Erectile dysfunction

Updated 07 March 2017

ED: Other treatment options

Other treatments for erectile dysfunction include vacuum devices that produce erections, and psychotherapy, which can be very effective.

Vacuum devices that produce erections, and psychotherapy, can be very effective treatments for erectile dysfunction (ED).
  • Vacuum devices are small pumps attached to a cylinder you fit around your penis. Air is pumped out of the cylinder to create a vacuum, and the lowered pressure increases blood flow into the penis. The blood is trapped by rolling a special rubber ring down to the base of the penis. More fashionable versions of these rings, made from metal or studded leather, can also be bought from sex shops, if it appeals to you to make the intervention less clinical in this way. The pumps are useful for all types of erection problems (physical, psychological, or a combination of both). Vacuum pumps are generally safe, simple to operate and can be used as often as desired. However, improper use can damage your penis and so they must be used under a doctor's care. While you may need to interrupt foreplay to use them, you can also incorporate use of the pump into erotic play, making it less medical and more natural.
  • Psychotherapy is recommended for men whose erection problems are due to psychological causes. It may be used in conjunction with drug treatment or vacuum devices for erection problems that have both psychological and physical causes. The psychotherapist may use techniques aimed at reducing anxiety associated with sexual intercourse. Another goal is to work on the relationship between the partners by developing greater intimacy, trust and better sexual communication. Psychotherapy often involves special sex exercises for you and your partner to do at home.

Reviewed by Dr Werner Botha Specialist Urologist, Cape Town Medi-clinic. May 2005.


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Erectile Dysfunction Expert

Dr Kenny du Toit is a urologist practicing in Rondebosch, Cape Town. He is also consultant at Tygerberg hospital, where he is a senior lecturer at Stellenbosch University. He is a member of the South African Urological Association, Colleges of Medicine South Africa and Société Internationale d’Urologie. Board registered with both the HPCSA (Health professions council of South Africa) and GMC (General medical council UK). He has a keen interest in oncology, kidney stones and erectile dysfunction.

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