Penile extenders and vacuum devices

Penile extenders device

Penile extenders are devices made up of a plastic support, a silicone band placed at the subcoronal level, and dynamic metal rods that apply traction to the penis.

The process works through a mechanism that responds to tension or pressure. Special sensors, such as cadherins and integrins, are activated, which in turn activate ionic channels and send signals through the cell skeleton. These signals trigger a series of reactions within the cell, involving molecules such as IP3, DAG, cyclic D1, and PDGF. In laboratory in vitro studies, it has been observed that tension increases the production of certain enzymes (MMP8) and reduces the production of a protein called α-actin.

Among the most commonly used devices in our clinic are the TractionPen System from AndroGenital® and the Penile Traction Therapy Device from Restorex®.

When are penile extenders recommended?

Several studies have been published showing its effectiveness in both the acute and chronic phases of Peyronie’s disease. For this reason, the clinical guidelines of the European Association of Urology consider it a valid treatment option.

What is the treatment like?

For the treatment of Peyronie’s disease, it is recommended to use the penile traction device for 3 to 8 hours a day for a period of 3 to 6 months. However, in clinical practice, many patients find it difficult to tolerate the use of the device for such long periods. Additionally, in patients who have good erectile function, nocturnal erections may prevent the use of the device during the night.

For better results, at Andrology Barcelona, we always assess each case individually. This way, we can establish an effective and comfortable usage schedule with the patient, as well as adjust the expectations regarding the treatment.

Vacuum or vacuum devices

Penile vacuum systems are devices that generate negative pressure, which causes the expansion of cavernous and sinusoidal tissue, reduces venous return flow, and increases arterial flow. We explain to patients that generally, these traction devices are recommended as part of a treatment: multiple studies have examined the effect of vacuum devices as part of a multimodal treatment, but there are few that assess their effect in monotherapy.

How to use vacuum devices?

In the treatment of Peyronie’s disease, these devices are used following specific guidelines: 10-minute sessions every 12 hours or 20-minute sessions every 24 hours, for a period of 3 months.

Do you need more information about our treatments?

At Andrology Barcelona, we are experts in Peyronie’s disease. Together, we will find the best solution for you.