The negative pressure device for erectile disorders: when does it fail?
Of 74 men with erectile dysfunction who used a vacuum device at home only 20 were satisfied with the erections achieved. The device was offered only to men who had not been helped by sexual counseling, self-injection therapy or venous surgery, and to 8 patients who had had problems with a penile implant. Fibrosis reduces the chances of success with the vacuum device, and only 2 of 14 such patients used it successfully. In all 9 patients with psychogenic impotence the device failed. Although 9 men did achieve erections with the device, they disliked it so much that they did not begin regular use. Our disappointing overall result was probably due to negative patient selection.
Meinhardt
W
W
Department of Urology, University Hospital Leiden, The Netherlands.
Lycklama a Nijeholt
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AA
Kropman
R F
RF
Zwartendijk
J
J
D000328:Adult; D000368:Aged; D004864:Equipment and Supplies; D007172:Erectile Dysfunction / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010410:Penile Erection; D010411:Penile Induration / Q000209:etiology; D017211:Treatment Failure; D014618:Vacuum