Viberect-X3 penile Stimulation System for The Treatment of Ejaculation Disorders Also provokes Ejaculation of Men with Spinal Cord Injury

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ED is the inability to develop and maintain an erection for satisfactory sexual intercourse or activity. Viberect® use for erectile rehabilitation in men following radical prostatectomy has also been studied, again, with positive results. Bruising, skin breakdown, and penile pain associated with the application of the constriction band have already been discussed. The tightness of the band may also result in failure to achieve an ejaculation and the development of a temporary penile numbness. One of the other problems with the erection achieved with the vacuum device is that it may hinge at the point of application of the constriction ring. That is, the penis behind the ring is soft and only the portion of the shaft that is beyond the ring has any degree of hardness. Therefore, the ring must be applied as far proximally as possible ( 115).

Prior to their participation in this study, all participants had tried PVS using other devices, including one or more of the following: the Ferticare 1.0 (Multicept, Denmark) and/or the Viberect X3 (Reflexonic, Leesburg, VA).This study provides evidence that Viberect produces a non-invasive, well-tolerated erectogenic effect. These results indicate that penile vibratory stimulation provokes erections via neurostimulatory principles and support further study of this modality in treating men with ED. Sonksen J, Ohl DA . Penile vibratory stimulation and electroejaculation in the treatment of ejaculatory dysfunction. Int J Androl 2002; 25: 324–332. To control for sequencing effects, five subjects received PVS in the following sequence: M1, M2, M3; five subjects received the sequence M2, M3, M1; and five received the sequence M3, M2, M1. For trials with M1 and M2, FertiCare device(s) were set at 2.5 m m amplitude and 100 Hz. For trials with M3, stimulation parameters of the Viberect-X3 were preset by the manufacturer and were not adjustable. PVS and Questionnaire I don't think the pump will do anything to make recovery of natural erections happen faster. That's down to the nerves healing. " some progress" here would be detecting the slight beginning of extra blood in the penis when aroused without the use of a pump. That varies enormously - I was talking with a guy yesterday who's seeing this after 4 weeks (which is very fast), but some others here have said it took them up to 2 years.

For many years, the “gold standard” device for PVS of men with SCI was the Ferticare 1.0 [ 18]. It was engineered to deliver the optimal frequency and amplitude required for inducing ejaculation in men with SCI [ 11]. The Ferticare 1.0 was manufactured from 1995 to 2017. Recently, a re-engineered device (Ferticare 2.0) has become commercially available. Both patients and practitioners have made numerous inquiries to the authors of this paper regarding the performance of this device. This is the first study to report on the performance of the Ferticare 2.0. The application of 2 FertiCare devices (sandwich method, M2) resulted in the best success rate (100%) compared to the other two methods (87% for both M1 and M3). The Viberect-X3 method (M3) required more time to induce ejaculation than the single FertiCare method (M1) or the sandwich method (M2). Following each PVS trial, patients were asked to answer a survey about their experience. The Viberect-X3 (M3) was the least preferred method, and the single FertiCare method (M1) was the most recommended method by the study subjects. Subjects’ reasons for preferring one method over another were variable. For example, the reasons given by subjects who preferred M1 (application of one FertiCare) included the following: ‘it is effective and you get good results,’ ‘good feeling,’ and ‘it is fast and easy.’ Reasons given by subjects who gave a lower rating for M3 (Viberect-X3) included the following: ‘it did not feel right,’ ‘not as fast and easy to use’ and ‘when my penis is squeezed with the vibrator, it is more difficult to ejaculate.’ Although M3 had the lowest mean rating for patient preference, there were individual subjects who preferred M3 to M1 or M2. For example, subject no. 13 commented that M3 was ‘very comfortable, very fast and convenient.’ Sweis R, Biller J . Systemic complications of spinal cord injury. Curr Neurol Neurosci Rep 2017; 17: 8.Different lubricants have different qualities such as viscosity, slipperiness, and how long they may last during intercourse. Natural lubricants contain natural plant oils (vegetable, olive, safflower, peanut, and canola oil). Petroleum-based lubricants include petroleum and mineral oils. Other isotonic and pH neutral lubricants are also available ( 42). Various products are available, and most people prefer an odorless, non-irritating preparation. Water- or silicone-based lubricants are recommended since they break down with warm, soapy water ( 38). Silicone-based lubricants have an advantage over water-based ones because they persist longer on skin and mucous membranes. However, there are fewer options on the market that are usually more expensive ( 43). Sonksen J, Fode M, Lochner-Ernst D, Ohl DA. Vibratory ejaculation in 140 spinal cord injured men and home insemination of their partners. Spinal Cord 2012;50:63–6.

Constriction bands are defined as compressive devices that apply pressure at the base of the penile shaft resulting in obstruction of venous blood outflow, thus aiming to increase penile rigidity and, therefore, improving erections ( 60). Their use has been classically indicated for patients with venous leak or those experiencing sexual incontinence. A classic study from Bosshardt et al demonstrated that men who used the VD for 6 months were able to restore their ability for sexual intercourse ( 72). In this study with 26 men the average rigidity measured at the base and tip of the penis after application of the VD was > 80% and the duration and extent of nocturnal penile tumescence improved. Moreover, experimental studies in rats showed that VD therapy preserves erectile function through anti-hypoxic, anti-apoptotic, and anti-fibrotic mechanisms by improving the arterial blood flow into the penis ( 73, 101, 104). There are many factors affecting ED. Everyone reacts differently. If medication is working for you I see no reason to change. If you are currently using a vibrator that works well for you, I see no need to change. If the medication is not working as well as you like, you might add a vibrator. If you would like to try something different in the vibrator department, FDA-approved Viberect® can be added to the choices referred to in our Vibrators for Men article. If you are rehabilitating from prostate cancer surgery, the FDA-approved Viberect® is well documented in its effectiveness.The pump is to make sure you are still achieving regular erections even when you can't get them naturally, because failure to have erections for a long time will result in further penis shortening when natural erections eventually recover, see https://community.prostatecanceruk.org/posts/t21301-Penis-size#post216227 (although I originally wrote it for hormone therapy, it applies to the recovery period from surgery too). It is not required to orgasm to get this protection, just to get hard. Ohl DA, Sonksen J, Menge AC, McCabe M, Keller LM . Electroejaculation versus vibratory stimulation in spinal cord injured men: sperm quality and patient preference. J Urol 1997; 157: 2147–2149. Male infertility is a common sequela of spinal cord injury (SCI). Fatherhood is a goal in this group of young patients; however, most are anejaculatory. Penile vibratory stimulation is recommended as the first line of treatment for this condition. Our study evaluated the safety and efficacy of a new device designed to induce ejaculation in these patients. Setting: More than 5 billion dollars a year are spent on the pro-erectile medications currently in the market.

It is pretty simple—the device has two soft pads that are applied to the penis to create vibratory simulations. The stimulation “turns on” the pudendal nerve receptors on both sides of the penis that communicate with the parts of the brain and spinal cord responsible for erection, rigidity, ejaculation, and orgasm. The Viberect handheld device (Reflexonic, LLC, Chambersburg, PA, USA) is a new FDA-cleared ED treatment, which exploits vibratory stimulation of genital afferent nerves for provoking erections. The aim of this study was to evaluate the clinical feasibility of the Viberect device for the achievement of penile erection and rigidity. Although no physical complications should follow the use of dildos, it is important to adequately counsel patients regarding their use. Factors attributed to non-adherence of dildos use for any indication include embarrassment, anxiety, modesty, predicted or actual pain upon use, fear of damaging the vagina, feeling unskilled at putting an object inside one’s partner, and having insufficient information about dildo use. ( 78)

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Partida E, Mironets E, Hou S, Tom VJ . Cardiovascular dysfunction following spinal cord injury. Neural Regen Res 2016; 11: 189–194. Participants were 15 men with SCI who were participants in the Male Fertility Research Program of the Miami Project to Cure Paralysis located at the University of Miami Miller School of Medicine in Miami, Florida. The study was approved by the University of Miami IRB and all participants signed an informed consent form. Participants’ neurological level and completeness of injury was determined by the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) [ 12, 13]. The level of injury for all participants included in this study was T10 or rostral based on our previously reported success rate with PVS [ 3]. Strauss DJ, Devivo MJ, Paculdo DR, Shavelle RM . Trends in life expectancy after spinal cord injury. Arch Phys Med Rehabil 2006; 87: 1079–1085.