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

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Brown DJ, Hill ST, Baker HW . Male fertility and sexual function after spinal cord injury. Prog Brain Res 2006; 152: 427–439. We understand what it’s like to deal with this condition. You feel limited in what you can do, and feel embarrassed that others will be able to tell. But with the help of Wearever’s discreet incontinence underwear for women you can start to reinvent yourself.

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. ED is the inability to develop and maintain an erection for satisfactory sexual intercourse or activity. 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. 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. 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).Sonksen J, Ohl DA . Penile vibratory stimulation and electroejaculation in the treatment of ejaculatory dysfunction. Int J Androl 2002; 25: 324–332. 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. Vibratory stimulation of genitalia is considered safe by the medical community with important benefits including treatment of orgasmic dysfunction and stress urinary incontinence.

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. No attempt was made to control for factors, such as medications, that may affect the semen quality of the participants in this study. For this reason, complete semen analysis data is not presented. It is often important, however, to note if retrograde ejaculation occurred, because sperm obtained from the retrograde fraction may be useful or sometimes necessary in assisted conception procedures. All participants were catheterized after completion of the three protocol steps if necessary, regardless of the outcome, and assessed for the possibility of retrograde ejaculation. Retrograde ejaculation was defined as 10% or more of the combined total sperm count being represented by the retrograde fraction. Questionnaire I would share Lyn's concern above about vibrations from a powerful medical vibrator possibly causing more damage, certainly in the early days, and I don't see how it could help nerve recovery. The frequency is more than 10 times higher than you can do with a handjob. If you want to try it for pleasurable reasons such as to try and achieve orgasm and your surgeon says OK, that's fine. On the basis of these findings, we recommend attempting PVS with one FertiCare device. If that fails, use two FertiCare devices. Although the Viberect-X3 was preferred less by patients, it had similar efficacy as the Ferticare vibrator(s) and may be suitable for home use by some patients. 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. ConclusionsThe vacuum device consists of a clear plastic cylinder with an aperture at one end that is placed over the penile shaft. At the other end of the cylinder is a pump mechanism that is used to generate negative pressure within the cylinder. It is used in coordination with an elastic constriction band, which is placed around the base of the penis, to maintain the erection after the cylinder is removed ( 72, 98). There are different sizes of cylinders and elastic bands for the optimal correct adjustment to the penis. FDA cleared devices have been specially designed with a pop-off valve to limit the amount of pressure to maximum of 200–250 mmHg ( 99). This mechanism was developed to reduce the likelihood of pressure-induced penile injury. Therefore FDA cleared devices are preferred. Chun SS Fenemore J, Heaton JP, Johnston B, Morales A, Enhancement of erectile responses to vasoactive drugs by a variable amplitude oscillation device, Int J Impot Res, Dec 1996, 8(4):221-5 From a neurophysiological viewpoint, scientists believe that penile erection is a culmination of multiple successful nerve reflexes that initiate a vascular event. Sonksen J, Biering-Sorensen F, Kristensen JK. Ejaculation induced by penile vibratory stimulation in men with spinal cord injuries. The importance of the vibratory amplitude. Paraplegia. 1994;32:651–60. If you have your medical records, the size of your prostate is very likely stated as that info is used in evaluating test results and needed prior to surgery. It's standard to measure it from the MRI scan and state this on the report.