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

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The concept of sex aids is very broad, and, judging from the literature on this topic, their medical utility varies greatly. Frequently, but not exclusively, referred to as sex toys, the term sex aids refers to an object or device that is primarily used to facilitate human sexual pleasure. The first attempts to enhance sexual activities through the use of an object date from more than 30,000 years ago where archeologists unearthed a piece of a stone tool which, according to some authors, may have been a sex aid due to its phallic shape, size and smooth surface. ( 1) There are reports suggesting the use of olive oil as a sexual lubricant from around 350 BC ( 2). Moreover, one of the first treatment options for erectile dysfunction (ED) was detailed in the Kama Sutra in India around 300 AD, detailing dildos and penis extensions made of wood or reeds tied to the waist ( 2). Elliott S, Krassioukov A . Malignant autonomic dysreflexia in spinal cord injured men. Spinal Cord. 2006; 44: 386–392. The following stimulation protocol was administered to each subject. Step 1: One Ferticare 2.0 was applied to the dorsum of the glans penis. The amplitude of the device was 2.5 mm, and the frequency was 100 Hz. If no ejaculation occurred after 2 min of stimulation, PVS was stopped. The integrity of the penile skin was assessed. Step 2: If the subject’s penile skin and vital signs were stable, the Ferticare 2.0 was again applied to the dorsum of the glans penis, with the amplitude of the device increased to 4.0 mm and the frequency remaining at 100 Hz for 2 min. If no ejaculation occurred, PVS was stopped. Step 3: If the penile skin and vital signs remained stable, PVS was again administered with two Ferticare 2.0 devices, one placed on the dorsum of the glans penis and one placed on the frenulum of the glans penis for 2 min. Each device was set at 2.5 mm amplitude and 100 Hz frequency. If no ejaculation occurred, the patient was considered a PVS failure for this study. Evaluation of retrograde ejaculation Strauss DJ, Devivo MJ, Paculdo DR, Shavelle RM . Trends in life expectancy after spinal cord injury. Arch Phys Med Rehabil 2006; 87: 1079–1085.

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). Giuliano F, Clement P . Neuroanatomy and physiology of ejaculation. Annu Rev Sex Res 2005; 16: 190–216.

Study Overview

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. Thirteen of 15 participants ejaculated with the device. No adverse events occurred. All participants commented they would recommend the device to other men with spinal cord injury. Conclusions Originally, the term pornography refers to the writings about or depictions of prostitutes. The term derives from the Greek word pornographos, which again derives from the Greek words pórne, meaning “whore”, and graphein meaning “to write” ( 10– 12). According to Diamond, the most common definition of pornography used by researchers and in the US courts today is: “media basically construed as intended to entertain or arouse erotic desire” ( 13).

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). Penile erection is controlled by spinal autonomic centers, the activity of which is dependent on input from supraspinal centers and the genitalia. 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.A radical prostatectomy will have shortened your urethra by about the height of your prostate, and that means you will probably have a shorter erection by up to that amount. You probably shouldn't be trying to pull an erection the same length it used to be - you may be tugging too hard on the new connection between urethra and bladder, and you might burst a blood vessel in the penis with too high a vacuum. Petroleum-based lubricants are not recommended since they may increase the risk of vaginal infection ( 51) and also tend to have an unpleasant odor. Oil-based or petroleum-based lubricating products in combination with latex condoms have been shown to increase the risk of condom breakage ( 52). Natural oils, such as mineral and coconut oils, can also break down latex products. The damage may go unnoticed, increasing the risk of pregnancy or sexually transmitted infections ( 53). Therefore, the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) recommend using water-based lubricant with condoms. One theoretical adverse effect is that lubrication sufficient to noticeably reduce friction may also reduce sensation, potentially impacting negatively upon sexual pleasure and making it more difficult for some individuals to reach orgasm. However, no study has ever demonstrated such adverse event. Despite the fact that lubricant could be very helpful during vaginal or anal penetration, it is important to counsel patients that they should not be considered a replacement for sexual stimulation and arousal.

It's not a sphere, but if it was (and it's not miles off), a 30cc sphere would be 3.9cm diameter (high), and a 60cc sphere would be 4.9cm.In a previous article, Vibrators for Men: Can They Help Treat the Symptoms of ED?, I stated that I believe that vibrators are overlooked and undervalued as an option for treating the symptoms of ED. 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. Kanto S, Uto H, Toya M, Ohnuma T, Arai Y, Kyono K. Fresh testicular sperm retrieved from men with spinal cord injury retains equal fecundity to that from men with obstructive azoospermia via intracytoplasmic sperm injection. Fertil Steril. 2009;92:1333–6.

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