![]() Patient 1 did well with local skin care and no longer uses a VED. He subsequently developed a dorsal penile plaque with mild dorsal curvature. Patient 5: a 62-year-old man with neurogenic impotence following a radical prostatectomy developed penile ecchymoses acutely following placement of a smaller constriction ring. Patient 4: a 65-year-old man developed Peyronie's disease after 4 years of correct VED use. This mass was not present in the flaccid state and was seen only with VED use. ![]() Patient 3: a 75-year-old diabetic man who enjoyed satisfactory erections with a VED for 14 months developed a 3 x 3-cm penile cystic mass located on the proximal right side of the penile shaft. Patient 2: a 76-year-old diabetic man who used a VED correctly for 3 months developed severe urethral bleeding. Patient 1: a 38-year-old diabetic man with significant peripheral neuropathy and an 8-year history of erectile dysfunction developed penile skin necrosis at the ring site after leaving the penile ring on for an excessive length of time (6 hours). We report on 5 patients who developed unusual complications associated with VED use, including two previously unreported complications of urethral bleeding and capture of scrotal tunica within the penile shaft. When used correctly, VEDs carry low morbidity and few recognized complications. The vacuum erection device (VED) is usually well tolerated and very effective for patients with erectile dysfunction.
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