Bellorofonte C, Dell'Acqua S, Mastromarino G, Tombolini P, Ruoppolo M, Zaatar C
Servizio di Urologia, Istituto Pio Albergo Trivulzio, Milano.
Arch Ital Urol Androl. 1995 Dec;67(5):293-8.
Vacuum therapy is a reversible, non-invasive form of treatment for partial impotence, with great success in USA. The story of vacuum therapy begins about 1960, when Osbon developed a vacuum tumescence device which he personally used for more than 20 years. The device was made commercially available many years ago and has been marketed under several names. The newer systems have incorporated a negative pressure pump to achieve vacuum. Osbon's system was patented in 1983, sale is permitted by the U.S. Food and Drug Administration, and it is available by prescription only. More than 10,000 units have been sold. There are four different types of vacuum therapy: 1) loading cone + constriction band; 2) external splint + negative pressure; 3) Negative pressure + constriction band; 4) Negative pressure + intracavernous injections, without the use of constriction band. Each basic system will be described. The authors make a comparison between the use of negative pressure devices plus tension band and the use of negative pression devices without tension band (plus C.I.D. with vaso-active agents). In the second case there's a sort of synergistic action between vaso-active agents and vacuum therapy, representing a sort of "vaso-active exercise" of the erectile tissue. There are no absolute contraindications to use of external penile devices and potential contraindications are few. The external penile devices described represent a reversible therapeutic modality that can augment an inadequate erection and they should prove useful in any man who needs erectile enhancement. These devices appear to be particularly effective in men with partial impotence in whom only erectile enhancement is needed.
真空疗法是一种针对部分阳痿的可逆、非侵入性治疗方式，在美国取得了巨大成功。真空疗法的故事始于1960年左右，当时奥斯本开发了一种真空勃起装置，他个人使用了20多年。该装置多年前开始商业化销售，并有多个品牌。较新的系统采用了负压泵来实现真空。奥斯本的系统于1983年获得专利，美国食品药品监督管理局允许销售，且仅凭处方购买。已售出超过10000台。真空疗法有四种不同类型：1）加载圆锥体+缩窄带；2）外部夹板+负压；3）负压+缩窄带；4）负压+海绵体内注射，不使用缩窄带。将对每个基本系统进行描述。作者比较了使用负压装置加张力带和不使用张力带的负压装置（加血管活性药物海绵体内注射）的情况。在第二种情况下，血管活性药物与真空疗法之间存在一种协同作用，代表了勃起组织的一种“血管活性锻炼”。使用外部阴茎装置没有绝对禁忌证，潜在禁忌证也很少。所描述的外部阴茎装置是一种可逆的治疗方式，可以增强不足的勃起，对任何需要增强勃起功能的男性都应该是有用的。这些装置在仅需要增强勃起功能的部分阳痿男性中似乎特别有效。
