Vacuum erection devices revisited: its emerging role in the treatment of erectile dysfunction and early penile rehabilitation following prostate cancer therapy.
BACKGROUND
Vacuum erection devices (VEDs) are becoming first-line therapies for the treatment of erectile dysfunction and preservation (rehabilitation) of erectile function following treatment for prostate cancer. Currently, there is limited efficacy of the use of phosphodiesterase type 5 inhibitors in elderly patients, or patients with moderate to severe diabetes, hypertension, and coronary artery disease.


OBJECTIVE
The article aims to study the role of VED in patients following prostate cancer therapy.


RESULTS
Alternative therapies such as VED have emerged as one of the primary options for patients refractory to oral therapy. VED has also been successfully used in combination treatment with oral therapy and penile injections. More recently, there has been interest in the use of VED in early intervention protocols to encourage corporeal rehabilitation and prevention of postradical prostatectomy veno-occlusive dysfunction. This is evident by the preservation of penile length and girth that is seen with early use of the VED following radical prostatectomy. There are ongoing studies to help preserve penile length and girth with early use of VED following prostate brachytherapy and external beam radiation for prostate cancer. Recently, there has also been interest in the use of VED to help maintain penile length following surgical correction of Peyronie's disease and to increase penile size prior to implantation of the penile prosthesis.


CONCLUSIONS
VEDs can be one of the options for penile rehabilitation after prostate cancer therapy.
Department of Regional Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH 44125, USA.
Geetu
G
Pahlajani
Rupesh
R
Raina
Stephen
S
Jones
Marwan
M
Ali
Craig
C
Zippe
D001918:Brachytherapy; D003131:Combined Modality Therapy; D061345:Early Medical Intervention; D004867:Equipment Design; D007172:Erectile Dysfunction / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D010349:Patient Compliance; D010411:Penile Induration / Q000534:rehabilitation; D015917:Penile Prosthesis; D011182:Postoperative Care; D011468:Prostatectomy / Q000534:rehabilitation*; D011471:Prostatic Neoplasms / Q000532:radiotherapy / Q000534:rehabilitation* / Q000601:surgery; D016896:Treatment Outcome; D014618:Vacuum