This podcast is for you, the Modern Man. I'm Dr Anne Truong,

your host. I'm an intimate health medical doctor and best

selling author of the book, Erectile Dysfunction Fix. I'll

do a deep dive into sexual health and performance and how

it affects men of all ages and backgrounds. So let's get

started, and be sure to visit my website at

sexualhealthformenpodcast.com for more information and

resources from the show. See you on the inside.

Hello there, Modern Man. What if the secret to recovering

stronger erection after prostate surgery isn't a pill at all, but

a simple device that most men are using it the wrong way? In

this video, I'll unpack how a penis pump actually will rehab

the penis, and what step by step protocol, how it changes

everything and why timing and technique can be the difference

between permanent loss or real recovery. I'm Dr Anne Truong.

I'm a medical doctor who treated 7000 men with ED over 25 years.

So let's dive into this.

A penis pump or VED or vacuum erection device is a key tool in

penis rehabilitation after prostatectomy or removal of the

prostate, because it preserve length and penis health or

cavernosal health, and also support erection when nerve

function is impaired and also during post prostate recovery.

So why should you use the penis pump after prostate surgery?

Well, surgery, such as the radical prostatectomy, often

causes nerve damage, plus hypoxia, which is decreased

oxygen to the corpora, which is the tissue of the penis, that

lead to scar tissue development and also lead to penis

shortening. So regular penis pump use increases blood flow

with oxygen, and it also will fight against the scar tissue

development and also the penile shortening as well. So studies

have shown that early vacuum therapy use or penis pump with

or without ED medication such as Viagra or Cialis improve ED and

reduces penile shrinkage compared to those without using

the penis pump.

So when should you start and how often? Most protocol start once

the catheter is out and the wounds are healing, often around

two to four weeks. Of course, when clear by your surgeon. Many

rehab guys recommend daily or near daily exercise, I would say

between five to seven sessions a week, and we'll dive into the

step by step protocol. All right. Where can you get the

penis pump? You can get the penis pump at ED No More.com or

check the link down below this video to get the penis pump so

you can start exercising your penis again. Remember, you are

only one pump away.

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Typical rehab protocol is that you lubricate the base of pump

and the cylinder, and you also lubricate the base of the penis

and the penis as well. Also shave around the base. And

gently put the cylinder in and hold it against your pubic bone,

often pointing downward, and you want to hold that. And I'll talk

about the step by step protocol. But the main thing is that do

not use a construction ring. Do not use a penis ring. Do not use

the cock ring because the goal is to bring in more oxygen and

stretch the muscle, not to maintain erection for

intercourse. This is rehabilitation, post prostate

surgery. Okay, so when the goal is for penetrative sex, then you

can use the penis ring after being rehabbed, after you've

been using the penis pump and the protocol for at least six

weeks. But always get cleared by your surgeon first. So you want

to start it when you don't have the catheter in place, okay?

When you have an erection inside the pump, you just don't want to

over distend it. Just get it to a natural erection size, not to

a point where it hurts. So we're going to go over the step by

step instruction now on using this daily, or five to seven

times a week. Again, do not use the penis ring with this. You

want to cycle the erection in the tube for a few seconds to

minute, and then release. Okay? So this is the rehab principle

here. Again, start when the surgeon clears you, which is

when the catheter is out and around about two to four weeks.

The goal is to have an erection that brings in oxygen to the

area and stretching the penis.

How you start is first set up in preparation is trim the pubic

hair at the base so that way you can get an airtight seal and

that you want to put a warm compress, a face towel, small

face towel, put it under warm water, to put a warm com press

on penis here. The goal is to promote more blood flow to the

area. Before you use the penis pump. You want to put a warm com

press there for maybe like three minutes or so. You don't want to

burn it. Remember, warm, not burning hot. And then you want

to use the penis pump, making sure that you lubricate the

base, lubricate the cylinder, and lubricate the penis as well.

And then you're going to start your exercise session. Remember,

no ring at all. Right. So you want to insert the penis into

the cylinder. Make sure that the scrotal sack is being pulled out

like this. And the key is press the cylinder slightly against

the body, downward angle like this. So that way you have a

seal, and you want to pump slowly, two to three times and

pause about five to 10 seconds to allow the blood to fill. So

what it means is that you pump 123, pause, see what's

happening, allow the blood to fill and then pump 234, times,

two, three times, and then allow the blood to fill. Don't do it

continuously like that. That is gonna hurt. It's gonna be

uncomfortable. So just do a two to three time pump and allow the

blood to fill for about five to 10 seconds. So you want to

repeat this pump, pause, pump pause, to allow you to get a

partial or full erection, so that way you have a clear sense

of stretching but no pain. This typically takes about two to

three minutes. Okay, so go slowly like two three pump, and

pause for about five to 10 seconds. So what happen is that

once you feel the shaft is lifted off the bottom of the

cylinder, or elongate or long, you want to hold the erection in

the tube for about two minutes, or maybe even a minute. About

one to two minutes at this point. You want to hold the

erection in there, and then, after two minutes, you want to

press the release button here, to drop the vacuum, allow the

erection to soften. You want to leave the cylinder still here.

You want to repeat the same thing, pump two hold for five to

10 seconds and then release. You want to do this for about three

to eight erection per session. The minimum is three erection

that's held for about a minute to two minutes. But the maximum

is eight erection held for about two minutes. So roughly, it will

take you about seven to 10 minutes to do this exercise. The

key is, do not use the constriction ring or the penis

ring at the base. This is exercise. This is start and

whole exercise. So that way you can get the blood to the penis

and stretch the muscle to prevent atrophy. I recommend

that you do it at least three times a week or five times a

week, and do at least about 10 minutes a day with a cyclic

erection that we talk about, at least cyclic three erection to

eight erection, and do not pump to pain you want to get a good

stretch that is acceptable and that you don't want to do this

longer than 30 minutes, and if you start to see significant

bruising, significant swelling or pain or even blood in the

urine, definitely see your surgeon for evaluation. Of

course, you don't do this without being cleared by your

surgeon anyway.

So this is the penile rehab protocol. I hope this is useful.

You need to rewind it again. Go ahead and rewind it and make

sure that you clear this with your surgeon as well. But the

penis pump is one of the most key rehab tool for post prostate

surgery. And now you know. Where can you get the penis pump? You

can get the penis pump at ED No More.com or check the link down

below this video to get the penis pump so you can start

exercising your penis again. Remember, you are only one pump

away.

Men, struggling to stay hard? Most of the time it comes down

to poor blood flow. That's why I put together the Good Morning

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So if you find this helpful, let me know what you guys think. It

will mean the world to me if you subscribe to the channel and get

notification and share it with somebody who you think may be

beneficial. If we can help in any way in your post prostate

rehab, click the link below and see how we can work together. Or

you can go to Renew with Dr Anne.com and I want to tell you

that there is a protocol post prostate surgery rehab, and that

I will see you in the next episode, modern man.

Okay, Modern Man, you are not alone and you don't have to

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Thanks for listening to the Sexual Health for Men Podcast.

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