  I saw a product online called a "divo sleeve".  It's essentially a narrow constricting sleeve made from a material that's supposed to stretch the penis when worn.  And it can be worn throughout the day.  I'm not sure about using it with the VED...but I just wondered about using it along with doing VED therapy.  Interesting....

Norm

Surely I am not the first to come up with this idea. I know there have to be some veterans out there that have done this very thing. The only obstacle I see to this idea is the adapter that goes on the base end, nearest your body. It comes in two sizes and is, essentially, the hole you place your penis in to get it inside the VED. If you put the adapter on the VED first, then my sleeve might not go thru. If you pull the adapter off the VED, place it around your dong, then put the sleeve on, I foresee a problem maybe in getting it lined back up to get the adapter, with penis and sleeve, all back inside the VED and attached properly. I guess I will find all this out thru trial and error unless someone comes forward that has actually done it.  
Plication Surgery Dec. 2013. Straight Again!

tee-lee

random rant...sorry guys.  VED would be so much easier if I had "low hangers"....never quite wished that I had low hangers, but danggit!  It would make this process so much easier.  Anyway...sorry...carry on.  

Norm

Hi Guys,
I successfully converted my single cylinder Vitality unit to a two cylinder. No doubt, I could make as many sizes as I want. I took a piece of 1 7/8" X 1 1/2" clear PVC. Taking the measurement inside the large sizing adapter, I just got on a lathe and turned down the OD of my tube to fit. Now I just slide the sizing adapter onto my homemade tube then slide the whole thing into the Vitality. It works great! I have attached a picture of the sleeve that I made. If anyone wants to see more photos of it and how it all goes together, just let me know. I will post more or will send them directly to you.  
Plication Surgery Dec. 2013. Straight Again!