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Place the pump over the penis. • Pump the air out of the cylinder so that a vacuum is created. The vacuum draws the blood into the shaft of the penis and causes it to swell and become erect. • Once the penis is erect, with the help of lubricant, slide the retaining constricting band down into the base of the penis. • Remove the pump after releasing the vacuum. • Intercourse can be attempted with the constriction band in place to help maintain the erection. • The band can be left on safely for up to 30 minutes to allow for successful intercourse. • Be sure that devices brought without a prescription contains a "quick release" feature, as there have been reports of penile injuries due to devices that did not release its vacuum on-demand or released it too slowly. • How VCD works?About 80% of men are satisfied with the results of VCDs. VCD are safe and can be used by patients with ED caused by many conditions, including Poor blood flow to the penis, Diabetes, patients who have undergone prostatic surgery, Pelvic surgery, patients with Psychological issues. • Contraindications: VCD should not be used by men who may have a significant congenital bleeding disorder or a disorder that predisposes them to a condition called priapism (a prolonged, sometime painful erection lasting over several hours). Examples include sickle cell anemia, some forms of leukemia, and other blood conditionsVacuum constriction devices may be difficult to use in obese men because of fatty tissue in the lower abdomen. It's important to get a good seal against the skin.In addition, for men who've had prostate surgery, a regimen of vacuum device usage is recommended - four or five times daily -- to help increase the blood flow to the penis. It may take several months to work. • Side Effects of VCD:An erection obtained by the vacuum constriction device is not the same as an erection achieved naturally. The penis tends to be purplish in color and can be cold or numb. Other side effects can include:A black and blue mark or small area of bruising on the shaft of the penis. This is usually painless and generally will resolve in a few days.Decrease in the force of ejaculation. The constriction band traps the ejaculate or semen at the time of orgasm. This is not dangerous and usually does not cause pain.The semen will usually dribble out once the constriction band is removed. Generally, this does not interfere with the pleasure of a climax or orgasm. • Cost of VCD:Cost of VCD vary from ₹ 500 to 10,000 depending on the brand and type. • The battery-powered versions tend to be more expensive, but also tend to work a little more quickly. Battery-powered devices are especially helpful for men who do not have good hand strength or coordination.There are several devices currently on the market that work effectively. Some of these devices can be obtained without a prescription. • Sharath Enterprises manufactures good quality acrylic VCD . • It has safety outlet.Cost : ₹ 1500. • Does Insurance Cover VCD ?Most of the companies don’t give. Name & Qualifications: Dr. C Sharath Kumar. World Famous Super Specialist in Sexology and Infertility. ಡಾ ಸಿ ಶರತ್ ಕುಮಾರ್. ಅಂತರರಾಷ್ರೀಯ ಖ್ಯಾತ ಲೈಂಗಿಕ ಮತ್ತು ಗರ್ಭಧಾರಣಾ ತಜ್ಞ ವೈದ್ಯರು. Website: www.drcsharath.com. email: [email protected] Ph : 9980525100. Director & Chief Fertility Surgeon, Dr Sharath Men's Clinic # 34/82, 20th main Basava mantap road West Chord road Near City Hospital Near Navarang theatre Rajajinagar Bengaluru 10 . 080 41570100 7829447100. Consultation : Friday & Saturday only: 9.30 am to 1.30 pm. Mysuru : Mediwave IVF & Fertility Research Hospital, City X-Ray Complex, Sayyaji Rao Road, Mysore 570 001. 0821 2444441. / 4255019 Consultation : Wednesday only. 10.30 am to 1.00 pm. Online appointment: www. Lybrate.com