Looking for a pump recommendation

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steph_beer_me
New Member


Date Joined Apr 2009
Total Posts : 14
   Posted 5/17/2009 12:48 PM (GMT -6)   
 
Hi all,
 
I'm about 2 weeks from surgery and my surgeon is recommending both ED meds and a VED for post-op rehab.  I'd actually like to get the pump before the surgery so that I can have a before and after comparison. 
 
My urologist recommends the manual Osbon and Stamen brands.  I've looked at the Osbon Classic and Esteem.  Is the Esteem worth the extra $$$? 
 
What pump is the most frequently used/recommended by those of you who have them? 
 
Thanks in advance!

Age 40
Diagnosed at age 40 (March 2009) as a result of routine physical
Family history - Father diagnosed and treated at 64, one of his brothers at 70, maternal uncle at 60
PSA 19.14 - my first PSA 
DRE - abnormal - 1cm nodule
14 biopsy cores - 1/4 positive on left, < 5% malignant, 3/7 positive on right, 10% malignant, 3 cores of nodule showed no malignancy
Gleason 3 + 3 = 6
Cat Scan - negative, believed to be prostate confined
Bone Scan - negative, no distant metastasis
great wife and 3 young children (ages 4, 6, 8)


rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1131
   Posted 5/17/2009 1:35 PM (GMT -6)   
My doctor told me to go buy one outside of his office. He said the one he sold was around $500. I went on amazon.com and found way too many to choose from. I bought an impoaid battery operated one. I believe I paid a little over $100. It seems to work good. The item you may need more of are c**k rings. You can buy them separately too. My doctor didn't recommend one until I was about 3+ months from surgery. Good luck to you.
 
Age 49
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
Robotic Surgery May 9, 2008 - houston, tx
Pathology report -gleason 8, clear margins
12 month  PSA <.04 (low as the machine will go)
continent at 10 weeks (no pads!)
ED is still an issue but getting better


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2458
   Posted 5/17/2009 1:58 PM (GMT -6)   
I bought the Encore VED battery operated pump and it works fine for me. I think I paid under $100 plus shipping. I do recommend that you use 2 rings to maintain an erection. It works fine as a toold for rehab but not for having intercourse.
Age: 67
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
Dx 12/30/08
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09
Surgeon: Dr. Randy Fagin, Austin TX.
Pathology report:
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Bilateral 10-20% involved
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx
Negative margins
seminal vesicles clean
Lymph nodes: not dissected
1st PSA test 4/7/09 result <0.1


Radical
Veteran Member


Date Joined Mar 2009
Total Posts : 739
   Posted 5/17/2009 3:05 PM (GMT -6)   

Beer_me_to,

Sorry to put a negative spin in here, but I wished I had of saved my money, regarding the pump.  Did not work for me, could not get on with it at all.  Dont know how many guys would agree with me, but thought it fair to throw that in.

Cheers Not Hard (still)
Age 51yrs
DX 11/11/08
6 out of 8 cores positive 3 X 60% / 3 X 10%
PSA 4
Gleason 3+4=7
Stage T1c
Robotic Surgery 24/12/08
Upgrade Gleason 4+3=7 (60% Grade 4)
Stage T2c
Three small foci total volume 10%
Neg Margins and Nodes
Nil - Extraprostatic Extentions
Dry less than 1 week.
ED- taking Meds/ No results yet/still "NotHard"
PSA 28/1/09 0.03
PSA 24/2/09 0.03
"Everyday in Everyway I get better"


Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 598
   Posted 5/17/2009 3:31 PM (GMT -6)   
I have bought several at the sex store. They cost about $30. They work just fine for therapy - which is all I use it for. Be sure to get a pump which cuffs around the base of your penis - not against your pelvic area. I found that it tends to puff out the flesh around your penis, and in some cases, may suck a testicle up into the pump *ouch*. I pump in the shower in the morning and just let the thing hang there while I finish showering. You need to pump for at least ten minutes.

Also, as to a constriction ring (AKA Cock ring) I only use the adjustable ones - they are about ten dollars and look like a lassoo. They are a length of surgical tubing that passes through a bead or tube. You can tighten it as you need it. It is a huge help in the days when you get a slight erection, but not hard enough for sex. Tighten the noose, and you will find you will be hard enough to penetrate. do not get the ones that are a plastic line...again *ouch*.

for all of this, stay shaved. They will shave you for surgery. For that matter...shave yourself now, and have fun with your wife. many women like the difference in sensation. But the pump and rings work much better with trimmed hair, or shaved. Besides, these days most guys under 60 manscape as it is, so you will be in good company.

Paul

PS - Dave, email me. couple questions for you.
46 at Diagnosis.
Father died of Pca 4/07 at 86.
1/06 PSA 3.15
1/07 PSA 4.6 (Biopsy 3/07 just suspicious)
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
-totally contained to prostate,
-10% involvement in L & R Mid lobes
PSA 0 at nine months.
Pad free on March 14 - (10 weeks.) Never a problem since.
ED - Took 100mg viagra every night. for several months
Totally usable erections at 10 weeks, which disappeared over the course of a month or two.
ED bounce is what they call it. Now, at one year, ED is fine with viagra.
One year PSA - undectable!


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 5/17/2009 9:14 PM (GMT -6)   
I also use a cheapie from a sex store. I found the squeeze bulb part didn't last long -- did I say the pump was a cheapie? :-) So I substituted another pump for the squeeze bulb -- the kind used in the kitchen to remove air from freezer and storage bags. That works better than before.

A cheapie will not have a good way to apply the constriction rings -- so I just use office rubber bands doubled over. I pump first without bands, remove the pump, then apply the bands while there is still some erection left and pump again. With the bands on, I find there is enough inwards blood flow to still pump up.

Another fortunate thing with this pump is that the tube, which is exactly 2" internal diameter, gives a snug fit around the base of my penis. That forms a seal, and as a result of that I don't need any lube -- no mess.

So, I suggest a cheapie to start with, and if you find a pump is not for you, it hasn't cost much. One day, I may shell out for an expensive one, but I'm having too much fun with cheapie.... smilewinkgrin
Pre-op:
Age 63 at diagnosis, now 64.
No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores.
Operation:
Non-nerve sparing RRP on 7 March 2008.
Two nights in hospital; catheter out after 7 days.
Post-op:
Continent; no pads needed from the get-go.
Pathology showed organ confined and negative margins. Gleason downgraded to 4+4=8.
PSAs:
6-week : <0.05
7-month: <0.05
13-month: 0.07 (start of a trend?)
ED:
After a learning curve, Bimix injections (0.2ml) are working well. VED also works but we find it inferior to Bimix.


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4828
   Posted 5/18/2009 4:32 AM (GMT -6)   
My manual Esteem costs $550.00 ...Insurance paid $500.00 since I had already met my deductible.

Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
 
06/25/08 - Da Vinci robotic laparoscopy
Catheter in for five weeks.
Dry after 3 months.
 
10/03/08 - 1st Quarter PSA -> less then .01
01/16/09 - 2nd Quarter PSA -> less then .01
xx/xx/xx   - 3rd Quater skipped
05/14/09  - 4th Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.
 


carver
Regular Member


Date Joined Jan 2009
Total Posts : 27
   Posted 5/18/2009 5:34 AM (GMT -6)   
Check out constrictor BANDS.
I found out that the constriction RINGS stretch out fairly quickly so I moved to the constrictor bands. ( Basically wide rubber bands - inexpensive!!!!) The bands are folded over and placed on the tube. The VED was paid for by my insurance.
Good luck, Al

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 5/18/2009 6:11 AM (GMT -6)   
Here's a linkl to the pump that I highly recommend and that several of the pump guys here use. Does as good a job as the $500 ones, in my opinion. They have a battery operated one for $94, also. www.vitalitymedical.com/Product/Encore-Impo-Aid-Manual-Vacuum-Erection-Device-OTC-44010001.html
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
21 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix .35ml 2X week continues
PSA's: .04 each 3 months

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