Vacuum pumps- worth it?

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cowboy bob
Regular Member


Date Joined Sep 2007
Total Posts : 107
   Posted 9/14/2010 6:20 PM (GMT -7)   
This week, due to my ED from prostate surgery, I am picking up a $400 vacuum pump from my doctor.  Does anyone know if these work well? My doctor suggested I also use a Viagra tablet and warming gel.  Thanks, Cowboy Bob
 
(and hello to my old friends; I haven't been on here for awhile).

RIS
New Member


Date Joined Apr 2009
Total Posts : 7
   Posted 9/14/2010 7:48 PM (GMT -7)   
blush  Dear CB Bob,
I might not be the best expert in Minnesota but I know a lot, after two + years of very frequent and successful use of the pump.
Contact me personally if you want details.  A lot of trial and error has led to a technique and frequency rate my non PC freinds and colleagues would envy.  Worth every penny spent, if used as learned.  There are no easy or on size fits all, but in the case of the pumps, they absolutely do work.
 
Regards,
 
 
PSA: 4.9,   open Radical Recection, Mayo. 2/08  Both nerves taken, seminal vesicles taken, total prostate taken, diginity preserved.
                 Gleason 3+4, per and post op.
                 T2B,  Tetraploid Genetic variant.
                 Current PSA 0.10  (next PSA draw next week). 
                 Every day is a new blessing 
 

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 2368
   Posted 9/14/2010 8:02 PM (GMT -7)   
Some women are able to duplicate the action of the pump for far less than $400.. smilewinkgrin yeah tongue

Jazzman1
Veteran Member


Date Joined Sep 2010
Total Posts : 989
   Posted 9/14/2010 8:06 PM (GMT -7)   
Can you send one over? tongue

RIS
New Member


Date Joined Apr 2009
Total Posts : 7
   Posted 9/14/2010 8:06 PM (GMT -7)   
While yes it is true that oral sex (I suppose that is your point) can be acheived, a woman cannot gain and maintain an erection suitable for sexual relations, in the usual manner.

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 2368
   Posted 9/14/2010 8:08 PM (GMT -7)   
You sure about that? cool

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 2368
   Posted 9/14/2010 8:10 PM (GMT -7)   
"Some of those Keno girls can suck the chrome off a trailer hitch...<Willie Nelson>

cowboy bob
Regular Member


Date Joined Sep 2007
Total Posts : 107
   Posted 9/14/2010 8:33 PM (GMT -7)   
RIS: I am sending you an e-mail. Fairwind: Fortunately, insurance is paying 90% of the $400.

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 5953
   Posted 9/14/2010 8:50 PM (GMT -7)   
Regardless of the random comments about chrome and trailer hitches, some of us are partner-less and using the tools for the intended rehab purposes.
 
Yes, the pump works (for me). And I did get insurance to cover it (after three months of appeals).The scary part is that you see a critter you remember, but when you hit the button, it all goes flat too fast.
 
(The gel is needed to seal off the pump /tube. Be sure and use only water-based, lest the pump get "balled up", and the guarantee not cover it).

cowboy bob
Regular Member


Date Joined Sep 2007
Total Posts : 107
   Posted 9/14/2010 8:52 PM (GMT -7)   
142: That's why I'm thinking the Viagra will help.

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 5953
   Posted 9/14/2010 8:55 PM (GMT -7)   
After a battle with the ins. co., I get 8 20 mg. cialis per month that I cut up to get a ~5 mg per day dose. It does accomplish something, but having had the nerves clipped, it is less than what I hope for.

cowboy bob
Regular Member


Date Joined Sep 2007
Total Posts : 107
   Posted 9/14/2010 9:13 PM (GMT -7)   
I take one, 100 mg Viagra tablet. It's best taken in the morning, about 45 minutes before the act. That way you are fresh, and not tired from the day. Also, I don't eat anything beforehand. That way any fatty foods ingested the day before, which work against the Viagra, have been digested for a long time and not a factor. It works pretty well this way. I'm hoping the pump will make it even better.

Meryle
New Member


Date Joined Jun 2010
Total Posts : 9
   Posted 9/14/2010 11:07 PM (GMT -7)   
Perfect timing! 
I just ordered a pump on Sunday.   My Doctor recommends it, says he's tried it himself and it works great.  He said it is great theropy to get things working, I'll see.   I'm not really interested in drugs.
 
No hint of an erection since RRP (07/16/2010), the memory is there but no action, feeling great otherwise. 
 
 
Meryle
 
-----------------------------------------------
Age: 50 in good health other than PC
weight: 170
height: 5' 10''
No symptoms to speak of, Prostate not enlarged
PSA 10.4
Samples taken mid-April, 6 out of 12 samples cancer
1) gleason score 3+4 involving 30% Right Base
2) gleason score 3+4 involving 40% Right Mid
3) gleason score 4+4 involving 50% Right Apex
Bone scan clean except a 1 mm spot on left scapula
CT scan clean
Biopcy of Scapula was negative, Doctor says good/bad news, we want to watch it.
07/16/2010 - Laparoscopic Radical Prostatectomy (LRP) 1 nerve spared @ MCR, Loveland, CO
07/18/2010 - Home
07/20/2010 - JP Drain removed
07/26/2010 - X-Ray/Catheter removal (10 days)
07/26/2010 - Pathology: Gleason 4+3=7 Staged pT2cNOMX,
             Seminal Vesicles and Lymph Nodes clear, Surgical Margins Negative
08/26/2010 - 1st Post Op (6 week) PSA .03, DR. hopes for zero, next test in 3 months
09/02/2010 - 7 week Post Op, Climbed Long's Peak (14,259 ft), 16 hrs, 7.5 miles to summit,
4850 ft elevation gain.  Made it!, Good Test!
09/14/2010 - Still at two pads a day, (down hill hiking increases gravity and leakage)  
-----------------------------------------------
 

cowboy bob
Regular Member


Date Joined Sep 2007
Total Posts : 107
   Posted 9/15/2010 12:16 AM (GMT -7)   
Thank you, Meryle. Good luck to you!

Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 597
   Posted 9/15/2010 5:34 AM (GMT -7)   
Yes, in a word, pumps are a great idea. Two things: daily therapy keeps tissue healthier than if you don't pump. this keeps loss of size to a minimum. Second, if you can master the process, which takes practice, it is a great tool to have in your arsenal. There are times that drugs or injections just aren't the best. So, learn to use a pump and you can have huge success....pun intended.
Paul
www.franktalk.org ED website for PCa guys

46 at Diagnosis.
Father died of Pca 4/07 at 86.
10/07 PSA 5.06 (Biopsy 11/07 1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC www.roboticoncology.com
Saved both nerve bundles.
Path Report: Stage T2cNxMx
-Gleason (3+3)6
Pad free on March 14 - (10 weeks.) Never a problem since.
ED - at one year, ED is fine with viagra.
Two year PSA - undetectable!

cowboy bob
Regular Member


Date Joined Sep 2007
Total Posts : 107
   Posted 9/15/2010 5:54 AM (GMT -7)   
Thank you Paul! And I like the Undetectable!

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3278
   Posted 9/15/2010 6:45 AM (GMT -7)   
Hey Cowboy Bob,

I, too, thought $400 was too much for a pump so I made my own super sucker out of a plastic Guldens mustard jar. I slit a piece of tygon tubing lengthwise to cover the mouth end and make a seal, and used an automotive vacuum pump for suction. When I was bench testing the empty device, as I evacuated the chamber suddenly the container collapsed on itself. Good thing there was nothing in it! Can you imagine explaining that in the emergency room? Yikes!

Proud owner of an Augusta Medical Device for $400. It pumps it up but let's it down faster than a Maury Povich show DNA test result. Dang!

Jeff

You can built your own if you come to GFMPH next weekend. A glass tube would be stronger. On second thought....
Married 34 years, DX Age 56. First routine PSA test on April 8, 09: 17.8. Start 2 weeks of Cipro to rule out protatitis. May '09 PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, 20%-70%, Gleason 3+4=7, 3+3=6. Bone and C/T scans neg.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7, Tumor size: 2.5 x 1.8 cm, location: both lobes and apex.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots next See Uro 1/22/10 Trimix #1. Try 0.08- 25%, 0.12-25%, 2/26/10 try 0.16 First Success! 90%. 8/9/10 Now at 0.24 still 90%
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day. Try controlling fluids.
12/11/09 5 months: 3 pads per day, 400-450ml/day
02/26/10 7 months: 3 pads but leak is now 320 ml (5 day avg.)
03/22/10 8 months: 3 pads per day, 280 ml/day (5 day avg.) PT says all muscles are tight and working properly. "There must be another issue."
5/22/10 10 months: 2 pads per day, 190 ml/day Scope on June 15 "Short sphincter"
7/15/2010 one year: 2 pads per day. 140 ml/day, dry in bed.
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04
1/14 6 months - 0.05 (Siemens Centaur)
4/14 9 months - 0.04 (Siemens Centaur) and <0.01 (Roche ECLIA).
7/12 1 year - 0.03 (Siemens Centaur, direct chemilum); <0.01 (Roche Cobas 601 ECLIA)

NY-Sooner
Regular Member


Date Joined Sep 2009
Total Posts : 421
   Posted 9/15/2010 6:53 AM (GMT -7)   
I was very lucky that I have had no ED issues since my prostate was removed three years ago, and I can get a pretty rock solid erection without using any drugs.  My experience using the pump started  in 1997, well before my prostate diagnosis, when I read an article about penis size enchancement and how using a pump can increase penis size.  Just out of curiosity, I started using a cheap hand opearted pump that I bought in an adult store.  I used it every day for 30 min, and after about a year of regular use, I actually started seeing little gains in length and girth, not much, maybe 1/4 to 3/8 inch, but at least it was actually working.   After about 10 years of constant use,  I had actually added about 1.5 inches to my overall length and about 1/2 inch to my overall diameter.   . 

Post Edited (NY-Sooner) : 9/15/2010 7:11:44 AM (GMT-6)


cowboy bob
Regular Member


Date Joined Sep 2007
Total Posts : 107
   Posted 9/15/2010 7:09 AM (GMT -7)   
Thank you, Worried Guy and NY Oklahoma Guy!

reachout
Veteran Member


Date Joined May 2009
Total Posts : 583
   Posted 9/15/2010 4:11 PM (GMT -7)   
OK, I can't help this response, but... the pump sucks :-)       
I never could get it to seal properly or to keep the erection from deflating shortly after I took the device off.  I only used it for rehab, not for penetration.  Granted, I didn't have the patience it takes to use, and maybe I just wasn't a good candidate for it.  YMMV
 
I never had much luck with pills either, but Trimix has done the trick.  This is all so individual.      

RCS
Veteran Member


Date Joined Dec 2009
Total Posts : 636
   Posted 9/15/2010 5:09 PM (GMT -7)   
Reachout,
 
I bought a pump and used it in the beginning with good  success.  But when I started to read about VEDs and penile rehab, I started to use it less and currently do not use it at all (after 1.5 years theres been some healing!).
 
Dr. Mulhall kind of sums up what I read in various sources (see his book,"Saving Your Sex Life", p.104). If I understand correctly VEDs do not bring much fresh (oxygenated) blood into the penis; therfore, the oxygen content may not be very high when compared to the pill or injections.  It probably isn't the only thing you should use if you are focusing on penile rehab. For other things it's great ... even if its just a good stretch.
 
Mullhall may also cover VEDs in his four part lecture on ED. at:
 
 
PSA 2007 - 2.8; 11/24/2008 - 7.6; PCa Dx 2/11/09; age at Dx 62; RLP 4/20/09

Biopsy - Invasive moderately differentiated prostatic andenocarconoma; G 3+3=6; PT2C; No evidence of Seminal Vesicle or Extraprostatic Involvement; Margins clear; Tumor identified in sections from prostatic apex. 70 gram prostate. Continent after removal of cath.

ED - Trimix works well; levitra @ 90%
PSA - 7/31/09 <0.06; 12/1/09 <0.06; 3/29/10 <0.06; 8/4/10 <0.06

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 2368
   Posted 9/15/2010 6:19 PM (GMT -7)   
Cowboy, try chewing the 100mg pill up and washing it down with a little water..The 45 minute wait time is reduced to 10 minutes and the effect is about double...You will KNOW when you are ready to go because you get a nice "rush" when you do it that way..
Age 68.
PSA at age 55: 3.5, DRE negative. Advice, "Keep an eye on it".
PSA at age 58: 4.5
PSA at age 61: 5.2
PSA at age 64: 7.5, DRE "Abnormal"
PSA at age 65: 8.5, DRE " normal", biopsy, 12 core, negative...
PSA age 66 9.0 DRE "normal", 2ed biopsy, negative, BPH, Proscar
PSA at age 67 4.5 DRE "normal"
PSA at age 68 7.0 third biopsy positive, 4 out of 12, G-6,7, 9
RRP performed Sept 3 2010

cowboy bob
Regular Member


Date Joined Sep 2007
Total Posts : 107
   Posted 9/15/2010 10:08 PM (GMT -7)   
Fairwind- Hey, I'd never heard that. I'll give it a try! Thanks!

Patches
Regular Member


Date Joined Jul 2010
Total Posts : 33
   Posted 9/16/2010 5:10 AM (GMT -7)   
Does anyone have brand of a pump that they can recommend? There are tons of them available.

Thanks.
Age 49 years old with no family history of PCa. but had testicular cancer in 1985.

PSA on 3-8-2010 was a 5.6
PSA re-take on 3-17-2010 was a 4.4
Biopsy collected on 4-17-2010 showed 2 of 12 cores malignant with Gleason scores of 3+3 Stage T1C.
RALP surgery 7-21-2010 at Hopkins.
Pathology report revealed that the cancer was organ confined, all margins negative and a Gleason score of 6.

Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 597
   Posted 9/16/2010 5:41 AM (GMT -7)   
If you want an expert on VED's talk to the folks at USAMediquip.com. John Marchello there is an expert. He has purchased and reviewed every brand of pump there is. He has solutions for any problem you have. I spent two hours with him and was stunned at the knowledge this man has accumulated in this field. There is no one even close to his expertise. They carry a line that they have tested and like.
But, my favorite is Firma Medical firmamedical.com They have the best support I have ever seen. Online help, phone help, Ask Allison is their therapist for women partners. Their video is the only one that shows every aspect of pumping - even the removal of the ring. It is a live model, not a stupid cartoon.
I will say, I have found the pump world to be a pretty sleazy, cut throat place, believe it or not. Most of them just want to make the sale at any cost.
Paul
www.franktalk.org ED website for PCa guys

46 at Diagnosis.
Father died of Pca 4/07 at 86.
10/07 PSA 5.06 (Biopsy 11/07 1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC www.roboticoncology.com
Saved both nerve bundles.
Path Report: Stage T2cNxMx
-Gleason (3+3)6
Pad free on March 14 - (10 weeks.) Never a problem since.
ED - at one year, ED is fine with viagra.
Two year PSA - undetectable!
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