JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 91

Abstracts
treatments have been shown to be ineffective in this cohort
and 95% require simple cystectomy. This study suggests
male gender and prior SPC insertion may be risk factors
for developing pyocystis.
Unmoderated ePosters
U1 Rising to the occasion: evolution of the
vacuum erection device
Humayun-Zakaria N1, Wharton I1
1University Hospital Coventry & Warwickshire, United Kingdom

Vacuum Erection Devices (VEDs) have become the mainstay non-invasive mechanical therapy for erectile dysfunction. Although John King is widely credited with the
original publication describing VED ('the glass-exhauster';
1864) in his book 'The American Physician/Domestic
Guide to Health', it was French physician Vincent MarieMondat who actually published first.
In 'On Sterility in the Male & Female' (1843), Marie-Mondat
described his 'Congester'; an open- ended cylindrical
device with an exhaustive-pump at one end, which drew

U1: Figure 1

91
blood into the corpora to stimulate an erection. He
described four individuals who were unable to attain erections and claimed that with use of his device, they achieved
erections of maximal length and girth.
Professor Zabludowski subsequently described use of
abdominal massage with the addition of a pyriform glassvessel similar to that described by King (1908). Significant
outcomes were reported. However, all these devices were
unable to maintain erection once removed. Austrian Otto
Lederer resolved the issue when he patented a device that
used a constriction ring along with drawing pressure to
engorge the penile vessels and keep tumescence (1917).
Design barely altered until 1974, when Geddings Osbon, an
automotive worker, marketed his 'youth-equivalent device'.
After losing intimacy with his wife, he spent 20 years using
his knowledge of vacuums from retreading tyres to perfect
and refine VED design. Due to safety concerns, it was not
until 1982 that the FDA granted permission to market his
VED as a prescription-product. Subsequent work by
Witherington, Nadig and then Lue helped the device gain
medical recognition, and ultimately AUA recommendation
for organic erectile dysfunction treatment.



Table of Contents for the Digital Edition of JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018

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