this question is really really a good one because it comes right along the tail end
of some of the testimonials it says do you know the mechanism of action of pumping and
what exactly are the benefits now this is a great question for a variety of reasons
right because I think too you know when you talk to your doctor about pumping
sometimes they'll say well you know if you pump you could potentially really hurt yourself you
know you could bust some blood vessels you could injure yourself and potentially get Peyronie's
disease and so on and so forth so what you're doing when you're using a penis pump or a vacuum
erection device is you're actually using negative pressure to create what we call a fake erection
right or an artificial erection and so the idea is you pump it up to where you used to be you
know you look down and say okay that looks about like where we normally are and you let the vacuum
sit there and you and and while it's sitting there it is actually causing a little bit of
damage so that is part of the process of healing it's the same with shock wave it's the same with
with pumping is that once you create what we call Micro trauma or microvascular tears or what have
you what tends to happen is your body says oh my goodness we're injured let's heal and so it brings
healing to an area that really wasn't having any healing beforehand so if you think about it think
about it like this if you've ever seen or been in a situation where maybe someone had their earlobe
cut off or a top of their finger cut off one of the things that we do when you're headed to the
emergency room is we want you to probably try to save that piece but we also if you get there and
it's scabbed over what do we do we Denude it we kind of scrape the scab off and get fresh bloody
tissue so that we can actually sew it together and they heal right so really we were talking about
penile rehabil facilitation or erection rehab or an erection tune-up or whatever you want to call
it what you're actually doing is you are creating little microvascular damage there so that's in
your tissue brings growth factors and healing factors to the area and then it says okay okay
team let's get on it we got to heal this area and so that's what's happening when you're using shock
wave and that's also what's happening when you're using the pump now the question also came through
Dr Rachel are there any potential side effects or negative things that can happen when you pump
and sure absolutely anything can go wrong with anything that you do right um so I say that to
say that potentially if you over pump or if you have a bleeding condition in already or maybe
you're on some blood thinners what pumping can then do is create a bleeding situation underneath
the skin under in the tissue so that could be an issue I've we've had gentlemen who maybe end
up with blood in their urine because they're pumping we've had bruising because of pumping
um you yes and then someone else asked what about Peyronie's disease so what
does Peyronie's Peyronie's is basically scar tissue that starts to develop after
an injury you know Peyronie's can develop after rough sex after someone accidentally hits you
um hits you um on your or your your penile tissue so um yes of course injuries can happen it can
happen with anything but I think too this is why you had to talk to your doctor and decide what's
right for you do you have a bleeding disorder do you bruise easily you know is there something else
going on that would preclude you from pumping so that's what you always want to consult someone who
works with you on a on a daily basis or a yearly basis who kind of knows you and knows where things
are but I'll tell you this when guys have prostate surgery when they have their prostate removed
these surgeons give them a pump before they even leave because they say listen it is very clear
that pumping can help with penile Rejuvenation I call it Rejuvenation right so so let me
um just kind of share with you some of this because I always like for you to be informed
to the point that then you can take this stuff back to your doctor and say listen I know you
said this and this and this book can we talk about it because this is what I'm reading
so this is an article back from 2020 that was in the Asian Journal of andrology and it's about the
vacuum therapy prevents Corporal venal occlusive dysfunction and penile shrinkus shrinkage in
cavernosal nerve injury rat model right so the reason this is important is because this question
comes through too it says hi Dr Rachel do you have any suggestions for treating mild Corporal
fibrosis Corporal fibrosis is basically something that if you live long enough you're going to have
Corporal fibrosis what it means is that the Corpus cavernosum or the muscular tissue the muscular
vascular tissue that courses through your penile your penis you know there's three areas of it they
actually start to get fibrotic or hard and stiff and they don't respond in con and open up and
expand and fill up the way they used to so that's what Corporal fibrosis means and the doctor also
told him that he had Vino occlusive dysfunction and so this basically means that the veins
have become a little occluded have little tiny clots kind of clotting off the area and that
has a tendency to happen in the Kura of the penis which is basically the area that kind of connects
the penis to the tissue right it's kind of the sides of it so to speak so the question is do
you have any suggestions for that now this goes back to just what we were talking about when it
comes to pumping pumping actually helps with Corporal fibrosis and Vino occlusive disease
and how does it do that now you're an expert on it because it creates a little micro tears or
microvascular damage that then your body starts to heal from and that's ultimately what starts to
repair and create what we call angiogenesis or neogenesis which are new blood vessels to form
to help Supply the area we also have this one this is an article back from 1995 so this is
kind of around the time where they've just really started to realize Hey listen we got to make make
sure that any guy that comes out of surgery for prostate issues and that we've messed with this
prostate leaves with one of these things this is an article titled the efficacy of vacuum
constriction device which is a pump in patients with Corporal venous occlusive dysfunction but
all right here it is
line of treatment for that now you know of course you if you've been tuning in you know
the system you know we've got to treat all of the different areas that could contribute to
erectile dysfunction but really starting with the tissue because here's the thing we boost
your testosterone if the tissue can't get erected then the testosterone is going to do its thing
everywhere else but it's not going to do anything there you know we boost the blood flow but if the
blood flow can't get to the tissue and the tissues still stiff and fibrotic it's not going to make a
difference right so that's ultimately why pumping becomes such a big part of this you go and get
Shockwave you go and get the P shot what are they all going to tell you to do they're all
going to tell you to pump each and every one of them and so if I have a gentleman that I am
you know that's in our our intensive program and he's millions of miles away from me or thousands
of miles away how how can I help well I can help because I recognize that one of the first lines
of treatment that you should employ is to figure out can you pump is it okay for you to pump is
your doctor okay with you pumping are you not on any blood thinners can you come off of the
blood thinners have they left you on the blood thinners for too long so all of this plays into
it right and then here's another article this one is about basically so they realize okay so
the pump is working pretty well with this rehab thing but what happens if we add some Viagra into
the mix so they're taking Viagra every day and they're pumping after they've had their
prostates removed what happens then well what they realize then is that basically we had even
better outcomes with patients once they did both at the same time so they the both of them help
to rejuvenate and regenerate the tissue over time all right so so that's my Spiel on that
that oh and then we have another one this one is from 1997. still some of the beginning stages of
understanding how important this stuff is the external vacuum device and the management of
erectile function dysfunction now I can even put some articles up here that talks about
um the hydro pump and using water and how clinically patients start to say and feel and
their partner start to feel that they're getting thicker they're getting Fuller and they're having
better sex after they've been pumping on it and so what I'm doing for that instead is just showing
you some of the stuff that guys are saying in the chat they're posting it on YouTube they're posting
it on Facebook they're sending me messages it's it really is making a big impact now I've also
be very aware that some of you are having a lot of trouble using um the vaccine you know you're
saying that the bathmate and the vaccine are kind of cumbersome and that you know you're struggling
with it so listen I pay attention and I listen everything that you're telling me here and believe
me when I tell you that I am definitely working on getting a pump that is not just Hydro using
the water to kind of help heal and facilitate this process so that you can actually get a little bit
more girth and you have that soothing rehab feel when you are actually doing your pumping but also
one that's easy to use and that's electric you know like you push a button in it and it does
it so I'm working on it and it's coming so just hang tight in the meantime please know that any
level of pumping that you do is going to have some level of impact all right but you do have
to be careful you do not want to over pump you don't want to look down and know that you're in
pain and it's just you know swollen out of proportion and all of that you do not want
to do that those of you who are over pumping you've got to make sure that you've heated you
know that you've warmed the tissue first you've either used a hot towel in in advance or you're
using the water because you're using the water pump otherwise you know you can hurt yourself