Peyronies Society Forums

Hey all.  Just got a VED and have a few questions.  Hopefully these won't be too strange.  ;D

#1 - So far when I use the VED I do get the engorging effect but not a full on erection.  I think, from reading the many posts here, that that is normal.  Assuming it is, my question is around whether to wait for the penis to become fully flaccid before beginning the cycle or whether I should begin the next cycle right after the previous one?

#2 - I've just started to using it and so even when I'm not fully engorged I do sometimes feel a pull that I would classify as a bit uncomfortable.  So far I've been stopping at that point because I want to be very cautious about not overdoing it.  However, I did want to see if this was pretty normal, especially early on when you are just getting used to the sensations.

#3 - This is the strange one.  Do any of you feel an urge to masturbate after using the VED and if so, do you?  It seems pretty normal to want to see how big/firm your erection is post VED and from some of the postings here I wonder if having a natural erection after using the VED might be beneficial.  On the other hand I plan to use the VED daily and masturbating every day isn't something I want to do.  Any thoughts?  Perhaps this desire just goes away with time...

#4 - Finally, what do y'all "do" when you are using the VED?  Do you just focus on the VED itself?  Or do you watch TV, listen to the radio, etc.?  Doing just the VED for 30 minutes a day for the rest of my life seems daunting.  If I could do something else at the same time that seems better but I worry if there isn't a higher likelihood you'd get distracted and injure yourself.  Any thoughts or experiences?

Thank you all!

I just recieved my Fritzz yesterday . I have been using a single cylinder Sex shop one. It works well but now I have really joined the big leagues.
To reply to # 4 - I sit on the couch in my basement , tell the wife I'll be busy for awhile , turn on the TV and get started. Sometimes I get distracted trying to count the cylces - it's only 10 or 12 I do for my regimen. So far I am only doing 10 - 15 minutes total at on sitting. And once per day.

DannyOcean:

I will try to answer your questions in the order you posted them:

1. You do not need to get your penis to a full erection in the small cylinder as it is rather confining and you could possibly cause more trauma by overpumping the pressure. One suggestion that helps is that you must use plenty of lube when doing the cycles. After pumping up and holding for the required time, release the pressure, hold the VED against your body with a mild amount of pressure and it is not necessary to go completely flaccid before resuming another pumping cycle.

2. You will certainly feel strange pulling on the shaft when you first start using the VED therapy. Just use enough pressure to get as much of your shaft into the small cylinder as possible without using more than enough pressure. The therapy should be comfortable without any pain or extreme uncomfortable feeling. Your body will tell you that you have used the right amount so listen or use the feeling you get when pumping.

3. This a question that has arisen for me on a number of guys using the therapy. My considered opinion is that it is your body and you should decide what is best for you. If you have the urge to masturbate and you are comfortable with doing so, then use your best judgement about doing it. It will certainly not do any damage to your penis!! Would not suggest that you do this each and every day, but on an occasional basis, I see no problem with it - it is your choice. This desire might go away with time as the therapy becomes a routine rather than a first time encounter.

4. I don't suggest or recommend doing anything other than the VED therapy. You might lose count of the time, the number of cycles if you are using that as your guide for each therapy session, or any other attraction that might take away your concentration. However, some guys report that watching TV does take their mind off getting an erection that would interfere with an erection causing their session to go awry. So, use your own judgement about what is right for you.

Hope the above helps. These suggestions are just my experience with working with many guys, etc.

Old Man

Here is a question for VED users on behalf of my husband (who just yesterday for the first time took turned the corner and sat next to me while I showed him this website). 

He has been attempting to use a single cylinder ved but complains of pain when his scrotum gets vaccumed into the cylinder.  How does he avoid this?

From the way I have seen him use it I think he is using it the wrong way.
He lays down flat on his back and only uses lubricant in the area where he shaved his pubic hair and in the entrance of the cylinder (not the actual inside of the tube - clear part). 
He inserts his entire penis into the cylinder, and to me it seems to flop to the left when inside (when no pressure his been added yet). 
He creates a seal and as he adds more pressure he moves the cylinder a bit to the right and left trying to get his penis to not "flop or lean" against the cylinder wall and go in an upward position instead.
As he adds more pressure is where I see his scrotum get sucked in, and this is usually the point where he stops saying it is just really painful (scrotum) not his penis.

Suggestions please

iamthewife:

WOW, no wonder your husband is having pain! The scrotum should never be allowed to enter the mouth of the VED cylinder. The pain is caused by the testicles being pulled in with the vacuum pressure. He should avoid this at all costs.

He needs to go to this link on the VED board to get the protocol for using a one cylinder VED:

https://www.peyroniesforum.net/index.php/topic,901.0.html

This protocol was developed by me for guys using the single cylinder VED. JackP used it prior to his implant surgery and I requested that he post it on the VED board so that all guys could use it for their single cylinder VEDs.

Now, a few suggestions for him to use:

1. Since he has already shaved off the pubic hair, he should keep this shaved on a regular basis for obvious reasons.

2. Use plenty of lubrication in this manner: Lubricate the sizing insert that came with the VED as well as on up inside the cylinder a ways. Lubricate the entire shaft of the penis, but be careful not to get any on the scrotum which would cause it to be drawn up into the mouth of the cylinder. Its being pulled into the cylinder should be avoided at all costs as extreme pain can and will will cause more problems for him. He should not try to keep the penis from moving around inside the cylinder when pumping vacuum pressure.

3. Do not move the cylinder from side to side or up and down while trying to get a good tight seal. Use only minor movements by simply jockeying the entire VED around just enough to get the seal started. Using a slight amount of vacuum usually does the trick of sealing the mouth of the cylinder against the shaft as the vacuum pulls blood into the erectile tissue. He must practice doing this until he masters this step. It is important that VED therapy be comfortable and not cause any pain or discomfort while doing the therapy sessions as outlined in the protocol shown in the link above.

4. He should get himself thoroughly familiar with the protocol by practicing the cycles over and over until he has mastered the correct procedure. Above all, DO NOT, repeat DO NOT overpump the vacuum pressure at any time. Use the release button at the first sign of pain or discomfort, find the cause of the pain before continuing on with the session.

Lastly, he is not alone in not being able to correctly use the VED as many guys have the same problems. I have no idea why the package did not come with instructions or a video showing how to use the device correctly. He should ask the uro for either the written instructions or the video for its use. All Osbon Erect Esteem Veds should come with both of these items.

Feel free to ask any and all questions about VED usage either in private messages to me or on the main forum in an open post. There are many guys using the VED and will be glad to offer suggestions and help at any time.

Welcome to the forum and happy pumping for your husband.

Old Man

DannyOcean:

#1 - engorging effect but not a full on erection.  Wait for the penis to become fully flaccid before beginning the cycle?

I just drop the vacuum and let it relax for 5 seconds (or so) before beginning to pull the vacuum again.


#2 - sometimes feel a pull that is a bit uncomfortable

That is the sensation, especially at the beginning of the protocol.  Pump a little less.  Sometimes, pump until it is full, then wait a few seconds for the blood to flow, and then one more pump or 1/2 of a full pump.  You get used to the sensation.  It is more noticeable to me in the smaller two cylinders (A & B).


#3 - Do any of you feel an urge to masturbate after using the VED and if so, do you? 

I think this is a natural feeling.  Any man that says he doesn't get this feeling may be in denial.  Because of the times of day when I do my therapy sessions, I rarely masturbate afterwards.


#4 - Finally, what do y'all "do" when you are using the VED?

I do my morning session while reading my e-mail and the news, sitting in a chair in front of the computer.  In the evenings, it is usually sitting on the bed or in the bedroom floor watching the news, right before going to bed.  In both cases, I watch a clock and just do pump, hold, release for 15 minutes (or so).

DannyOcean
Re #4 - I also watch TV but also closely watch my penis in the tube while pumping. To not lose track of the cycles , I toss items into a small basket on the table after each cycle. There are 11 items so that ends my session.
You are doing it twice daily. I am doing it only once - in the evening. Does twice daily mean that you can/should expect to clear the PY twice as fast?
What would you say Old Man?

mike67:

No, two sessions per day does not mean that the Peyronies Disease symptoms will be remedied twice as fast. I strongly recommend only one therapy session per day and hold the maximum time limit to 30 minutes to prevent abrasion of the shaft skin or foreskin especially if not circumcised. If any edema or abrasion occurs during ANY therapy session, the therapy should be stopped entirely until the affected area(s) heals well before resuming the therapy.

If two therapy sessions per day are desired by anyone, I would recommend a time limit of no more than 20 minutes each and only if there is at least 6 or 8 hours between sessions. This too will prevent any edema or abrasions occurring.

Again, my usual caution: DO NOT OVERPUMP THE VACUUM PRESSURE AT ANY TIME DURING VED THERAPY SESSIONS BASED ON THE ABOVE CONDITIONS STATED.

Old Man

Thanks for the advice Old Man.
I am doing 11 cycles nightly, each cycle consisting of total of about 6-8 pumps ( 2 sets of 3 plus more to achieve a longer pull) , holding for about 20 seconds , resting for about 30 seconds in between cycles. The longest session I have had lasted only 18 minutes - that was tonight. Normally my sessions  last 10 - 12 minutes . I keep a log so can say precisely what my history has been every night.
Am I not holding long enough or leaving enough time between cycles? I have wondered why many posters talk about 30 minute sessions when I only spend  10-12 minutes as I mentioned.
I guess I need more coaching.  Thanks

Mike:

Thank you for bringing this for discussion.  as you know I spoke and warned you of the efficiency of the fitzz vitality pump. Letting you know what I was experiencing, which is what you have posted.

I feel I know how this pump works.
It is amazing the longer the session less pumps are needed.The cycles do take less time that leads me to you question.

Why 30 minutes only, i do not know that is a good question. Why do body biulders work on a muscle then let it rest three days? I t is probably time proven techniques.

I haven't scene post of other 's describing the mechanics and the effects of the Fitzz.Maybe they have not posted in a while.

If I pumped for 30 minutes I could do over 20 cycles easy .I have in just 15 minutes.

I have been taking my time with this, slightest discomfort i release the pressure. Like I said less pumping required as I go.So somebody is going to have to give me a good reason to go thirty minutes.

I have only been doing this for two weeks not even close to 14 days straight.  Maybe 10 sessions within 8 days. So if we can do the work in ten minutes as the Fitzz allows is that okay? That is what you are asking I do not know.

I do not see any reason why not. You are using it correctly Mike, it works for me I am getting longer stretches with less pumps as I increase time. I do not go over the protocols time if I do two sessions I do not go over 20 minutes that's ten minute session x 2.

So like you I concur it only takes me on average 8 to winding down to 6 pumps during ten minute session even less if I go fifteen minutes. I will keep Better track as I start recording soon.

Goodnight all:fubar

fubar and mike67:

OK, you guys have asked the question that comes up very often to me in private messages and occasionally in posts.

The main reason that the 30 minute time limit has come into being is that experience by me and others has shown that longer sessions do tend to promote edema and abrasions on their shaft skin and/or foreskin if uncircumcised. When these present themselves, the vacuum therapy should be stopped and let these heal before resuming the therapy.

Another reason is that after more than 30 minutes, the penis does tend to get more "tender" for want of a better word to explain the feeling one gets with that length of time. This also will cause micro trauma that may or may not have caused the Peyronies Disease symptoms to begin with, with that said, the time limit would serve any and all best to hold to that limit,etc.

Also, 30 minutes is the time limit that is suggested for those using retainer rings for holding up erection. This is more or less mandated by the time limit medical personnel use for applying a tourniquet on a bleeding wound when one is applied. They release the tourniquet after the 30 minute time so that fresh blood can flow into the portion of the wound that has been shut down so to speak. Thus, we use that time limit for holding the blood in an erection when using it for sexual activity, etc.

The number of cycles and the time for holding the pumped up can be adjusted from the recommended protocol to suit each individual.  The protocol has been set up based on the principle of not "overdoing" it with the number and time limit to prevent any further injury. Each user of VED therapy should use extreme caution in using it so that further damage does not occur.

The above carries my usual caveat that the comments and recommendations are simply made from my own personal experience and that of others I have worked with in VED therapy over the past 15 plus years. Hope that it provides help for those with questions about time limits.

Old Man

Old Man
Thanks for your advice on the length of the sessions and methods. As both I and Fubar mentioned , we are only doing a total of a 20 minute maximum session at each nightly sitting. That gives me 10 cycles at the rates I described in my post yesterday.
So I would say we are far removed from a potentially dangerously long 30 minute session. I am also keeping a log and I am glad to hear that you , Jim , are doing likewise. That way there is no forgetfullness as to where we have been with the various cylinders.

mike67:

If you so desire, you can shorten the holding time between pumping cycles in order to get in more with each therapy session. I held mine for about 5 or seconds and repeated more of the cycles during my 15 to 20 minute sessions. That way you provide more blood flow into and out of the corpora.

Old Man

hi to all,

i received my soma erect today from a german retailer of the augusta VED's
it has one cylinder thats ok with me, i don't have much of a bend not more than i had before i felt my plaque.
i gave my measures to the employee and he decided to send the large cylinder to me.

first, i have a very good first impression of this ved after my first "work out".  easy to use and easy to clean. the largest comfort ring sits perfect around the base of my penis so no scrotum gets sucked in. i created an excel sheet to have better track of the training.
using it for the first time is really kind of magic! to see the penis and the glans expanding like in the very best days before this disease with just a few pumps. and that is where i think the problem starts. this VED really works and the pump is amazing.

it's pretty tight around the middle of my base where my penis is the thickest.
when i hold the pressure while doing the circles it really feels kind of squeezed there and the penis is pressed very
hard against the wall of the cylinder.

that shouldn't be right?

the manual says that there should be between 3-6 mm space between the penis and the walls of the cylinder?

i think i'll call the retailer guy tomorrow and ask him what to do?

thanks in advance!

other than that i'm very encouraged with this ved and i had no pain while using it nor after that.
now two ours after the first work out i feel a bit exhausted down there like if my penis were in a gym.
time will tell i'm very excited.

cheers!

luka

I think I'd wait for OldMan to respond before calling back. He has worked with many men with the VED specifically for the treatment of peyronie's disease. It might be worth being armed with his input before calling them back as the manual is possibly aimed mainly at men with erectile dysfunction rather than peyronie's disease. I have a 'boston pump', so I can't be sure of that though.  I would suggest that if peyronie's patients using a VED always had a "3-6 mm space between the penis and the walls of the cylinder" where would be little chance of their curvature changing. The theory behind the 3 cylinder system in that is that the length and width are worked by based on how the penis is held in the chamber (straight and confined in a small cylinder, fully expanded and girth enhancing - for hourglassing issues etc, in the large cylinder). For men with a single cylinder, I too am interested to know which cylinder would be most appropriate. Perhaps one where the penis can expand well in terms of length and girth but is held reasonably straight.

I agree. I would say generally speaking, if the penis does not touch the sides of the cylinder then the VED therapy for Peyronie's disease is less effective for straightening curves.

thanks for all of your input guys!

old man answered my pm and said that i need all three cylinders for the best results.
however i don't have much of a bent (i had this bent before this disease too) and thought if one goes with the
one cylinder therapy there should be enough room in the cylinder to expand fully in width wihle fully erect.

again, i don't have much of a bent and i'm doing the jackp one cylinder exercise.

i think i will order the bigger cylinder because that squeeze is not really feeling good while inside the tube
with a 100% erection. looks like it's gonna breaking the tube. lol i know that is not going to happen.

thanks guys.

despite this little start up problem i'm very happy curious what this can do.
after just the first session it feels like blood has flown through veins and places in my penis where it had not been before.
i must sound like a sales guy.  ;D

good luck!

luka

what can be done about corporal fibrosis in a man afflicted with Peyronies Disease? i developed corporal fibrosis after seeking treatment for Peyronies Disease. my penis has a slight angle now always and i experienced quite a bit of shrinkage after visiting two doctors for my peyronies and i am certain it was due to the injections i received for a few tests-examinations. it greatly angers me because it was only later they admitted injections of any kind to the penis can possibly make matters worse.

VED therapy has worked for me and many others - not a quick fix.

https://www.peyroniesforum.net/index.php/board,38.0.html

I'd certainly say that, from your description the VED could be helpful. Many men have regained lost length through use of a VED. It can potentially lessen any future problems you might experience, and get to work on what has been lost. Like all peyronie's teratments, it's not a miracle cure and some men respond better than others, but it can certainly be a positive step forward, both mentally and physically.

I think Old Man is right to push a tried and tested approach. Where possible it's best to stick with what has worked for others. Of course, I'm sure some men have benefited from a one cylinder approach, and since you're now in possession of it, at least you can make a start. If your curve was there before, it might be that it doesn't respond exactly as peyronie's plaque would be VED useage. However, if you have general shrinking the VED is also known to help with that, (or if you fear that either shrinking of curvature will occur is can possibly help out physically and psychologically).  Good luck.

yeah, i would be more than happy if it would help with the shrinking because i think that would be the first sign of improvement.
shrinking, bad erections ans some pain are my issues. now after two pump sessions i can't say much, it takes time as old man wrote often.
looks like i have an inprovement of in shrinkage already but it looks like it is only temporarely due to the recent use of the pump.

beside the above it appears to me me that i have some morning erections back during the last few weeks, still by far not what they used to be but at times very hard just not very long lasting but it's a start.
maybe because of my "GA" coctail? garlic and l-arginin that is. ;D

i'm going with jackp's one cylinder workout 15 min. and i hold for 20 seconds, did no harm yet. but this ved is a beast, you have to pump carefuly!!!
my first session when i got the ved was awesome i thought my penis will break that tube during my second session yesterday i felt exhausted down there and wasn't able to get such an erection again? guess i have to go slow with the pump and don't try to match or beat the pump i had the day before.

cheers!

luka

I think the VED is kind of like life in general; there are good days and there are not so good days.

Be consistent and always be conservative; it's a marathon, not a sprint.

I'm in the 2nd week of my 2nd go round with the VED and it won't surprise me to have a 3rd one for the "charm".

GS

GS:

And, another benefit is that you can achieve excellent erections and hold them up for any desired sexual activity if one has ED problems. The VED will also keep your penis more healthy by getting the blood flow into and out of the corpora with a higher flow rate than natural erections.

Old Man

A question for Old Man & the experts. I posted as thought other members might benefit.

I am beginning wk 7 and just finished my first encounter with the large cylinder. Would you please tell me if what I experienced was following correct protocol and was beneficial.
I started by using only the large rubber ring for the first cycle but the base of my shaft swelled up so much - it looked too gross and out of balance with the upper part.
So I added the small ring. That felt and looked better. I am still not clear regarding getting an erection in the cylinders. My penis stretches but it doesn't look or feel at all like the stiff night time or sexually arousal erections. Nonetheless , it enlarges and fills the small and medium cylinders with girth. I see lots of blood vessels bulging as if they are going to pop open. Is that enough to say I am following Protocol correctly?
But it does not fill the large cylinder in diameter. Also - It bends only slightly . It does not attempt to bend like it does during the night time erections. Those clearly show I have Peyronies Disease for sure. There is only a slight bend in the large cylinder. I stretch it with pumps as much as I can before getting discomfort. It seems I am doing a beneficial session but you have said the penis must fill to the sides of the tube
to achieve the desired effect. Mine does not fill the cylinder in girth.
Thanks and appreciate whoever can respond onto this post.

Mike

mike76:

No, you are not correct in saying that in the large C cylinder your shaft MUST FILL OUT the entire diameter. Only a very few men who are above average in size can or will do that. This is not necessary anyway as the large cylinder is designed so that the shaft can expand all over instead of being confined as in the A and B cylinders.

Most men will definitely fill out the A small cylinder and possibly the B medium cylinder. So, don't worry about not filling out the large cylinder. Also, if you see blood vessels bulging out more than they do when you get a natural erection, you are using too much vacuum. Pump slowly and let the chambers fill up with the blood flow on a more moderate rate. Again, VED therapy is a case where less pressure is much better than more pressure. You simply must be moderate and very careful with vacuum pressure. Over pumping and holding the higher pressure too long can only lead to more trauma.

You say that you now see only a slight bend in the shaft when using the large cylinder - that indicates that you are receiving at least some benefit in straightening the shaft through the VED system. Just keep on with the daily schedule of the protocol and you should see more and better results as you progress through the weeks.

You are correct in using the small sizing insert when using the large C cylinder if you are seeing some edema (swelling) at the base of the shaft. However, if you maintain a firm pressure against your body with the cylinder of the VED when doing the exercises, you should see less swelling there. Some guys, including myself, do experience swelling in that area. It is not of too much concern if you do not see any swelling of the blood vessels in that area. However, and again, be careful with the pressue.

SPECIAL NOTE: SOMETIMES USING THE SMALL SIZING INSERT WITH THE LARGE CYLINDER WILL RESTRICT THE BLOOD FLOW INTO THE ERECTILE CHAMBERS AND THEY WILL NOT FILL OUT COMPLETELY AS WITH A NATURAL ERECTION.

Please keep the forum informed as to your progress as you proceed through the remaining weeks of the 26 week schedule.

Old Man

Old Man

Thanks for the timely comments. Being only 6 weeks plus into the program , it is good to get corrective advice at this early stage before continuing further.
You are , as always , extremely helpful. Printing this now and will make adjustments to my methods starting with tomorrow's session.
Mike

hi guys,

i had an awesome first pump session as i wrote about a week ago when o got my ved. now i'm very concerned that i have to stop the ved therapy and here is why.

i'm following jackp's one cylinder exercise.
it happend the third or fourth day in my therapy.
i lubed the cylinder and the base of the ring up and after sticking my penis in i started to pump it up as the days before.
i wasn't able to get an erection in the tube. my glans expandet maybe to about 80% and the rest of the penis stayed almost the same in size as limp it grew in maybe to 50% erect in girth. i tought damn what can this be? i startet to pump up the pressure more and more but my penis did not grew much more. i pumped harder even though the the vacuum pressure was so high that the cylinder hurt me at my base and than i felt tham suddenly i felt pain in my right hernia again. i was afraid that i injured my hernia again due to the high pressure (i had two surgeries on this right hernia already). well that was a few days ago and i really think i did break up once again, the pain is not leaving me at all.
however followed the therapy the day after and today, i don't want to miss one day of the 26 week exercise. i never pumped up so much pressure again. but my other problem beside of my hernia (i think it is the hernia), is that i can't get good erection in the cylinder anymore like a was able to during my first workout with just 4 or five pumps with the augusta VED. now i have to pump to such a pressure that my my hernia starts to hurt maybe about 8 or ten pumps but my penis although he feels like bursting due to the pressure can't gain any length at just gaining some girth (its a really weird loos and feeling). i can only get an 100% erection in the cylinder if i masturbate to at least 50%-70% erection and that quickly insert it and pump it up with about 4 pumps. but that's a mess with all the lube when i do it after every ciycle.

right now i'm very down because i put so much faith in this and it looks like it did nothing for me except breaking my hernia for the third time.
i'm afraid i have to stop the therapy because of the problems i described above.

i guess i have to live with this curse and accept it for now... i don't know what to do next.

has anyone similar problems?

all the best guys.

luka

luka:

Sorry to hear that you must forego the VED therapy. However, you failed to heed the warnings (many of them) about over pumping the pressure. It was repeatedly stated that this could cause further damage to oneself and now you know the results of that venture.

At this point, I have no other suggestion for you but to lay off the VED therapy for a few weeks until you have healed from the injury caused by the high pressure. You should not have expected to reach a full erection with the VED until your penis had gotten used to the higher than natural pressure during a natural erection. Again, VED therapy is a case where less pressure is much better than more~~!

So, keep us up to date on what happens and maybe we can come up with something that will help you further.

Old Man

hi old man and thank,

i did not overpump so that damaged my penis. i just think my hernia is injured again. the only way to get this fixed is surgery.
however i really don't have a clue why i can't get erecions in the VED anymore?

why did it worked so fine the first time? i really don't have a clue.
your answer did not help me much because i still don't know what i'm doing wrong. i have a good seal on the cylinder...

i thought a VED need no weeks of warm up time to get used to it? i thought i would do it even for men with ED problems. stick it in and pump it up, thats it.

c u

luka

luka:

No, you cannot just stick the old dick into the mouth of the VED and expect to see huge erections right away. It takes several weeks of daily exercises to get the tissue stretched out again. What has happened to you might be that you did not realize you pumped too high.

If you injure the erectile tissue by over pumping the pressure, you must quit the exercises and let the tissue heal for several days or weeks so that you can start over with the procedure.

Pumping your penis should not in any way interfere with a hernia unless it is very close to the base of the penis. If this is the case, you should use the sizing inserts to preclude that portion of the base of the penis from being drawn up into the mouth of the cylinder. If you have not shaved off the hair around the base of your penis, that might be allowing the skin to slip more into the mouth also. So you make sure that is no occurring.

Old Man

"SPECIAL NOTE: SOMETIMES USING THE SMALL SIZING INSERT WITH THE LARGE CYLINDER WILL RESTRICT THE BLOOD FLOW INTO THE ERECTILE CHAMBERS AND THEY WILL NOT FILL OUT COMPLETELY AS WITH A NATURAL ERECTION."---  Old Man

I didn't know what that ring was until I read about it and tried it out with the C cylinder yesterday.  It was better since I didn't get the swelling or the bunching up of the tissue surrounding the shaft into the cylinder, but it seemed tight at the base as Old Man states above.  Also, I have a significant dent at the base of the shaft side which restricts the blood flow into the corpora, and it is very difficult to determine whether to continue with the sizing ring.  Everything seems to be engorged except the right side of the shaft, and I don't want to make it any worse than it is.

It is easier to see what is going on at the base without the sizing ring, but is there anyway to prevent the tissue being drawn up into the cylinder.  I shave the area well but does anyone have any suggestions to prevent this from happening?


ymn

ymenow:

If you are receiving a better seal and the skin/tissue surrounding the base of your shaft if not being drawn up into the cylinder mouth, you might want to continue using it on a trial basis. Try pumping less pressure or use longer pauses between pumping cycles. Experiment with varying holding times between pump up cycles to see if that will allow more blood flow. Blood flow is the secret to the VED therapy. But on the other hand, you don't want to restrict it so that the positive effects will be over ruled.

VED therapy is not intended to cause further trauma, pain or discomfort, so try your best to avoid these at all costs. Each case of Peyronies Disease it totally different from another, so the individual has to develop what works best for him. Use different approaches to the pumping cycles, try using the small insert as well without it to see which works best for you. You can vary the protocol to suit your individual needs.

Let us know what happens if you decide to follow the above suggestions. Hope that you can find a way to continue the VED therapy without further difficulty.

Old Man

Luka: I do not know why the VED would work one day and not the next - but there must be a reason. In my own therapy I have noticed some days are different than others and, like you, I have been tempted to pump more - this is a mistake. As for hernia concerns I would consult a physician and get examined - read up on hernia on the internet so you are prepared with questions. Please keep us posted about your progress.

Regarding the sizing inserts and largest cylinder: this has been discussed before in the "long" 51 page thread locked at the top of this forum. So others have had similar issues. It seems some experimentation is needed to see what works best for each person. As always, Old Man has been very helpful over the years with wise advice.

I think it is right to say that men with Peyronies must be very careful to avoid injury because the healing process is not normal - we form scar when other guys may not. Unfortunately, this means we must proceed slowly, low pressure and not get too excited to make fast progress. Remember, we don't have a lot of alternative treatments that actually work so the VED is useful but only if it does not cause further injury.

thanks mike and old man,

i wasn't aware that it's usual that you don't always get a picture perfect erection in the cylinder so i overpumped it and forced it to much.
well, i'm checking out my doc soon regarding the hernia really don'T want to have surgery for the third time down there...

i think i will continue the exercise with four or six pumps even if my penis is behaving like described in my recent posts without an 100% erection.
don't know if this is going to help much but it's better than nothing i guess and as long as i don't hurt my hernia more it's worth the try.

no offense to any of your guys! but maybe we should mention it somewhere in the exercise description that one shouldn'T force an erection as i did. i forgot that we have this hard tissue due to the plaque so our peckers don't behave like other ones in the VED (not always).

i wish you all strength. i need it more than ever these days...

luka

luka:

Not make a big deal out of it, but I think that what we mean by overpumping should be enough notice to the wise about not getting full erections in VED therapy. Again, less is much better than more with vacuum in VED therapy.

I know that the language barrier and the translation of what one language means into another sometimes gets rather tedious and hard to explain.

Anyway, don't worry too much about getting an erection with VED therapy, save that for the times you want to go for a sexual encounter!! So, if you can get normal erections without vacuum therapy, you are way ahead of the game for most of us.

Seriously hope that you can find some way to continue the VED therapy as it would be very helpful overall for your penile heath.

Old Man

   There are special notes in the protocol sticky posts above specifically stating that one should stop pumping before any pain or discomfort is experienced. We cannot keep making the instructions longer and list every scenario that one may encounter during VED use... the user must infer from these written instructions that CAUTION must be exercised and one must listen to your body... your body will tell you when you have pumped one or two too many times. Please read and re-read the notes in the sticky protocol posts. The user of the VED must be responsible and pay attention to what is going on as one pumps vacuum.

Copied from notes within the 3 cylinder protocol sticky post:
"Special Note: The time limit of repeating the cycles can be modified to suit the individuals own situation. Some may desire to use longer periods of time. An erection can be held for up to 45 or 60 seconds, HOWEVER, caution should be exercised not to prolong the cycles to the point of pain and discomfort. Use only enough negative pressure needed to produce an erection."

again, no offense guys.

i my exercise is jackp's one cylinder therapy which says:
------
VED for exercise. Every day.
Start with a good seal and pump to about 80% erect. Hold for 15-20 seconds then release, (do not break seal). Do this for about 5 minutes.

Over the next 5 minutes pump up to a 100% erection using the pump hold and release for 15-20 second method. Do Not Break The Seal.

The next 5 minutes keep pumping to 100% erection using the pump, hold and release. Caution does not over pump to the point of pain. At this point if you have shrinkage you may see some gain. After a few weeks.
-------

so thought i have to get an 100% erection.
i'm not blaming you guys! true, i should have known that the pressure around the base is just to much.

i'm very grateful for your help and input don't get me wrong.

have a nice evening all,

luka

Luka B

I have been thinking about your hernia issue. In reading the history of VED therapy on this board I have not seen any mention of hernia before your post. This actually might be an issue for anyone.

See the Wiki article on inguinal hernia as background:
http://en.wikipedia.org/wiki/Hernia

Just a theory (and perhaps totally wrong) but... if you have an existing hernia or weakness in the inguinal canal, your use of the VED with a large opening (single cylinder) could have applied suction to the hernia (possibly a loop of small bowel) instead of the penis - even though the penis was inside the cylinder. The hernia displaced the penis and therefore the penis did not expand but the hernia did expand. If this happened you may have noticed the hernia next to the base of your penis and even inside the cylinder. The same thing could happen if the scrotum is pulled into the cylinder.

Ideally, the base of the penis fills and seals the opening of the cylinder and prevents any other body parts from getting sucked in.

Over the years, Old Man and others have mentioned "milking" or pulling on the cylinder while under low suction to help position the penis within the cylinder. The use of sizing rings (not constriction bands) also helps to keep extra body parts out of the cylinder but not all VEDs have an assortment of sizing rings.

Anyone with a hernia should seek professional medical attention and examination. You still might be able to continue VED therapy but with some adjustments for your condition.

Let us know how you are doing - best wishes.

Mike_O

mike,

you are great! thanks for your effort! none of your concerns happend as far as i can tell.
the large ring fits me pretty perfect around my base withous much place for other things to be sucked in.
however i know this pain i already had two hernia surgerys there, something seems wrong and it was just my fault.

i just pumped to much to force an erection in the cylinder instead of going slow.
today i went slow comapred to the last sessions and i had good if not better results.
it's ok not to have an 100% erection during the cycle. as long as i feel the pressure and the stretch in my scar tissue it should be good.

thanks for all your help. i don't want to scare other ved users. my hernia is an old problem for me and it seems like it appeared once again because of the rediculous high vacuum i have used once. my fault.

i'm happy so far with my ved and happy that i haven't bought a cheap sex toy model.

getting late here.

have a nice evening guys,

luka

I went to my Urologist Tuesday and got my Soma Therapy VED. He had downloaded the 26 week protocol from this sight and told me to follow it.
He also gave me some Verapamil. He seemed to have much more confidence in the VED than the Verapamil though. I plan on using the Verapmil. I don`t see how it could hurt.
I am sure glad I had already found this forum. My first go at using the VED on Tuesday night was a little discouraging, but I managed much better today. I`m especially glad that I read Old Man`s posts about taking it easy and not pushing too fast and hurting myself.
By the way, he mentioned some kind of medicine that is coming down the pipe in about year that is showing promise of helping Peyronies. I think it was originally intended for trigger finger.
Thanks for the support and help.

Melvin

Mel

What do you mean he gave you verapramil I hope it is a gel and not injection?Most of us tend to believe the in jections cause more harm. A gel probably harmless.

Fubar

PS. Just my observation of the members and reading .

Mel:

Welcome to the forum! Sorry to hear that you have joined the Peyronies Disease family though. Yes, you are right about being cautious with Peyronies Disease therapy using the VED. There is much information on the forum about how to use it and the whys and wherefores of problems you might encounter using it.

I strongly urge you to "practice" using the VED for several days before embarking on the 26 week protocol. Make sure that you thoroughly understand about pumping too much vacuum and what happens if you do. Also, suggest that you use plenty of lubrication on your penis as well as well up into the cylinders, especially when using the A small cylinder.

The term "practice makes perfect" applies to VED therapy, so do that and you will reap many good benefits from using the VED therapy. VED therapy is a case where less vacuum is much better than more vacuum. So, be patient and go slowly with your sessions until you have gotten used to the procedure. A word of caution again, if you feel any pain or discomfort when doing the cycles, stop and find what is causing the problem before resuming the session. Avoid over pumping the vacuum at all costs!

I am sure that questions about using the protocol will arise, so feel free to ask any and all as they come up. There is much information and help on this forum.

Old Man

Mel - Welcome to the club!

Lots of great info here - if you have time, I encourage you to read through the other discussions here on the forum. There is a very long discussion (51+ pages) that is at the top of the VED forum. That discussion thread goes back over 5 years! I think it is easier to read by going to the oldest post and reading in chronological order - going backwards confused me so I went back and started at Post #1 and it made more sense to me.

Peyronie's can be discouraging and depressing - this forum and the folks who post here have been VERY helpful to me. I hope you will feel the same.

Best Wishes,
Mike_O

mike,

the big sizing ring fits me pretty fine without squeeting the penis to much or suck the scrotum in.

i checked my doc yesterday. my hernia is nocking on the door when i cough it appears in the size of a cherry.
my doc says the right hernia hasn't broke through yet and he can't send me to a surgery but it's definately not as it should be.
on the left side he says i'm ok but i have pain there too, especialy during the VED session.

my VED exercise is very uncomfortable now even with low pressure...

damn, this sucks. maybe i should just lift a refrigerator and make sure that it breaks through to get a surgery again.

so for all VED newbies with bad hernias. take extrem caution in pumping!!!

have a nice weekend,

luka

Luka B - Thanks for the update.

Despite my brief effort, I could not find any warnings of VED usage by people with hernias. It seems to me that this issue would be fairly common in  men with ED. It certainly make sense to me given the anatomy.

It is too bad we don't have a VED design that does not press on the base of pubic area and works just on the penile tissue - that would eliminate the risk of hernia.

Mike_O

Sorry about your hernia issues Luka-B
I am better than half way through wk 7 , large cylinder. I too have trouble keeping the fleshy base out of the cylinder. Old Man mentioned to me that it is best to try to use the large sizing ring to get more blood flowing. So I have been using the large ring even though tempted to add the small ring.
Also using his methodology of milking the penis as I pump , when this flesh starts to get into the tube. It works quite well. But getting a good seal is harder but eventually it does seal after holding the cylinder hard to my body while pumping. 

But it is a nuisance having to watch that each cycle. I am anxious to get back to the small and medium cylinders.

Hey guys:

I am truly sorry that there is no cut and dried procedure that we can develop that fits each and every case of ED or Peyronies Disease. What we are trying to do with the protocols is establish some sort of base line that each guy can develop his own procedure based on the what the protocol relates.

There are many and varied medical conditions that exist which require a modification of the protocols in order to have a successful pumping cycle of therapy. So, word to the wise, review your procedure carefully to determine what you can physically do to correct any problem that occurs.

Ask questions - I had professor one time that told our class - "The only stupid question is the one that you guys don't ask!!" So don't hesitate to ask them, but try to find your own individual solution before asking, etc.

We are all here to help in any way, so take it from there.

Old Man

Old Man

You're always on target and you come in and say all the right things.  Actually your contributions are really so helpful and at the same time admonishing to the point of getting me to think more of what I am doing with the VED.  Sometimes it is just hard to get it since we have preconceived notions of what we think is right. When I see my erection go to the "desired" mark on the C cylinder, I am amazed and want to see more of that!

BUT I have cut back on the pressure and now, I don't see the bulging veins. I understand I have to take it easy. As you mentioned, we have to consider our own limitations.

The other thing is that I have not used the sizing ring with the C cylinder as you have suggested and I find that I am feeling better after the session.  I just have to ensure a tight fit against the groin.  However, if I squeeze too tight against the pubes,  I feel that I may be cutting off some circulation since I don't know where those effin veins are.  At this point with my method; however, I am getting positive results.

I have cut back on hold time and have given more time between the holds as you recommended.  I feel good about it cause I don't want to cause myself any problems down the road.

YMN

Hello All,

My name is Brian and my urologist recommended trying vacuum therapy and Augusta's Vitality OTC battery operated vacuum was one of the recommendations. He said many of his Peyronie's patients had success with these devices. I tried the Vitality OTC for the first time tonight. I went exactly by the directions that came with the product which in a lot of ways I thought were pretty vague. This is the first time I've ever tried this type of therapy.

Nonetheless, I got it together, used the appropriate lube, etc. I started the vacuum device and I'd say I got a weak erection and I started to experience discomfort as I pumped a few times. The discomfort lasted 10-15 seconds or so and fogged up so I released out the negative pressure. I have some general soreness. I'm going to take a few days off and do more research and interaction here because on this forum I read any discomfort is a sign to stop, which is a little different than what Augusta's manual says. Therefore, I stopped for now.

I read if you think you've overpumped and had soreness you should take a few days/week off? Even if I didn't hurt myself I still want to take some time off just for precautionary reasons so I don't screw it up. Old Man should I start as soon as I feel the minor discomfort go away? Or do you recommend longer? Its almost like an internal sunburn feel.

Anyway, I have been looking around but I'm looking for some pointers or maybe you can point me to another thread so the next time I try the device I have some guidance on what is overpumping and how to tell, etc. I need to make sure I'm giving this a fair shot and doing it properly.

Thanks all

brger88

Go to the VED section and read the Single Cylinder exercise I posted there. Old Man came up with it for me and it worked great.

Old Man is the best source of advice on the VED. If I can answer any questions with the single cylinder exercise let me know. If you have a "personal question" do not hesitate to send me a PM or email.

As soon as the soreness goes away start the exercise back. As for the cylinder fogging up. Put it in some warm water for a few minutes before you start then dry it off. That even feels a little more comfortable than the cold cylinder.

Hope this help.

Jackp

brger88:

Welcome to the forum. Sorry to hear that you are having problems to begin with on your VED therapy. Follow JackP's suggestion and locate the one cylinder protocol in the VED board section.

If you want to upgrade to the three cylinder protocol, you would have to get the two extra cylinders that a lot of guys are using to make up that unit. These cylinders are available from Augusta Medical Systems at a cost of $55.00 each.
So, if you want to get them and use the three cylinder protocol, just let me know and I will guide you to the right web link from Augusta.

Again, welcome aboard one of the best forums there is for Peyronies Disease as well as ED therapy.

Old Man

Thanks jackp and Old Man for your kind welcome..I appreciate that

I think it's pretty clear I overpumped probably due to lack of directions and Augusta's guide saying some discomfort is ok just not "pain"

Most of the minor burning sensation I had last night was gone when I woke up today. I didn't have a morning erection, which I usually do even if not straight/strong. But the pain is pretty much gone. I'm still going to give it some time.

In your experience with some people overpumping could I have screwed something up or do you think it should heal with time?

brger88:

Don't really believe you did something wrong if you got over the pain/discomfort that quickly. I would suggest that you take a few off the regimen of pumping so let you penis get back to a more normal state. If you don't have any soreness or pain from your over pumping, just start back and use less pressure and give it more time between pumps, etc.

Old Man

Thanks Old Man,

I didn't have any soreness for the past 2 days so I gave it another try tonight. Weird thing is it didn't work at all... I wasn't able to achieve even a small improvement. Just stayed limp. I'm pretty sure I had an air tight seal.. and I hear the thing going on..

Is there any condition or reason why the pump wouldn't work? I wonder if I'm doing something wrong with the pump or if the problem is physical. Most of the people with injuries that I read on all of these forums have at least some degree of success with the pumps. Have you encountered people it didn't work for at all?

Would any of the results of overpumping be painless? All of the ones I read about are painful and some people ended up having to see a doctor.

I had a small improvement before I started to feel pain/stretching feeling. I stopped for a couple days until I felt 100% and now I'm getting nothing at all -- I'm starting to think I may be beyond treatment  :-\

brger88:

OK, you are having what in some circles is called "buyer's remorse" or having bad feelings about buying something. You should try to relax and not get so up tight about not seeing results with only a few days of practice with the VED. You are in this for the long haul as the symptoms came on slowly and will most likely go away the same way.

I don't remember which VED you have but this is a simple procedure you can follow with either the one cylinder or the three cylinder VED:

First, you may have to shave off the pubic hair around the base of your shaft far enough out from where it joins the body. This eliminates the possibility of it being drawn into the mouth of the cylinder when pumping up and helps with the seal. If you do start shaving this hair, you must keep it shaved on a regular basis for obvious reasons.

Next, since you are not seeing any inflation of the shaft during pumping you are probably not getting a good tight seal around the shaft. This can be caused due to lack of sufficient lubrication either on the penis or up into the mouth of the cylinder, so make sure you use enough to get a good tight seal and provide a slippery surface for the shaft to move up and down the cylinder without friction.

So for some guys, it is necessary to use both of the sizing inserts that came with the VED if you are using the Vitality three cylinder VED. It comes with a small inner insert and a larger outer insert to provide for sizing based on ones physical size. It also provides a confining area around the shaft to help with getting a good seal which is necessary to get engorging of the shaft with blood flow.

I suggest that you review what you are now doing based on my recommendations above with a view of modifying your sessions accordingly.
It takes practice to get the hang of doing the VED therapy, in other words, it is not a few times pump up and start the protocol. You should practice at least several days taking your time and watch for lack of sealing, the hair problem and any other item that may be causing not to get a good seal.

Lastly, remember that your penis probably has not been extended to the amount that the VED vacuum pulls it for a long time. So be careful not to overpump the pressure keeping this in mind. Let the penis get used to the added vacuum pull. Vacuum therapy does work for most guys, but it requires a bit of expertise in establishing a good routine by the user.

Another thing, you could possibly have a defective pump, so check to see if it is actually pulling vacuum. You can do this by placing the open end of the pump against the inside of your forearm and pump several times to see if you feel any vacuum pull. It should suck your surface skin into the face of the pump and hold it until you push the release button. If the pump is defective, call the company where you bought it for a warranty, etc.

Let me know if I can help further.

Old Man

Thanks,

I don't expect results right away but not drawing any blood in there at all is a concern. Especially when the other day I followed the same procedure and it worked a little bit. I'm a young guy (26) It has been 2 and a half years now since the "trauma" which really wasn't even painful and I'm still looking for a solution. Dr. Irwin Goldstein consulted with me about a year and two years ago when he confirmed the physical problem, and I wanted to try this therapy before discussing any surgical possibilities. I'm going to give this process a good year to evaluate any improvement.

I'm going to take some more time off in case there are any lingering injuries going on there and let them heal. I'll give it a week or two this time and try again.

But for the most part the suction should work and draw blood for everyone right? The science says it has to work inside the cylinder for me.. it makes me suspect I had to have been doing something wrong before but who knows..

brger88:

You just have to make sure that your pump is actually pulling a vacuum. Then you have to determine if you are getting a good tight seal around the base of your shaft. The rest of the story is that you have to work out the process of getting both of these conditions working at the same time.

It just takes practice sometimes to get things working together for you. Patience and caution with the amount of vacuum you use are the watchwords for VED therapy. So take your time now, be patient and work with trying to establish a procedure that will get you going in the right direction.

Old Man

I started again last night after taking time off after the discomfort. I am happy to say you were right Old Man. I followed the directions on the site and your advice in this thread and I got a good seal and no longer had any pain or discomfort when following the routine that was posted. The 2nd time was definitely a success now I'll get into the routine of doing the exercises.

hi guys,

first, my routine described below is based on my own experiences with the one cylinder therapy and they are not writen in stone.
don't apply this much holding time or pressure if you are doing the three cyliner therapy with the small cylinders, it will very likely damage your penis.

i'm still hanging in there with the ved one cylinder therapy and wanted to give some feedback 32 days and 35 sessions later (sometimes i did it twice a day).

my hernia is "fubar" but not keeping me from doing the routine in fact it's a good warn signal for me and it keeps me from overpumping most of the time.

i noticed the the diffuculties as brger88 regarding lag of an erection despite a very good seal. thats really strange to me and i don't have a clue what it might could me. i had an 10+ erection when i used the ved the first time with just four pumps. ( i got the august soma response II manual ved) and like brger88 i guess i pumped it a bit to much a few days ago and had kind of a tingnling or sunburn kind feeling just a very little bit left to my scar tissue. i did not stop with the training but i'm even more cautious with the pressure now. that tingling feeling is still there but seems to calm down slowly. i wonder if it is even a good sign a sign of improvemnt maybe?

i learned one thing the hard way after my hernia braked up again while i was forcing an erection after pumping it maybe 15-18 times!!!
that was beyond stupid! to all rookies, don't do that. 2-6 pumps according to the manual are enough! if you can't get an erection with it you are not going to get one with a harder pump but you will very likely injure you.

my erections inside the pump are most of the time about 30% inch longer compared to my flaccid penis lenght and a increase in girth of about 70%.
so my erections inside the pump are way smaller than my natural erections that i have during masturbation.
however i feel a very strong stretch after 4-5 pumps and my glans looks pretty filled with blood and my veins are very well visible along the shaft. i don't stress myself anymore with the lack of an 10+ erection during the ved session more important for me is to do the practice everyday. it's about stretching the scar tissue and at the same time forcing the blood inside the damage areas and that is exactly what the ved does even if not 100% erect or maybe even better when not.

bottom line:
i have the feeling that something is happenig. it feels to me like my shrinkage has become a bit better but it's still not gone.
this morning i went with an 90% erection to the toilet to pee it shrinked back to 0% pretty fast but before i started the ved therapy i had no reactions like this since i developed this curse. in fact i hadn't spontaneus erections bigger than 70% erect and that very rarely.
i feel a bit sore during the last few days along the lenght from the base to the beginning of my glans where i always had and still have that cord like feeling?! i hope thats a good sign.

just wanted to share my experience.

good luck,

luka

p.s.

i think the fact that i'm not able to get a 100% erection in the ved most oft time is that the scar tissue which is also responsible for the shrinking look is still there. when i'm trying to pull my soft penis gently with my hand i have the same response most of the time, i can feel the resistance which i couldn't feel before this disease.

first, my routine described below is based on my own experiences with the one cylinder therapy and is not writen in stone.
don't apply this much holding time if you are doing the three cyliner therapy with the small cylinders, it will very likely damage your penis.


i extended my sessions to 20-30 minutes while using the first 5-8 minutes low pressure around 3 pumps with the augusta ved.
than i hold between 25-30 seconds (4-5 pumps rarely 6 pumps depends how my penis reacts this day sometimes 4 feels to much and the other day 5 seems just right) and i pause for about 15 seconds
a ten minute warm up with a heat pack prior to the session is also part of my training.

i think beginners shouldn't do longer sessions than 15 minutes at the start and see how their penis reacts to it.
as old men said and that is even the advice that some online shops which are selling veds claiming that they can enlarge the penis - less pressure  is more.

we have damaged penises so we have to be very cautios with the pressure, remember that.
my uro said she sees no risk going with pump but of course as with every kind of physical training you have to take care of your body
and listen to his signals. did a lot of sports in the past and i'm a wreck right now in my young age because i have never listend to my body.

most exciting about the pump to me is that i'm doing something proactive. so far i'm still not noticing any permanent changes in my condition but for the first time in years i can feel like something is working inside my flaccid penis and that daily. hard to describe but it's not a bad feeling at all in fact it feels like blood has reached places were it hadn't been for years. that feeling comes in pretty short bursts and is leaving as fast as it came but something is going on.

luka-brasi:

Suggest that you specify in all of your posts about holding times that you are using the one cylinder VED therapy. Holding times for the three cylinder model VEDs should not beheld that long due to the small and medium sized cylinders being more confined. They need to have less holding times and times between pump up cycles to allow for a faster engorgement and relaxing time to recover, etc.

Old Man

you are right old man,

thanks for the hint.

did it.

luka

luka-brasi:

Thanks, this should help a lot of guys using the one cylinder VEDS.

Old Man

hi guys,

i would appreciate your opinions on why an erection can't be achieved with the pump.
my seal is very good, trust me so this can't be the reason.

the first time i used the pump it was awesome and easy with the augusta ved and just four pumps i reached an erection that
made my eyes watering. i was able to see my old penis in the first time since four years but since then my erections are very weak inside the pump even with more pumps then when i had that great erection. i descriped this issue on my previous posts.
since the first awesome session i was rarely able to get at least a good if not superb erection in the ved.
today was one of my worst pump session measured on the erection again it can't be the seal.
i know doing the the session is probably better than doing nothing even with a weak erection but my blood flow and the hole feeling hours later (nightly erections, erections when masturbating) seems to be much better after at least a good erection in the pump which occurs on maybe 1 out of 8 sessions.

is it regarding the scar tissue? i don't really know.

i would be glad about any input.

luka

LukaB

Are you getting ANY expansion or stretch when in the VED under vacuum?

When pumping do you feel the cylinder drawing closer to the abdomen?

Luka,

Sometimes I think I've got a good seal, but the vaccum slowly leaks and I don't get a very good erection.  When that happens, I have to guard against getting impatient and over pumping the pressure.  In fact, I had that problem yesterday.

This morning I doubled up on the amount of gel and got a complete seal and had no problems.

My advice is to keep your pubic hair trimmed and shaved around your penis, use plenty of lubricate, don't over pump even if you're not getting a good erection and be patient.  I've been using the VED for 8 months now and I still don't have it down to a science.

GS

Luka

When you made your eyes water did you feel pain?And if you did where was that pain?
You may have created a injury and need to lay off it for a while.Or could be you are pumping to fast and need to go a little slower,pump and release until you finally grow in the cylimder.I have run across this problem myself before.Relax and take your time brother.

Sometimes it can be tricky make sure you lube the inside of the cylinder walls at least half circle. This will help you glide and not stick.Remember do not over pump, any discomfort back off the pressure.as to what gs said abut lubing the surface of the seal that goes against your skin is most important.

Fubar

hi boys,

first i want to apologize to mike_o and furbar and i don't know who else. sorry that i still did not answer on your pm's.
i'm not in a writing mood this situation makes a roller coaster out of you phsychical condition.
all of you who have this disease know what i'm talking about.

all the good advices regarding the seal are not the problem trust me.
shaved and lubed up properly and i can feel the cylinder pressing against my body so...
i regognize a bad seal very fast which in my case can be due to much hair or a lack of lube.

i think i'll try fubars method with the slow pumping and holding pumping a bit more release and so on it helped me in the past
and maybe i was to impatient the last days.

i think its all because of this shrinking feeling that stiffness that i walk around most of the time.
even my testicles are shrinked back to maybe half of their size. they used to hang pretty relaxed and low years ago.
the only way i can get that "hang" back is after i used the heat pack for 15-30 minutes while watching tv.
the heat makes all looking good and relaxes but not lasting for long after i remove the heat pack.
the weird thing is that all the uros are saying that the blood flow is good in both testicles but they feel cold when they
are shrinked and thats what they are most of the time so does my penis.

did any of you ved users here have that shrinking ans stiffness issue. i know its pretty common here on the board.

the next thing i noticed is that my penis starts to hang soft and relaxed almost instantly when i start urination.
but comes back to the old stiffness pretty fast.

thanks for your help and time i really appreciate it.

luka

I just purchased a Vitality OTC from wisdomking.com (thanks for the pointer) and am awaiting arrival of that, plus two additional cylinders from Augusta.

My partner is...um...not excited about its arrival.  I really had to nudge him into trying this, saying many here on this board swear by it.  He's willing but the idea of sticking his dick in a vacuum tube is more than a little off-putting to him.

He wants my help/presence when he tries it at first.  So, any tips from you guys on what can make it easier?  I've bookmarked the relevant "protocols", I've got the shaving cream tip and the strong warning to NOT OVERPUMP.  It's just his reluctance I have to overcome.  did anyone else feel resistance at first to this idea?

Does it feel uncomfortable or pleasurable or neutral?  Can someone describe what the physical sensation of pumping is like?  What can we expect in terms of visible changes (it will in theory get erect, right?) and how long will it last?  Is this something we could incorporate into our sex life?

(Note that he is still able to get erect, although perhaps not quite as strongly as before, so he won't get the "oh thank heavens I can get it up again" reaction.)

You should get a few responses in the next few days - here are my comments based on my experience:

VED therapy is effective because of the daily frequency - so for me this is a daily habit like exercise or brushing my teeth.

Therapy sessions are not particularly sexually arousing for me but I suppose they could be for someone. I am glad the session lasts only 20-30 minutes because it gets boring.

While I applaud your willingness to participate in the therapy - for me, this is a literally a "1 man" job - not that I keep any secrets or am embarrassed in the slightest. If I get bored, I can only imagine how my spouse would feel. We do not make therapy a sex thing.

Using the VED takes some experimenting and practice - you can read the history here on this board of the struggles some guys have had - most, if not all, issues are overcome with experimenting and practice.

The visual benefits of VED therapy take a while to show up so don't expect changes each and every day. The mental benefits are huge and immediate - here's why: most guys with Peyronie's have few options from the medical community but doing nothing is not so good for the head (as in between the ears), depression, anxiety, frustration and lots of other emotions are common. VED allows us to do "something" each and every day usually with some perception of improvement over weeks or months.

Hope this helps.

Mike_O

bdozer,

I am now in my 2nd 26 week protocol and have really gotten comfortable with the VED.  When I first started using it, I was nervous as hell and it probably took 12 weeks of using it to get just a "little comfortable".

I use it as a medical device trying to help a very serious condition and not as a sexual toy.  IMO, that's the way to use it for the first 26 weeks.  After that, and as your condition improves, you can use it any way you want.  And, don't underestimate the harm you can do by abusing your penis with too much pressure.

Also, when you first start using the VED, you will probably have a little tenderness in your penis for the first few weeks while it is getting used to being stretched.  My advice is to not attempt having sex for a few hours after using it.  Otherwise, a little tenderness can turn into soreness.

I hope this advice helps.

GS

Thanks GS and Mike_O!

It does sound like a "one man job" and I think eventually that's how it will be but no way is he going to try this thing without me there the first time, he made it clear.  He's counting on me to read all the advice on here and tell him how to do it.  Which is funny since I ain't got one o' them things (and if I did I hope it would be straight!)

I know it's not a sex toy, but always looking for a way to make an unpleasant or annoying chore a little lighter.  :)

Just as you say, I think there is psychological benefit to just doing something.  The VED is something he can do.  I need something I can do.  (right now it's reading all the back posts in these fora and ordering supplements on line but if there was anything helpful that I could do that would be of direct help I'd jump at the chance).

(He's also kind of reluctant to take the 9 million pills a day I think he should but that's another topic.)

Bdozer

You may try to get him to take a look at the forum and get active in his own research and recovery.
Like you said you do not own the body part infact there may be things of discussion that you can not identify with.

The use of a ved is something he will have to learn alone for it to be a truly affective treatment.I admire you for trying to help your man with this but it is more important mentally and physically for him to get involved.

Please keep us in the loop and let us know how you are doing yourself through this trying time
He is honestly blessed to have you after letting you go once, have him man up and take some risk!

This will not fix itself and will not go away overnight so the both of you need to be active and patient.I know you are doing work but he needs to get active and visit the forum so he knows he is not alone and we all have this thing to work on and we have all of us.

This forum has taken a big weight off my shoulders  and given me much relief .

Good luck and take care, fubar

Bdozer;

I hated the whole idea. Frankly, all of the treatments for this disease suck (bad pun...). And I am in the relatively early stages of post-op recovery, so I am on both traction (FastSize) and the VED and so far (1 month in) I have not let my wife see me do any of it. She has seen the FastSize device when it's not being worn, but she hasn't even seen the vacuum pump and cylinders. Hooray for separate bathrooms!

I am approaching the treatments very slowly. I started with too much traction the first week and scaled back a bit (the FastSize documentation for Canadian customers has been converted to metric - except the conversions don't actually match the pieces I was sent, and FastSize hasn't answered my questions about that...). The vacuum pump - I only pump to a comfortable erection size at first, and then a teeny bit of a stretch. I have a gauge and have found that going to -4 is about as far as I feel comfortable with right now. I have no sensation post-op, so I can't really go by feel. I will likely increase that pressure slightly when I start the next phase on the small cylinder.

I just started today with the vitality otc model.  It felt really awkward to say the least

I can't use the A cylinder right off the bat, it's just too small and uncomfortable.  I was experimenting with the B and C tubes, and noticed how difficult it would be for me to pump to even near a full erection.  All it feels like is how it would feel if you push your fingers against your pubic bone and watch your penis pop out an extra inch flaccid.

The only thing I notice filling up is the head, which is not what I'm trying to target.  The very bottom base will start to suck in if I pump any harder, and that scares me.  I don't even get a stretch in the shaft where I want it.  If anybody has any suggestions on what I'm doing wrong, please tell me.  I feel like I just wasted a bunch of money.

You need to go to the VED thread and follow the 26 week Protocol permanent post by Angus. You can also print out my spreadsheet for tracking your sessions. It is a locked in post on the VED page.
You will find that you need a lot of lubrication when using the small cylinder. Sometimes it takes a lot of pumping to get the VED to begin but then you just pump , release  15 to 20 times per session.

ChefCasey-
I am now in my 3rd week and I can definately relate to your concerns.  Old Man provided some words of wisdom for me because when you first start, it's the proverbial "monkey and the football".  It took me about a week of experimenting with all 3 tubes before I realized the "A" tube would work.  It is cramped as hell but I believe the idea is to stretch laterally, not girth-wise at the onset.  My Vitality unit came with 2 rubber rings and the smaller one is almost impossible to use.  After going with the larger rubber ring, my sessions are much more comfortable.  I have been extremely careful to not overpump!!!!!  Once you get the hang of an erection in the tube, I think you recognize the feeling of your penis trying to expand against the plastic which is a different feeling than if you are pumping too hard.

Some days are different where you locate the rubber end of the base.  If you feel discomfort, move the unit around to try and only get the base of the penis at the tube.  Also, use lubricant on the rubber end and trim your pubic hair.  Again, the critical thing is take your time.  Some sessions it takes a half dozen or so pumping and releasing before blood starts flowing and you see any "stretching".  Not to sound kinky, but it's kind of neat to see a "straight" erection again when your penis is in the tube! 

As I have read many of the posts here, I feel fortunate in that erections are not my problem, it's the bending.  I've got about a 30-40 degree bend a couple of inches before the glans and it is very uncomfortable for my wife.  Needless to say, our sex life is strained.  Anyway, after 3 weeks, maybe it's wishful thinking but today, it sure seemed like my erection was greater in circumference, as well as straighter.

I plan to keep on the program and start Pentox this week.  Still trying to decide if I want to go with Ubiquinol too or wait to see how the Pentox does by itself as a test study.

Hope this helps and feel free to respond to my individual post if I can help.

I also have a question about VED usage. You're supposed to pump up to erection then hold the vacuum for ~10 sec, then release it. After releasing it are you supposed to immediately pump again or wait until you are flaccid before pumping?

GDC:

OK, you release the pressure, but hold the VED firmly against your body while the vacuum pressure deflates. Then, I suggest that you let the penis deflate as much as possible before pumping up again. However, do not remove the shaft from the cylinder as some say they do between pumping cycles. This will not allow for the best overall pumping conditions.

Use plenty of lubrication when you do the VED cycles at all times. You do not want to go "dry" with any VED therapy sessions.

Old Man

I am in my fourth week and through trial and error, along with reading the advice on this forum, have settled into a nice daily routine. So far I have only used the tube that came with the device, and for now that appears to be adequate. For sure I am not restricted by any means. My curvature to the left of course favors the left side of the cylinder, and, as length is no issue, I'm a little hesitant to spend the cash on the next size cylinder and not see any benefits. I am able to use either size of the two supplied rings and do alternate them from time to time. Since I have lost so much girth and length, the smaller diameter ring actually works the best. I feel a little more confinement with this size, but not so much as to feel any type of restriction. Lubrication is a must and I also did the trim job after a couple of times of having the hair pulled around the base. As of now I can't say I have seen any appeciable improvements, but have only begun the routine.

Hello All,
I'm looking at buying a VED.  I was just wondering if I could get recommendations from those who have purchased and used  a VED.
From what I've read, it seems the purpose of these devices is to  promote  an erection that can be sustained for 20 to 30 minutes, without ejaculation.  I've  read about  seals, rings,  lubrication, and shaving,   but having never seen a VED,  am not sure exactly how these play a role in the process.

Are there physical stores that offer these devices so that I could visit one or two, have a look at the devices,  and ask questions,  before ordering online?

The following sight recommends the Encore Revive  system.
http://ezinearticles.com/?Vacuum-Erection-Device-Reviews-For-Erectile-Dysfunction&id=2293916
He says it comes with 7 rings.  I'm not sure what that means – i.e. what is the purpose of the rings.

Allegro advertise the standard battery-powered Encore VED for $93.95 at
http://www.allegromedical.com/impotence-c574/encore-standard-battery-powered-vacuum-erection-device-p211164.html

Amazon  advertises the deluxe battery and manual  Encore  for   $135.
http://www.amazon.com/Encore-Deluxe-Vacuum-Erection-Battery/dp/B001342B9U

At this point in time I don't know the difference between a standard and deluxe version, or
why a battery-operated version might be better or worse than a manual one.

Also,  are the instructions easy to understand?
What sorts of problems can I expect to run into when first using the device?

Thanks in advance,  Zeppo
   

#1 do more reading here on the discussion board particularly the "sticky" posts at the top of the board.

#2 battery powered VED is NOT needed for the therapy we are doing and, in fact, is a BAD idea as it leads to over-pumping, i.e. too much vacuum.

#3 there are lots of options for VEDs including cheap, home-made. Perhaps others will recommend specifics but I will not any longer as the purchasing has gotten very strange. My suggestion is do your research and make your own decision.

thanks for everyones reply,  I have decided to go with the 26 week protocol, using only the B and C cylinders, since girth is my only real problem.  I experimented with a traction device, but the thing causes too much discomfort even at 2 inches below my erect length, so I ditched it. 

I will update once a month with my results

My first VED, a manual one with a gauge and 3 cylinders, did not hold up very well. Reluctant to spend more money, I went on EBay.

A seller who goes by the name leluvshop had a heavier-duty manual pump and a 1.75" cylinder. I already had 2", 2.25" and 2.5" ones. Anyway, for less than $100 I got the pump and cyclinder sent by courier internationally. It arrived promptly and it not only works just fine, but it also fits the other cylinders.

I am a little behind on my VED therapy plans because it took me so long to get around to ordering the replacement pump, but I am pleased and now back on the protocol.

I've been using the Augusta single cylinder VED for about 2 weeks now (still waiting for other 2 cylinders to come). I am getting good seals and suction, but I never get an erection in it.  My penis only slightly engorges, and even that may just be my imagination. I definitely feel the plaque side of my shaft being stretched and I generally pump up to the point where this side would hurt if I pumped once more. After a session, my curvature is generally worse and the plaque feels extremely hard for some reason. However, I do think it has helped my erections during sex become harder. Has anyone else had such an experience with the VED? Do you think I should continue using it? maybe the smaller cylinders will help

GDC:

You are not really having a problem with the VED therapy. In the beginning of VED therapy, your penis will not engorge as much as you think it should. Remember, that it probably has not had that much blood flowing into it for quite some time. You must go slow and allow the erectile tissue to learn how to expand again. When you get the two extra cylinders, practice using it for a few days before embarking on the schedule of daily exercises. Be extremely careful not to overpump the pressure at any time when using the VED. VED therapy is a case where less pressure is much better than more, so remember that. If you experience any pain or discomfort when pumping up, stop and determine the cause.

One primary thing to remember is that you must use plenty of lubricant so that the head and shaft portion will slide up and down in the cylinders easily. If you do not use enough to provide a slippery surface, you will feel irritation and that can cause edema (swelling) and you must not allow that to happen. If you do cause any damage to the skin or experience swelling, stop the therapy sessions until the damage heals.

So, bottom line, be careful with the amount of vacuum and use the right amount of lube.

Old Man

How much swelling is problem?  I generally have a little swelling in the tissue below the glans.  It's puffy for an hour or two.  I just haven't worried about it, but it doesn't completely go away either.
KAC

How much swelling is "too much"? Good question. The rule I use is I don't do therapy if there is visible swelling and, going forward, I adjust my protocol to avoid future swelling.

For example, if I am doing 2 therapy sessions in 1 day (morning and evening) and just prior to evening session I notice swelling (edema) then I skip the evening and make a note in my log - meaning that the morning session vacuum was too high or hold time too long or both.

With some experience the swelling is easily avoided but it takes some practice.

Our challenge is we become impatient for results, thinking more (vacuum and hold time) is better - which leads to further injury.

Alright, I've been trying with this thing for a month now, and I just can't stop getting my scrotum sucked up into the thing.

I've been shaving my pubic hair and using plenty of lube.  I just don't think there's any way around this.  I get a good seal and I can feel it, but my scrotum skin is directly under my penis base and no matter what I do or how I position it, it's the softest most flexible skin, so naturally the pump wants to suck that part up first.  I've even tried gripping my balls and holding them so they don't get sucked up, and to no avail.

Does anyone have any suggestions before I scrap the protocol?

Casey- I ve had a lot of problems with trying to start to use the VED regularly due to pain but I have found a few tricks for the problem your having. One do not put lube on the very end part of the shaft where the penis connects to the body approx. 1/2 inch to inch before the penis meets your body. Sometimes I would have to use the large black insert some times both large and small black insert together. It seems for a few days the large might work better then a couples days later I would switch to the small and it would work better. If I found one not to be working too well or pinching I would switch them out while I was using the VED. I also experianced a few times when no matter what I tryed I still had the problem. Usually I tryed my best used less pressure and just tryed again the next session. I also would hold the testicles lightly till the VED seated against the body so it was harder for the skin to slip in the seal.

Also be sure to lube the inside of the black inserts in the tube. Not enough lube there will make the VED need more pressure then usual before it makes a good seal against the body causing it to suck up your skin. With the right amount of lube it will make a good seal before the pressure gets too strong and sucks up your skin.

Hope this helps a little. I wish you the best of luck been following your story. This is my 4th year with Peyronies Disease the beginning was really difficult mentally for me too. Hang in there it will get better for you in time too.

Note to Woodman and Chefcasey26:

Read your posts with interest since the problem you guys experienced is very common. Lube must be kept away from the very base of the shaft where it meets the body and above all away from the scrotum itself. You know what happens if it gets on either or both.

Now about the black inserts that come with the Vitality OTC one cylinder VED. You must use one or the other of these inserts when using any or all of the cylinders. When using the small A cylinder you should use both black inserts to prevent a "pinching" of the shaft skin in between the A and B cylinders. When using only the B and C cylinders, you may or may not need to use both inserts if your size does not need both.

You must use also use both the small and large black inserts when using the B and C cylinders (if necessary as stated above) or only the large black insert based on your size. You also must always use the large black insert when using only the large C cylinder to prevent the edge of the mouth from cutting into the pubic area. It will preclude the scrotum skin from being drawn into the mouth of the cylinder if you keep a firm pressure of the entire VED against your body when pumping.

Try the above tips to see what happens. You might need to practice doing these a few times before getting the hang of how it is done.

Old Man

Edited: 2/3/11 to clarify the insert suggestions in the last paragraph from my original post.

ChefCasey, I had similar trouble for a while.  I also avoid putting any lube on the lower part of the shaft.  I do put some lube on the concave rim of the black insert, but only on the inside edge. Once any lube get on the outside of where the seal is made, that's the skin that gets sucked in.  Hope that helps a little.

Note to all:

My post #71 below has been edited to clarify the use of the black inserts when using the B and C cylinders only.
Please take note of the changes.

Old Man

Just a quick note about lubricants.

I have used Johnson's Baby Oil since I started with the Soma device 6 months ago. It recently stopped working and when I complained they told me you should never use oil-based lubricants as it will cause the plastic and rubber based components to degrade quickly.

You should have a look at previous posts about water/silicon based products but avoid oil-based products apparently!!!!!!

I bought the Vitality OTC and the A & B Tubes separately from Augusta Medical Systems but need help getting started with the A tube. The Large sizing insert would work well with the OTC main tube, and seems to also fit well with the slightly narrower B tube. However, the small sizing insert doesn't seem to fit rght with the A tube. When I setup the A tube to use I do the following:
1) insert the B tube into the main OTC tube
2) insert the A tube into the B tube
3) insert the large sizing insert into the main OTC tube
4) insert the small sizing insert into the large sizing insert

the small sizing insert has the same diameter opening as the A tube which is good but the small sizing insert isn't quite long enough to reach the A tube so there is about a 3/8 " gap between the end of the small sizing insert and the A tube. That doesn't seem right as the shaft would be able to expand more in that area than anywhere else. Here is a little ascii diagram that I hope will describe what I'm talking about (left side is where the sizing inserts go / right side is the vacuum pump device:
      __
___|   |_____________________


   
___     _____________________
     |__|


Someone please let me know if this is the way it's supposed to be or if I'm doing something wrong. Should I have purchased the SOMAerectStf that comes with the tubes and sizing inserts made for each other? I hope I didn't make a mistake with what I bought.

Thanks!

hopeful one:

No, you have not made a mistake buying the VED package that you did. You have assembled the three cylinders in the right order. There will be a small gap when using the small sizing insert inside the large insert. That is the way they are made.

The SomaSTF has the same setup of cylinders and the same sizing inserts. You do not need to worry about that small gap and it should be no problem when doing the exercise cycles of the 26 week protocol.

Regards, Old Man

Quote from: Old Man on February 17, 2011, 10:32:58 PM
hopeful one:

No, you have not made a mistake buying the VED package that you did. You have assembled the three cylinders in the right order. There will be a small gap when using the small sizing insert inside the large insert. That is the way they are made.

The SomaSTF has the same setup of cylinders and the same sizing inserts. You do not need to worry about that small gap and it should be no problem when doing the exercise cycles of the 26 week protocol.

Regards, Old Man

Thanks Old Man, I appreciate the help!

Hi, a simple question:
Which is the difference between a natural erection and an erection reached through VED?

A VED device applies more pressure than a normal erection.  When using a VED device my erection is straight but with a normal erection I have a 15 degree curvature.  Using the VED every day has been proven in recent studies to stretch the penis and decrease the curvature.

I have there are a few aspects to how/why it works, but the most important thing to remember is that it does work for some men, and a recent study backed that up. That's not to say that getting regular erections isn't helpful too and maybe can even reduce worsening of a condition to some extent, but I certainly wouldn't say that you should view it to be the same as the VED.

Quote from: newguy on June 27, 2011, 11:07:37 PM
I have there are a few aspects to how/why it works, but the most important thing to remember is that it does work for some men, and a recent study backed that up. That's not to say that getting regular erections isn't helpful too and maybe can even reduce worsening of a condition to some extent, but I certainly wouldn't say that you should view it to be the same as the VED.

i'm italian and my english isn't perfect.
Can you explain the concept better? I didn't undestand.

Hello

The vacuum erection device uses negative pressure in the cylinder.Expanding your penis from the inside out.This is not a natural erection and pressure is greater than a natural erection.You may not expand like your natural erection but you are giving it a better work out and streatching the scared tissue.

Hope this helps : fubar

Hey guys,

I don't have erectile dysfunction, and I get erections while trying to use the VED. This is a problem, because it leads to overpumping. I'm not sure what I should do in this case. Should I try another form of therapy i.e. pentox?

Roy,

I don't have ED and I use the VED on a regular basis.  Just go slow and easy on the pumping and when you get an erection, stop pumping, hold the pressure for a few seconds and then release the pressure.  After I get my original erection with the pump, I usually only pump it once or twice and then hold for the rest of my therapy session. 

Getting an erection shouldn't lead to over pumping.

GS

About that gap, described below, when using the A cylinder.

When I pump, the skin near the base goes into that gap. When I'm done, there's a pretty puffed up ring around my shaft where the gap is.

Does anybody else have this problem? Has anybody tried to fill in that gap with something? My scar is very close to where the gap is, so it's a particular concern....

Samsabina re the gap

I am into my second year of 3 cylinder  VED treatment. I had the same problem with the largest cylinder.
What I did to stop the skin entering the tube was firstly - make sure the outer part of the rubber insert is lubricated. But not too much as it will become too slippery and facilitate the skin to migrate into the tube.
Also I use both rubber inserts when using the largest cylinder. And just stop and sort of readjust the cylinder  and push it hard against my body til I get a good seal. If that doesn't stop it , I just  pull the skin out and press harder til you get a better seal.
A note on lubricants
Oldman recommended EQUATE Personal Lubricant Jelly available at Walmart for less than $2.00 per tube. I stock up when we go to Florida in winter. It is a water based lube and works very well.
Hope this helps you.

Mike

Samsabina and others using three cylinder VEDs.

OK, the problem you and others are having with the skin being pulled into the gap is one that Augusta has solved with a longer or thicker, if you will, insert. As Mike says, using both sizing inserts will eliminate some of the problem, but the newer and better small insert solves the problem nicely.

Anyone having the early model Vitality and Somaerect three cylinders should contact the Augusta Medical Systems and ask how they can purchase the newer sizing insert. I got one just as soon as they replaced the "defective" one and it works great without a hitch or any pull of the skin, etc.

Now a word about lubricant - Mike is right, the Walmart Equate brand of lubricant is much cheaper and works equally as well as KY or the OEM lube that comes with the VED package when bought. Make doubly certain that you do not get any lube on the scrotum skin when lubing up for a VED session. Another tip is to clip off the long hair around the base of the shaft and they with a safety razor shave off the remaining stubble. This will allow a much better seal around the sizing insert(s) as the case may be and prevent the scrotum skin from being pulled up into the mouth of the VED cylinder. (Once you have starting the shaving routine, you must do this on a regular basis to that area clean of hair.)

Takes a bit of practice to get the hang of theabove suggestions, so be patient and the correct procedure will come to you soon.

I will address an answer to any and all questions about VED usage and any problems that may be encountered when using a VED.

Old Man

Thanks OM.
I emailed Augusta, and they seem not to know about it:

Quote
As per the sizing inserts I have not been made aware of any changes made
to them, but please feel free to contact me directly so that we can
discuss this inquiry.
18008278382 Ext. 1025

Thank you,
Juan Martinez(Csr) 

I will call and see if they will send me whatever the current ones are.

thats exactly the issue i have!

i have a great seal no scrotum sucked in and everything should be fine but erections are very hard for me to achieve, maybe in 1 of 3 sassions and that is a 80% erection max. the other times i stay under 50% errect.
more pressure would suck my hernia out of again. i have to stop after 4 or 5 pumps.

:(

Quote from: GDC on January 30, 2011, 07:49:10 PM
I've been using the Augusta single cylinder VED for about 2 weeks now (still waiting for other 2 cylinders to come). I am getting good seals and suction, but I never get an erection in it.  My penis only slightly engorges, and even that may just be my imagination. I definitely feel the plaque side of my shaft being stretched and I generally pump up to the point where this side would hurt if I pumped once more. After a session, my curvature is generally worse and the plaque feels extremely hard for some reason. However, I do think it has helped my erections during sex become harder. Has anyone else had such an experience with the VED? Do you think I should continue using it? maybe the smaller cylinders will help

hi new to the site. Wanted to say, all you guy here are an inspiration to me. I am 34 and had a active sex life up until 3-4 months ago. take into account my wife and i just had a little girl 10 month ago so a lot of sex wasn't a option until my wife "felt sexy".  she then lost most of her baby weight, and i got a bit more. first thing i noticed was a pain about mid penis, every time i had an erection. Bothersome, but i hadn't been getting any so i blocked out the pain.  it got to be more frequent, the pain that is. Now nightly erections were very painful.  it was now my turn to back off form sex. not my favorite plan but I was pain free.  i finally had to talk to my wife,because i just couldn't get an erection one night, too painful.all this time didn't have much of a bend but was noticing the build up along the top of my penis.

we got an appointment for a urologist in Olympia " Mount Rainier Urology " the doctor diagnosed me with Peyronies.  wrote me a script for 15% Verapamil. then the hassle began. $1500 for a year supply. that was the cheapest way to go. more $$ if you went month to month. not an option. called back and was told that was the only option i had. i had already been to this site and had read of other options. they wouldn't give me another choice, so i told them to shove it! 

Did a bit more looking on this site and found a Doctor at UW Medical Center in Seattle. by the way this Dr. rocks. Very helpful and knows his Peyronies.  Gave me a script for 400 mg Pentox  2x day. by this point i had a bend while erect and had little to no pain.

Now after taking the pills i feel better about myself, went through a bit of self pity and worthlessness, still wish i didn't fall into the 9% who get this darn disease. the wife likes me better now too!  but now i am really experiencing the bend, some pain and a tiny bit of the hour glass effect, mainly at the beginning of the plaque build up. still can have sex, but it is getting interesting, the angle is all wrong.  lol 

so i really need to know what VED is best for straitening, i am not too concerned about the loss of length, not saying I'm not gonna miss it. but i want to get rid of the bend. also what program should i use, how often etc... any suggestions would be great!!

Cmcurt

For a ved I would look into purchasing the vitallity otc.You may still be able to get one from diabetes 4 less.It is a medical grade device that many of us on  the forum.Last time I checked they were selling it about hundred dollars.

Fubar

cmcurt:

Sorry to learn that you have joined the Peyronies Disease family ranks! Fubar has given you some sage advice about which VED to purchases. As far as we know, the Vitality OTC one cylinder VED is still available for about $100.00 from this site:

diabetessupplies4less.com   (Copy and paste this URL into your web browser)

It does not require an RX from any doctor. You can order it direct from them via the web at the above site. There is a one cylinder therapy protocol listed in the VED board section of the home page index. Be sure that you read all the posts/threads listed in that board. There is a ton of VED usage information there.

We will be happy to field any questions you may have about VED therapy, so just post here or send me a PM if you so desire.

Regards, Old Man

Old Man
I wanted to ask about Dr. Levine's VED approach.
I have been following the pump & hold ,as detailed on our Protocol for 3 cylinder VED , for 15-20 seconds for a session of about 20 minutes per day since July 2010. I recently found the site noted below , and after reading his "pump and hold for 30 minutes " approach , am confused . After almost 1 1/2 yrs of the former useage with no results , I am inclined to try Dr. Levine's method for awhile.
I think his comments date back to about 2008.

This quoted from question posed to Dr. Levine on the alternate site: Peyronies Disease Advocates (www.peyroniesassociation.org)
"It is my opinion that a vacuum device, used properly, may be able to apply mechanical forces to the penis to stretch the scar and possibly result in some straightening. I have been using vacuum therapy in concert with intralesional injection of verapamil over the last year. My current protocol is to use the vacuum starting at 5 minutes and building up to 30 minutes, once to twice per day. These forces should be applied in a continuous, not in an "up and down" approach as has been suggested by one of the firms making the vacuum device.
  Therefore, as the individual becomes more comfortable with the vacuum application, they can maintain the vacuum device on the penis, without the constriction band, for as long as - but not more than 30 minutes. Exceeding this time period may create vascular injury to the erectile tissue.
  The goal is also to not only have the vacuum stretch the tissue, but the resulting curvature of the penis will press up against the interior wall of the vacuum tube which may also place mechanical forces to stretch and hopefully straighten the scar tissue.The recommended approach that I have used with patients (without any clear evidence of benefits as of yet) is to apply the vacuum once to twice per day in a progressive fashion until they could tolerate leaving the device in place for thirty minutes. Using a pulse of vacuum for short term (i.e. 5 minutes) may not be beneficial and may potentially cause injury."

The above is a direct quote from the site..

Would appreciate hearing your take on this. I suppose either method is beneficial but one of the top Uros , often mentioned here , appears to fully endorse the pump and hold method.

Thanks


Mike



Mike

Mike67:

I still disagree with the good doctor's approach to vacuum therapy. My personal uro and I developed the three cylinder protocol as well as the one cylinder protocol from her extensive research at a VA hospital in Georgia along with my working closely with her after my prostatectomy way back in 1995.

It has been demonstrated by my personal experience with several bouts of Peyronies Disease that the vacuum therapy can be very deterimental to penile health if not done properly, with the right amout of vacuum and not holding times as long as 30 minutes. Any tissue exposed to that amount of time possibly can cause the blood to get cooler than body temps and therby might cause damage to the erectile tissue.

From our experience and others using the VED approach, the holding time between pump up cycles should not exceed 2 or 3 minutes. We found that pumping, holding only for a few seconds, releae and repeat gives much better therapy to ones penis, etc.

The above is just my personal experience with the VED therapy.

Old Man

On this Thanksgiving day I'm thankful to all of you that have posted all the useful information. Bless you!

After spending the last three days scrolling through the posts, I want to include VED use in my treatment program.
I cannot afford a medical grade 3 tube VED. It seems my best course of action is to purchase the Vitality OTC single tube VED. I understand the importance of using the 3 tube protocol. I have read posts that suggest you can purchase different tube sizes for the single tube Vitality OTC.

Question #1?
Can someone provide info or a link to where you can purchase different tube sizes? I cannot find any info on the Augusta Medical supply site.

Question #2
I not quite clear as to what the mechanics are when you are using smaller tube sizes in a single tube system. Is it simply this?....Within the main acrylic vacuuming chamber, there is another smaller acrylic tube that would provide a snug fit when your penis becomes erect? Is this smaller tube just "free floating" or is attached to the VED device? If it is not attached, could you use an appropriately sized acrylic tube that could be purchased at a home store etc?

Happy Thanksgiving?

Spike

spike:

OK, you have asked about the differences between the single cylinder VED and the three cylinder VED. First, I must explain that the one cylinder VED is an over the counter medical grade VED and the three cylinder VED is NOT AN OVER THE COUNTER VED and it requires an RX from your PCP or uro stating that you an ED patient and require the use of the VED for erections. The company can only fill orders for the three cylinder VED with an RX.

Now, about the smaller cylinders that fit inside the large cylinder that is attached to the pump assembly - the small two cylinders fit inside the large one and they are somewhat free floating in that they do not physically attach to either the pump or the large cylinder - they fit inside it, etc. Their purpose is to close down the I.D. of the large one so that the shaft of ones penis fits snugly inside them when pumping up the vacuum pressure.

Now, the only we know at the moment to obtain the two small cylinder is by purchasing the three cylinder model. The extra cylinders were available at one time, but the company removed them from their web store some time ago. The one cylinder model can still be purchased at several sources.

The suggested sources for the medical quality VEDs at the moment are listed herein:

1. Vitality One cylinder VED can be purchased here:   www.diabetessupplies4less.com  It does not require an RX. The price is around $100.00 plus S&H for the manual model

2. The three cylinder VED can be purchased here:  www.augustams.com  It requires an RX from your PCP or uro.
The price is around $500.00 plus S&H for the SomaSTF VED manual model. The RX must state that the VED is required for ED and NOT FOR Peyronies Disease OR ELSE THE COMPANY CAN NOT SELL IT TO YOU SINCE IT IS NOT APPROVED FOR Peyronies Disease THERAPY, ONLY FOR ED THERAPY.

NOTE:  The above sources are not the only ones available, just ones that have been used by some of us on the forum. Go to the home page of each source and locate the men's health link for the Vitality and the Store link for the Augusta VED.

Some guys have purchased the one cylinder VED and then fashioned an inside smaller cylinder themselves by purchasing a tube from a local hardware or home improvement store. Lowe's and Home Depot have been cited as sources some guys have bought the tubing and made their own smaller cylinders.

Perhaps one of these guys will read this post and advise you how they made theirs. Be careful as to the length inside the large cylinder though so that any sharp cut edge is smooth so it won't cause any damage to your penis.

Old Man

HAPPY THANKSGIVING TO ALL~~

Well spike, you didnt fill in your location.
If you are inside the EU
you can get the 3 cyl model without rx at:
http://www.imedicare.eu/products.html
its around 240 british pounds.

I read in a post about a user in Canada who called augusta.He did not have a prescription:
https://www.peyroniesforum.net/index.php/topic,1626.msg30866.html#msg30866

QuoteI then called Augusta and they do not have any Canadaian distributors. I thenm asked about the smaller A nad B cylinders and she said they took them off the site and they are only available to people who have the SOMA Erect system already. Ugghh! Then I asked if I could buy the SOMA Erect and if I don't have a precription, it will be $595, plus shipping and handling - WOW, that is a lot of money!

I checked the website, and the model is now $648.00 plus shipping and handling

Luc

Quote from: Old Man on November 24, 2011, 07:39:50 PM
spike:

..... Lowe's and Home Depot have been cited as sources some guys have bought the tubing and made their own smaller cylinders.

Perhaps one of these guys will read this post and advise you how they made theirs........Old Man

HAPPY THANKSGIVING TO ALL~~

  You absolutely can make your own small cylinder VED. This is one I made and have used for years with great success. Inside diameter 1 1/4" vinyl tubing, a PVC cap and an inexpensive pump with vacuum release. It does the job and does it well. It can be made for 25 or $30 US with hardware store parts and an inexpensive hand pump. Years ago I made 3 VED's of various sizes to use the 3 cylinder protocol and used all with great success. The home made VED does the same thing as a medical grade VED but without a comforting name brand on it. Lack of money should never stop a man from having a vacuum erection device. I know that making and using a vacuum erection device isn't for everyone, but they work for me and are a viable option for those that just don't have enough money for medical grade units.
   The black object on the VED is a vacuum gauge. You do not have to have one of these. I put gauges on my VED's to know the Hg measurement of the vacuum, but it is not necessary for VED therapy.

Angus:

Great job with the picture of your expertly self made VED. There is absolutely no reason why it would not work for anyone with the ability to copy your design and make their own!

I have checked out all the parts at the sources I mentioned and are available at very low cost. So those who have the ability to "make things work" should explore this avenue of obtaining a VED. The pump must come from whatever source one can locate one. A search on line will bring up many sources as I found out.

Regardless of what some doctors/uros say about vacuum therapy, there is definitely no harm in obtaining one and using it. VED therapy is not an overnight "cure/treatment", but with patience and careful use, it can and will increase the chances of helping with more blood flow, increasing the size of ones shrunken dick and help with erections. I am speaking here from personal experience with over 58 years of time with Peyronies Disease symptoms!!!

However, it would only be fair to state that there are some "difficult cases" of Peyronies Disease that do not respond quickly to VED therapy and in a very minor percentage reap no benefit at all.

Old Man

Old Man, dead on. Your post is a summary of what we've been trying to say here for years. New guys, read his post... twice. Then remember it.
I will say it in different words: the vacuum erection device is not a cure or magic bullet that works in the short term. The VED, for us, is for physical therapy: rehab or rehabilitation. This is no different from the machines and devices used for rehabilitation after knee or shoulder surgery. Peyronies disease is an injury and must have physical therapy right now because there is no pill, so far, that straightens out an injured penis. The VED can't restore damaged tissue but can help re-model what you have. For me it was better to make the VED's and get on with physical therapy because the magic bullet pill wasn't there then, and it isn't here now. Some guys report failure, damage and injury from using a VED. I feel that is because of lack of information, training and understanding what a VED does.

Today was my first use of the VED.  I've had Peyronie's for about 2 years with a 50 degree upward bend midshaft with mild circumferential hourglassing.  No pain, very soft plaque, moderate ED.  My uro was of the thought that the options were surgery (which I'm not even thinking about) or just keep on doing as usual.  Sex is a bit uncomfortable in some positions and quicker than we'd like.  He had no negative things to say about trying the VED other than not to be disappointed if it doesn't work out.
I have the Vitality OTC single tube device and was able to get things lubed up and played with it a bit.  The problem I'm having is that the glans expands to normal erectile size under vacuum but fully contacts the walls of the tube, acting like a plunger in a manual bicycle pump.  With the vacuum in the tube, I can slide my finger inside the tube at the base of my penis, let air in, and the glans expansion doesn't let the air past it.  I can pump a bit more and still pull the head up, without any vacuum on the shaft.  Without vacuum on the shaft, I'm wondering if I'm going to have chance at any improvement.  The penis head has always been wider than the shaft, even when flaccid.
Any thoughts from the group on the situation?  I'm kind of thinking of some type of bypass tube to the bottom of the device chamber to get vacuum down there.  There's about what looks like 1/8" space around between the shaft and the tube wall, so it's not slam against it.
That is all new to me.
Thanks.

Barryp,
Go to the memberlist and find "Old Man", and send him a personal message. He might see this and send you a message first. He is our leading forum expert on the use the VEDs.

Les

Old Man and I PM'ed back and forth and he described what I have as a mushroom glans.  It's the only one I have and never thought of it as anything aside from average.  I am "thickly" endowed, I guess.  I was thinking of ways to rig up some tubes to get 2 1/2" or more diameter to accomodate the head as it expands under the vacuum.  I instead decided to modify the glans.
Not as traumatic as it sounds  :o.  I used a finger cot (basically like a single finger latex glove or snug condom).  This was trimmed to make a cover for the glans that went just to where the corona meets the shaft.  Being elastic, it compressed the head to about 1/2 the shaft diameter.  As vacuum was applied it expanded to about normal erection head size which is less than the I.D. of the tube by just enough so as not to stopper the pressure (plunger effect).  This allowed the vacuum to get past the frenulum (the dorsal of the head is still up against the tube because of the bend), and around the neck (as the urethra is smack up on the ventral side of tube), and got the expected shaft engorgement.  As a side "benefit", I'm not getting as much negative pressure on the glans, so less risk of aching as the elastic conterpressure keeps it from over expanding.  Also, I apparently don't have a need to stretch the glans tissue.
I'll be getting used to this, going slow and gentle, and will start on the one tube protocol over the next months.  Maybe by Christmas or so, I can report on some success.

I don't recall anyone posting with that problem before, but is a great suggestion.
thanks.

les:

In some of the sex toy web sites, they have listed a penis stabilizer that guys who are diabetic can use to support their penises due lack of a firm erection.

Somewhere in the past I have seen several guys who used them with great success. These devices may or may not work for this problem. Maybe someone will purchase one and test it out to see if it would work, etc.

Old Man

I have a question...are you supposed to use these devices daily? Is it for rehab purposes? No one has stated when, how long to use them. Do you primarily use it before intercourse? What if you don't have a problem with getting an erection? Any help would be appreciated

stnlycp:

When you say devices, which to you mean - VED, traction or the the penile stabilizer? Both the VED and traction device should be used on a daily basis if at all possible. The penile stabilizer is used only when preparing for sexual activity when a firm erection is not possible, etc.

Since you state you do not have ED, then there would be no problem using either of these devices. However, the VED works best when not erect when starting the therapy session.

The penile stabilizer only supports a partially erect (mostly for diabetic patients who can not get a proper erection and maintain it for sex) so that the user can penetrate with a semi hard erection and complete sexual activity with its use.

Old Man

What type of VED should I use. Also, I saw pictures of the bends and they bend downwards while mine bends upwards, any difference?

I have a simple VED that works fine so I can't recommend a specific one.
Regarding bends, mine is up and left. As I know, bends are coming in different directions and shapes.
My bent was originally down then turned up, left than turned right.
Now with my treatment (small hourglasses gone) remain an up banana shape and slight left bend caused by two calcified plaques.

James

Quote from: DannyOcean on July 15, 2010, 04:34:19 PM

#1 - So far when I use the VED I do get the engorging effect but not a full on erection. 

Same for me. Sometimes it feels really big and hard, sometimes only 70% even when trying for 100. Seems normal from what I've read here.

#2 - I've just started to using it and so even when I'm not fully engorged I do sometimes feel a pull that I would classify as a bit uncomfortable.

Same here. Not painful, but a bit odd. Third day in and I'm getting used to it.

#3 - This is the strange one.  Do any of you feel an urge to masturbate after using the VED and if so, do you?

First, not strange at all. Of course I'm not using VED for masturbation but for therapy, but for a man like me who's been celibate for five years, only occasionally masturbating with a semi-erect penis and low sexual self-esteem, the full erections I'm getting with the vacuum are a downright celebration. I've masturbated three days in a row now after starting VED with full, lasting erections, great orgasms and no c-ring. I haven't experienced anything like this in over ten years. There's no weirdness to me masturbation anyway, but I feel like in this case I can see very hopeful progress in my disease (it's ED I'm more concerned about than the curvature- I don't like my curve of course, but I'm seeing that it doesn't have to interfere with great sex, or even a good-looking penis when it's fully erect. So it has been happy results for me. I'm sure I too will not be masturbating every day after VED of course! It's an exercise alter all that I'll get used to and will become routine, but it's very exciting to an experience a good strong erection again after so many years.

#4 - Finally, what do y'all "do" when you are using the VED? 

I put on a timer on my computer that shows seconds and watch a documentary or something. I'm a total newbie but even so I'm trying to go with the flow of things. I've not experienced any pain (pressure, not pain) save some minor skin abrasion the first day I used it as a result of taking it on and off too much. Now I leave it on.

Philip64

I don't understand your post. :(
It is all a quote from DannyOcean, or the questions from him and answers from you?

James

Sorry- I didn't quote and answer correctly. I was just trying to give my first impressions of the VED, which were great! I'll get it right next time.

While I'm here, I have a question about gaskets. I bought mine here in China at a pharmacy. It only had one gasket. But after five days use it already is stretched out and the seal is weak/leaking at the pubic mound. I don't know if I didn't care for it correctly or if it's a bad VED. Or maybe I'm doing something wrong in getting it to seal. I'll go back to the pharmacy to see if they extra gaskets but it would be ridiculous to go through a gasket a week. What do you fellas think?

philip

Get the equivalent of KY jelly to use as a seal. Takes a little practice to get the right amount. Just put a good bead around the gasket.

Sometimes too much pubic hair will cause it not to seal properly.  A lot of men trim the hair and some even shave around there penis.

For problems send Old Man a PM he is the expert on VED's.

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

Philip:

Explain a bit more about the gasket problem. Do you mean the insert/gasket that fits on or inside the mouth of the cylinder mouth? This is supposed to make the fit and seal around the base of the shaft more comfortable and give a good tight seal while pumping vacuum.

If this insert/gasket has gone bad after only a few days use, then there really is something wrong about it. You are right about going back to the store where you bought it to make a claim for correction of the problem.

One tip about cleaning the VED: After using it you should wash it thoroughly with warm water and a soap solution, BUT DO NOT immerse the pump assembly in the water for obvious reasons.

Jack gave you some really important tips about trimming and shaving around the base of the shaft to get a better seal. I have done this now for a bit over 20 years with great success in getting a better seal, etc. BTW, you soon get used to the prickly stubble!!!

Old Man

PS: If you can locate a source of supply for it your part of the world, try to get the Augusta Vitality OTC one cylinder VED. It is of a good durable medical quality material and you would have no problem with using it. I think that there is a source of the Augusta VEDs located in Australia. Maybe someone from there will read these posts and kick in the location for you.

Old Man- yes, that's exactly the part I'm talking about. The insert part that attaches to the cylinder mouth. The outer edge is letting air in when I pump the device. It's still working- but not efficiently like before. It won't hold a vacuum.

I guess I'm going to have to do some research on where to get a satisfactory one. Even if the pharmacy where I bought it has replacement gaskets, it seems kind of doubtful that they would be any better.

When you wash the VED, you remove the gasket, correct?

Is there a link of illustrations (cartoon or photo) of how to use a typical single-cylinder device?

Philip- Old Man is without a doubt the resident authority here on VED and handles everyone of my questions. I have to agree with what Jack said.I actually shave the area where the gasket meets the skin.By doing so I no longer need to put jelly on the rim, but that also helps create a seal. BTW I have been using the same VED for 3.5 years and have never replaced a single part except the cock rings. It was a little pricey but it works and has lasted. Osborn Erectaid Esteem. Regards Inkhorn

Philip64:

Yes, you totally wash each and every part of the VED except the pump portion. The pump portion should never, ever be immersed in water since that will eventurally render useless. You especially need to clean the sizing insert.

Now, about assembling the VED for use: you must place a good amount lube all over the insert before placing it in the cylinder mouth. This does two things: one to let the insert seal good and tight before pumping up and it allows it to be removed easier if it should stick in the mouth of the cylinder.

I would suggest that you try this before going back to the source you bought the VED. The above procedure might just clear up your problem. Unless the insert is getting much softer and or getting stretched from use, it appears it would still be good, etc.

Let us know if this works for you.   Old Man

PS: Edit. Phillip, Inkhorn is right, trimming the longer pubic hair and then shaving the stubble will definitely make a better seal when pumping up. I trimmed off my long hair first, then shaved the area around the base so that no hair would be in the mouth area, etc. I shave about one a week down there now to present a smooth surface for the insert to seat and seal better.

Inkhorn:

Need some help from you. Your inbox is full in your private messages area. You need to delete some.

Old Man