Is Urologist right about VED?

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bent_narsil

Hi Everyone,

A few months ago I asked my urologist about using a VED or penis pump as a way of rehab. I have been on this forum for about a year now and it seems like the consensus is that it is good. However, the Urologist says he recommends against it as it can cause more damage to my penis. His reasoning is that I have excellent venous trapping and blood flow and using a pump could damage this and lead me to have a worse problem. I am able to get nightly erection, albeit not great ones, and I am able to get an erection while awake, however also not great, so I am concerned about ending up with erectile dysfunction as a result.

Question is, does using a pump or VED cause damage to your penis and end up with scar tissue and fibrosis? Could I use it safely without causing issues? Do most men who use a pump here already have venous leakage and ED? I am taking generic tadalafil 5mg daily for 6 months and it doesn't feel like it does anything. This Dr's approach has been wait and see and it feels like we're doing nothing. I have appointments with other Urologists, but given how dismissive or unknowledgeable the Dr's have been I my have to take matters into my own hands. Just reluctant about using more damage.

Thank you for reading and offering your knowledge and opinions.  
32
Injury diagnosis April 2023; first symptoms pain, slug penis, new upward curve and indent dorsal base of head an two indents on right side.
Did Pentox 2x 400mg for 3 months. Now only tadalafil
Single

Sonic

I would say a pump with a gauge is a must. Then use it and follow the forums protocol. It would be very unlikely it would cause damage if you follow the protocols on here.
30 years. Sudden rightwards curve detected in June 2020
Narrowing on right side and about a 20° curve to the right.
ED + instability due to narrowing.

Mikel7

Following the forums protocol will not harm you. Following a Dr that says do nothing possibly could. Remember that the experience's here and the knowledge that is presented to you is way above a lot of Dr's. Sure they are urologists but how many peyronies cases have they treated? If you are nervous then get a pump with a pressure gauge and make sure you never pump over 5Hg, you will be fine.
Lump 4/2020, age 63 , Dr Levine 6-26-20, Dors Curve 11/2020, Peyronies
Vit E400mg, COQ10, Heat Therapy, Penimaster, Pentox, Cialis, Restorex
SNHL 7/2020 - Stopped all Meds because ototoxicity  Heat/traction/VED are working. CPPS Diagnosis - Stable :)

Sonic

Agree with Mike. I went 3 years doing nothing, just supplements and some cialis/viagra here and there in cycles. I've done VED for a very short time following the protocols on here and I wish I would have done it much sooner. I do not know what results I will get with time or if I even will get any but it feels good to have a lot more blood down there daily, less of the turtling effect and so on..

I never go over 5Hg.
30 years. Sudden rightwards curve detected in June 2020
Narrowing on right side and about a 20° curve to the right.
ED + instability due to narrowing.

bent_narsil

Question for both of you, does using a VED change how your penis is while flaccid. Basically are you walking around with more of a chub and elongated penis given how it stretches and fills it? I think its the right approach for me, as opposed to RestoreX which looks like it will cause more harm than good, but I have never seen one in person or seen it used so I have no idea what to expect.
32
Injury diagnosis April 2023; first symptoms pain, slug penis, new upward curve and indent dorsal base of head an two indents on right side.
Did Pentox 2x 400mg for 3 months. Now only tadalafil
Single

Sonic



For me it has. It's definitely filled with more blood, more warm, more ''meaty'' flaccid hang so to say. But one must use it with caution because using it wrongly will most definitely cause more damage. It is far too soon for me to speak of any effects/results but once I have been on this routine for around 6 months to a year I will definitely make a thread on here with before/after pics to document if it did any good or not in terms of indents/curve/ED.

Hopefully that will be helpful.

I took ''before pics'' right before starting using it. This way I can document if any results are seen. I recommend anyone doing this.
30 years. Sudden rightwards curve detected in June 2020
Narrowing on right side and about a 20° curve to the right.
ED + instability due to narrowing.

Nightmare360

Has anyone here lost any size with the Peyronies? I'm getting wave acoustic therapy done to help fix my shape and ED. But I've lost 2in in length and want my size back.
I ordered the Bathmate last night. So my next plan is to attack the size issue.
Anyone here have luck getting your size back? Did you get more than your lost size?  
42yrs old
1/1/23 ( little over a yr )
20-25 degree's up (banana ) Lost 2.5 inches in length
Diagnosed: Yes Family Doc/ and Urologist
Professional Acoustic Wave Therapy: 75% through the process & paid ($5k) for this service.

Sonic



If you have Peyronies, bathmate is a horrible idea. First off it has no pressure gauge, meaning it will be very difficult to know wether you are under too much pressure or not. Secondly the pressure with the bathmate is in the higher zones. I would say to pump with Peyronies it is crucial to have the rightly sized cylinder and just as crucial to have a pressure gauge so you can monitor how much pressure is being applied so you can stay in the same pressure zone every time you pump and to avoid further risk of injury. Just google ''bathmate injury'' so many threads on people who have damaged themselves with this device. It's really more of a sex toy than a real quality pump.
30 years. Sudden rightwards curve detected in June 2020
Narrowing on right side and about a 20° curve to the right.
ED + instability due to narrowing.

Mikel7

I would recommend against using the Bathmate for injurious reasons.
Lump 4/2020, age 63 , Dr Levine 6-26-20, Dors Curve 11/2020, Peyronies
Vit E400mg, COQ10, Heat Therapy, Penimaster, Pentox, Cialis, Restorex
SNHL 7/2020 - Stopped all Meds because ototoxicity  Heat/traction/VED are working. CPPS Diagnosis - Stable :)

DiegoFernandez

Quote from: bent_narsil on February 18, 2024, 12:34:38 PMQuestion for both of you, does using a VED change how your penis is while flaccid. Basically are you walking around with more of a chub and elongated penis given how it stretches and fills it? I think its the right approach for me, as opposed to RestoreX which looks like it will cause more harm than good, but I have never seen one in person or seen it used so I have no idea what to expect.

Using a vacuum erection device (VED) or penis pump for penile rehabilitation after issues like erectile dysfunction or surgery is a common approach recommended by many healthcare professionals.

Your urologist's concern about potential damage to your penis is valid, as improper use or excessive pressure with a VED could potentially cause issues like scar tissue or fibrosis. However, when used correctly and under professional guidance, many men find VEDs to be safe and effective tools for improving penile health and function.

Regarding your concern about changes to the flaccid state of your penis with VED use, it's possible that regular use could lead to temporary changes in flaccid size due to increased blood flow and stretching of tissues. However, these effects are usually reversible and shouldn't cause any long-term issues.
I buy medications for Peyronies Disease, ED, PE, and others from a reputable pharmacy. They offer fast delivery and great discounts. Highly recommended!
Age 57
Symptoms began mid-2017, diagnosed late 2018
Severe ED
Single

JizzHorse21

I completely understand your concerns. It's tough when you're trying to be proactive about your health, and there's conflicting advice.

Penis pumps or Vacuum Erection Devices (VEDs) can be beneficial for many men, particularly for those dealing with erectile dysfunction (ED) or wanting to improve penile health and function. They work by drawing blood into the penis, which can help maintain tissue health and promote better erections over time.

However, your urologist's caution isn't unfounded. If not used correctly, pumps can cause issues like bruising, pain, or even damage to the blood vessels, which could potentially lead to fibrosis or scar tissue formation. This risk can be higher if you have excellent venous trapping and blood flow, as your urologist mentioned.

Here are some tips to minimize risks if you decide to use a pump:

Follow Instructions Carefully: Always use the device as directed. Don't exceed the recommended pressure levels or duration of use.

Start Slowly: Begin with short sessions and gradually increase as you get more comfortable with the device.

Use a Lubricant: This can help create a better seal and reduce the risk of injury.

Listen to Your Body: If you feel pain or notice any adverse effects, stop using the device and consult a healthcare professional.

It's also worth noting that many men have had positive experiences with pumps without prior ED or venous leakage. Pumps can help improve erection quality, especially when combined with medications like tadalafil. However, it's essential to consider your specific situation and medical history.

Given your experience with the generic tadalafil not having a significant effect, you might benefit from exploring other treatments or combination therapies. Seeing additional urologists for second opinions is a good step.

Ultimately, it's crucial to find a balance between taking proactive steps and ensuring you don't inadvertently cause harm. Consulting with more specialists will give you a clearer picture, and perhaps they can offer insights into safely incorporating a VED into your rehab regimen.

Wishing you the best of luck, and hope you find a solution that works for you!
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