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

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Kirshblum SC, Burns SP, Biering-Sorensen F, Donovan W, Graves DE, Jha A, et al. International standards for neurological classification of spinal cord injury (revised 2011). J Spinal Cord Med. 2011;34:535–46. 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 Shergill IS, Arya M, Hamid R, Khastgir J, Patel HR, Shah PJ . The importance of autonomic dysreflexia to the urologist. BJU Int 2004; 93: 923–926. Subjects for this study were five healthy men (mean age 26.4 years) with normal erectile function as measured by responses to the IIEF-EF. The Viberect treatment at 75 Hz with ventral stimulation was initiated without any external visual sexual stimulation. Both objective Rigiscan measurements of rigidity and subjective Erection Hardness Score (EHS) responses were recorded and correlated. Toleration and safety were monitored. There is some ideological controversy regarding the use of pornography leading to sexual dysfunctions. Landripet et al reported that there was little evidence, if any, of the association between pornography use and male sexual dysfunction ( 28). A review of clinical case reports has suggested, but not demonstrated, that some patterns of porn consumption may generate arousal, attraction, and sexual performance problems ( 29). We agree that abuse of pornography may be comorbid with some sexual dysfunctions, but current data do not allow to establish a cause-effect relationship.

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.’ A panel was convened to test the Ferticare 2.0. Our goal was to achieve consensus and disseminate information rapidly to the medical and lay communities that are seeking information about the performance of this device. The panel met November 18–19, 2019 at the University of Miami in Florida, and included leaders in the management of infertility in men with SCI. A PVS protocol was agreed on and applied to participants with SCI. 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. By "immediate", I didn't mean the instant you put the pump on - I meant it's not something that takes months to work after the surgery (but as I said, you must get the surgeon's OK first), and it doesn't require you to get aroused. I'm not familiar with what vacuum the soma pulls. Speed of getting an erection in the pump probably depends on a few things, such as air leaking around the seal (loads of lube helps), level of vacuum, and state of the vascular system supplying blood to the penis. If you've had any cardiovascular issues, the blood supply to the penis is often impacted.

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In addition, the orgasmic experience of ejaculation seems to be unrelated to anejaculation. Pleasurable orgasm has been reported with mild to moderate anejaculatory dysfunction (AD), and unpleasant or painful sensations have been reported with severe AD; as demonstrated by Courtois et al in a cohort of 81 men with different degrees of neurological impairment following SCI ( 89). Vibrator use may play an important role in sexual rehabilitation of SCI patients. In connection with PeniMasterPRO the rod pulling force generator allows for elongating the penis in an axially symmetrical manner without abutment far from the penis (attachment location). This means that no other bodily part or piece of clothing is required to generate the pulling force on the glans chamber and that the pulling force is nearly the same at all positions of the penis. By using the rod expander the penis can be elongated either in an upwards or a downwards direction or diagonally – and this has proven to be unobtrusive, even under normal clothing. Thus, many activities of day-to-day life can be implemented without any problems. 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). Although no clear definition for autonomic dysreflexia (AD) exists, it is described as a conglomeration of symptoms including headache, skin flushing, stuffy nose, diaphoresis, generalized feelings of unwellness and uncontrolled hypertension. 24, 25, 26, 27 It is generally accepted that a sudden dangerous rise in blood pressure is the major symptom of autonomic dysreflexia to be avoided. To this end, all subjects at risk for AD received 20 mg of nifedipine sublingually 10–15 min before beginning their procedure. All patients undergoing PVS during the study were monitored by a physician for signs of AD, and protocols were in place to stop the procedure if these symptoms were experienced. Most subjects experienced a rise in blood pressure with all three methods of PVS without other symptoms concerning for AD. No patients were bradycardic and heart rate did not change significantly from baseline during PVS. Those with elevated blood pressures became normotensive shortly after stimulation was stopped. However, three subjects complained of symptoms that tend to be associated with AD; subjects 4 and 15 complained of chest tightness after M3, and subject 11 complained of unpleasant abdominal sensation after M1 and M3. These symptoms were transient and briefly resolved after ejaculation without clinically significant sequelae. Chest tightness was only experienced with M3. Whether this was associated with longer latency to ejaculation remains to be clarified owing to our small sample size. No specific method had a strong correlation to AD. Notwithstanding, the risk for AD during PVS can be minimized through a protocol that includes pre-treatment with oral nifedipine, frequent blood pressure monitoring and close observation. In our experience, performing PVS with any of the three methods, is by and large, safe.

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. Karlsson AK . Autonomic dysfunction in spinal cord injury: clinical presentation of symptoms and signs. Prog Brain Res 2006; 152: 1–8. Penile erection is controlled by spinal autonomic centers, the activity of which is dependent on input from supraspinal centers and the genitalia. Participants were also selected to include some who had, and some who had not previously ejaculated with a different device. All participants were asked to abstain from ejaculation for at least 1 week prior to participation in the study. ProtocolSubsequent orgasm and ejaculation can be very strong and amplified due to stronger contraction of the bulbospongiosus muscle and activation of higher ejaculatory centers. Giuliano F, Clement P . Neuroanatomy and physiology of ejaculation. Annu Rev Sex Res 2005; 16: 190–216.