Dealing with erectile dysfunction after 80: Can a penis pump help when pills don’t work?

Erectile dysfunction (ED) is common at any age, and its prevalence increases with advancing years. After 80, many men find that oral medications like PDE5 inhibitors (e.g., sildenafil or tadalafil) may be less effective or contraindicated due to other health issues. A penis pump—properly known as a vacuum erection device (VED)—can be a safe and useful alternative. Below, we’ll explain how it works, its benefits and risks, and practical tips for use.

Understanding erectile dysfunction after 80

A combination of factors can contribute to ED in men over 80:

• Reduced blood flow due to hardened arteries (atherosclerosis)
• Lower testosterone levels
• Nervous system changes from conditions like diabetes or Parkinson’s
• Medications for high blood pressure, prostate issues or depression
• General health issues, including heart disease or kidney disease

It’s important to identify underlying causes—some may be reversible or managed with lifestyle changes.

What is a penis pump (vacuum erection device)?

A vacuum erection device (VED) is a non-invasive tool designed to create an erection by drawing blood into the penis. It consists of three parts:

1. A clear plastic cylinder placed over the penis
2. A manual or battery-powered pump that removes air from the cylinder
3. A constriction ring (or band) slid down to the base of the penis to maintain the erection

How it works

1. Place a water-based lubricant at the base of the cylinder to ensure a tight seal against the body.
2. Pump out air to create negative pressure. This draws blood into the penile tissues.
3. Once erect, slide the constriction ring off the cylinder onto the penis base.
4. Remove the cylinder and maintain the ring for up to 30 minutes.

Benefits of a penis pump for men over 80

• Effectiveness: Studies show success rates up to 60–80% in men of various ages, including those who didn’t respond to oral drugs.
• Safety: Non-invasive, with limited systemic side effects—ideal for men with heart conditions or multiple medications.
• Control: You choose when and how long to use it, without daily pills.
• Affordability: One-time device cost, often covered by insurance under ED therapy.

Potential drawbacks and side effects

While generally well tolerated, vacuum erection devices can cause:

• Mild bruising or petechiae (tiny red spots) from suction
• Numbness or cold sensation in the penis
• Difficulty ejaculating with the constriction ring in place
• Discomfort if the ring is too tight or left on too long

Men with bleeding disorders or on anticoagulants should use caution and discuss risks with their doctor.

Step-by-step guide to safe, effective use

1. Read the instructions carefully. Ensure you understand how to assemble and operate the device.
2. Try a practice session without the constriction ring to get used to the sensation.
3. Lubricate the base of the cylinder and your penis to create an airtight seal.
4. Pump slowly until you see an erection. You may feel mild tugging—stop if it becomes painful.
5. Apply the constriction ring at the base before removing the cylinder.
6. Monitor time: remove the ring after no more than 30 minutes to avoid tissue damage.
7. Clean the device after each use with mild soap and water; let it air dry.

Tips for better results

• Use the pump in a relaxed, private setting. Anxiety can reduce effectiveness.
• Combine with gentle massage of the penis shaft during pumping to encourage blood flow.
• Experiment with ring sizes for comfort and firmness.
• Allow a few minutes for the erection to stabilize before intercourse.
• If pain or significant bruising occurs, reduce the vacuum level or discontinue use.

Other treatment options to consider

If a vacuum device alone isn’t enough—or if it’s not suitable—you might discuss these alternatives with your healthcare provider:

• Alprostadil injections or urethral suppositories to directly dilate blood vessels in the penis
• Testosterone replacement therapy if low levels are confirmed by blood tests
• Penile implants (semi-rigid or inflatable), a surgical option with high satisfaction rates
• Pelvic floor exercises (Kegels) to strengthen muscles that support erections
• Counseling or sex therapy to address psychological factors like performance anxiety or relationship issues

When to seek medical advice

Erectile dysfunction after 80 can signal other health problems, including cardiovascular disease or diabetes. It’s wise to:

• Track how often ED occurs and note any associated symptoms (chest pain, dizziness, sudden vision changes)
• Speak to a doctor if you experience sudden or painful erections (priapism)
• Address any side effects from devices or medications promptly

You might also consider doing a free, online symptom check, using the doctor approved Ubie Symptom Checker to help you understand possible causes and next steps.

Talking with your healthcare provider

Keep an open line of communication:

• Describe your overall health, existing medical conditions, and all medications (prescription, over-the-counter, supplements).
• Ask about the safety of a vacuum device in light of your cardiovascular or hematologic status.
• Discuss insurance coverage or reimbursement options for a VED.
• Plan follow-up visits to assess the effectiveness and comfort of your chosen therapy.

Managing expectations and quality of life

ED after 80 is not just a physical issue—it can affect self-esteem and relationships. By exploring safe, proven treatments like a penis pump, many men regain satisfying sexual activity and intimacy. Patience, realistic expectations and professional support can make a significant difference.

Remember: While a penis pump is effective for many, no single approach works for everyone. It may take time to find the right combination of therapies. If you experience any serious or life-threatening symptoms—chest pain, severe shortness of breath, or priapism—seek emergency medical care immediately. Otherwise, continue to speak to a doctor about your options and progress.

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Speak to a doctor about any concerns and to confirm that a vacuum erection device is safe and appropriate for you. Stay proactive, stay informed, and remember that help is available.