Segenreich E, Shmuely J, Israilov S, Raz D, Servadio C
Urology Institute, Beilinson Medical Center, Petah Tikva.
Harefuah. 1993 Mar 15;124(6):326-8, 392.
The vacuum constriction device (VCD) is a noninvasive mechanical device which may produce an erection by creating a vacuum of up to 250 mm Hg and with a rubber ring to maintain this state by constricting the base of the penis. We tested the VCD on 150 men who presented with organic and psychogenic impotence in our outpatient clinic between the years 1986 and 1992. Of the 150 men, 113 (75%) achieved an adequate erection with the VCD. However, only 72 patients agreed to buy the device and use it regularly. During follow-up of from 3 months to 5 1/2 years (mean 25 months), 65 men were using the VCD regularly and reported satisfying intercourse at least once every 2 weeks. Complications were minimal and consisted of mild numbness of the penis in 7 patients, mild cyanosis in 17, and 10 cases of painless ecchymoses and petechiae which disappeared without any treatment. From our experience, the VCD appears to be a safe, inexpensive, and easy method for impotent men to engage in sexual intercourse without, of course, eliminating other therapeutic options, including surgery.
真空收缩装置（VCD）是一种非侵入性的机械设备，它通过产生高达250毫米汞柱的真空，并借助一个橡胶环来压迫阴茎根部以维持这种状态，从而促使阴茎勃起。1986年至1992年间，我们在门诊对150名患有器质性和心因性阳痿的男性进行了VCD测试。在这150名男性中，113人（75%）使用VCD后实现了充分勃起。然而，只有72名患者同意购买该装置并定期使用。在为期3个月至5年半（平均25个月）的随访中，65名男性定期使用VCD，并报告至少每两周有一次满意的性交。并发症极少，包括7例阴茎轻度麻木、17例轻度发绀，以及10例无痛性瘀斑和瘀点，这些均未经任何治疗便自行消失。根据我们的经验，VCD似乎是一种安全、廉价且简便的方法，可供阳痿男性进行性交，当然，它并不会排除包括手术在内的其他治疗选择。
