What Is Penile Rehabilitation?

Penile rehabilitation is the practice of bringing oxygen-rich blood into penile tissue on a regular schedule, so that tissue stays healthy during a period when the body has lost its own ability to do it. It is most often used by men before and after prostate surgery or radiation, and by men managing Peyronie's disease or erectile dysfunction caused by diabetes, cardiovascular disease, or age.

It is not a single treatment or a procedure. It is a routine followed over months, in the same way physical therapy is a routine rather than an appointment.

What a rehabilitation program involves

A complete program has four parts. A device alone is only the first of them.

• An FDA-cleared vacuum therapy device that draws arterial blood into the penis using gentle negative pressure
• A structured routine matched to your situation, since recovery after surgery, radiation, hormone therapy, and organic ED each follow a different path
• Instruction on technique, because most men who stop do so from uncertainty rather than lack of results
• Ongoing support across the months the routine takes, so questions get answered as they come up

What penile rehabilitation aims to do

Support and preserve natural tissue length. Erectile tissue stretches like elastic, and regular stretch is how that elasticity is maintained during recovery.

Support the return of erectile function through a non-invasive, medication-free method that can be used alongside most other treatments.

Support urinary function. Pelvic floor strength underlies both erectile and urinary control, which is why pelvic floor training is part of most rehabilitation programs.

Restore confidence. Having a plan and knowing what to expect changes how men experience recovery, not only how their bodies respond.

Who penile rehabilitation is for

Men use rehabilitation programs at several different points:

• Before prostate surgery or radiation. Starting before treatment is called prehabilitation. It means entering treatment with well-conditioned tissue and already knowing how to use the device.
• After a radical prostatectomy, typically beginning once the catheter is out and a physician has given clearance.
• During and after radiation or hormone therapy, when the body's own erection cycle is suppressed for an extended period.
• With Peyronie's disease, where the goal includes stretching to address curvature alongside blood flow.
• With organic erectile dysfunction from diabetes, cardiovascular disease, low testosterone, medication, or age.

What to expect

Rehabilitation is gradual and it is not linear. Some weeks look better than others, and early sessions often produce less than men expect. Blood flow is reaching the tissue whether or not the visible result is impressive, which is something men are rarely told and a common reason they quit early.

The men who see the best outcomes are usually not the ones who worked hardest in week one. They are the ones still following the routine consistently at month six.

Individual results vary based on the cause of the erectile dysfunction, the treatment received, how soon rehabilitation begins, and how consistently the program is followed.

Where to start

CBH Penile Rehabilitation using Vacuum Therapy is a personalized program built around your specific situation, combining an FDA-cleared device with a step-by-step routine, video tutorials, and one-on-one coaching support.

If you're not sure whether this applies to you or where you'd begin, call or text Charles at 947.224.7342. He's a prostate cancer survivor who built this program after his own treatment, and he'll answer your questions whether or not you order anything.

Why You Need Penile Rehabilitation

Erectile tissue needs regular blood flow to stay healthy. When that blood flow stops — after prostate surgery, during radiation or hormone therapy, or as circulation declines with age and conditions like diabetes — the tissue begins to change. Penile rehabilitation is the practice of restoring that blood flow deliberately, on a schedule, during the period when the body can't produce it on its own.

Erections aren't only for sex

Most men don't know this: a healthy man has several erections every night during sleep, without being aware of any of them.

That nightly cycle isn't about desire. It's maintenance. It's how penile tissue receives oxygen, gets stretched, and keeps its smooth muscle conditioned — the same way any tissue in the body stays healthy through regular use and circulation.

Prostate surgery disrupts the nerves and blood vessels that produce those erections. Radiation damages them gradually. Hormone therapy removes the testosterone that drives them. In each case, the nightly maintenance cycle stops — and the tissue is left without its oxygen supply for months or years.

What happens to tissue without blood flow

Researchers have studied this closely. A 2013 review in Translational Andrology and Urology found that vacuum therapy after prostate surgery works by increasing arterial blood flow while counteracting three specific processes that damage erectile tissue during recovery: cell death, scarring, and oxygen deprivation.

In practical terms, tissue deprived of oxygen becomes more fibrous and less elastic. Elasticity is where natural length comes from. This is why many men notice changes in size after prostate treatment, and why the timing of rehabilitation matters — a small study comparing men who started early against men who waited twelve months found no significant change in penile length or circumference in the early group, while the delayed group showed significant decreases in both.

Three things happen with every erection

This is the framework behind everything CBH does. With every erection you create using the device, three things are happening at the same time:

Blood supply. Oxygen-rich blood enters the cells of the penis, feeding and maintaining the tissue.

Elasticity and length. The tissue stretches like elastic. That stretch is where natural length comes from and how it's preserved.

Smooth muscle and girth. The smooth muscle of the corpus cavernosum is exercised, which maintains erectile strength and girth.

This is why consistency matters more than any single session. One intense session doesn't accomplish what regular sessions over months do.

What this affects beyond sex

Men often frame this narrowly, but the changes reach further than the bedroom.

Erectile function is closely tied to pelvic floor strength, which also supports urinary control — one reason pelvic floor training is part of most recovery programs. Changes in size and function affect confidence in ways men rarely say out loud. And partners frequently interpret withdrawal as lost interest, when it's actually a man avoiding a conversation he doesn't know how to start.

Addressing this early tends to be easier than addressing it after a year of silence.

Who this is for

Penile rehabilitation is relevant if you are:

• Preparing for prostate surgery or radiation (starting before treatment is called prehabilitation)
• Recovering from a radical prostatectomy
• Undergoing or finishing radiation or hormone therapy
• Living with Peyronie's disease
• Experiencing organic ED from diabetes, cardiovascular disease, low testosterone, or age

It's not too late

If your treatment was months or years ago and you never started, the answer is still the same: start now. Earlier is better — the research is consistent on that — but later is far better than never. The recovery window is longer than most men are told.

If you're not sure where you stand, call or text Charles at 947.224.7342. He's a prostate cancer survivor himself, and he'll talk it through with you whether or not you order anything.

Why Vacuum Therapy?

Penile rehabilitation with CBH Medical is a natural, non-surgical way to support erectile function and overall penile health.

Vacuum Therapy Devices are external and non-invasive, and they can be safely used alongside most other treatments your doctor may recommend.

Penile rehabilitation using vacuum therapy brings oxygen-rich blood into the tissue — supporting healing, restoring circulation, and promoting healthier function over time. This process is gentle, medication-free, and designed to support your body's own recovery.

CBH Medical uses FDA-cleared devices, including the Pos-T-Vac and Osbon ErecAid systems. These devices are cleared for helping men create and maintain improved firmness by increasing blood flow naturally.

What Vacuum Therapy Does

A Vacuum Therapy Device (also known as a Vacuum Erection Device or VED) is an external, FDA-cleared medical tool designed to help draw healthy arterial blood into the penis.

This is done with a clear tube placed around the penis and a gentle manual or battery-powered pump that creates light negative pressure.

This increase in circulation supports tissue health, recovery, and long-term function.

A Long History of Supporting Recovery

Vacuum therapy has been used since the 1980s and was originally a first-line recovery tool for men healing after prostate surgery.

As oral medications became more common, vacuum therapy shifted to a second-line or combination therapy — but it continues to be one of the most consistent and predictable ways to help restore natural blood flow when the body needs support.

What the Research Shows

Researchers have studied how vacuum therapy works at the tissue level. A 2013 review in Translational Andrology and Urology concluded that vacuum therapy after prostate surgery works by increasing arterial blood flow into the penis while counteracting three specific processes that damage erectile tissue during recovery: cell death, scarring, and oxygen deprivation. The authors found that current clinical evidence supports the safety, tolerability, and effectiveness of beginning vacuum therapy early after surgery.

Timing appears to matter. In a study of 109 men who developed erectile dysfunction after radical prostatectomy, patients were randomly assigned either to use a vacuum device daily for nine months or to observation without treatment. The researchers found that early use supported earlier return of sexual activity compared with waiting.

A 2013 review in Reviews in Urology described the vacuum erection device as well suited to penile rehabilitation because it increases blood flow and oxygenation to the corpora, helping reverse the tissue changes that lead to erectile dysfunction after prostate surgery.

Individual results vary depending on the cause of erectile dysfunction, the type of treatment received, how soon rehabilitation begins, and how consistently the program is followed.

Sources

Lin H, Wang R. The science of vacuum erectile device in penile rehabilitation after radical prostatectomy. Translational Andrology and Urology, 2013.

Raina R, et al. Early use of vacuum constriction device following radical prostatectomy facilitates early sexual activity and potentially earlier return of erectile function. International Journal of Impotence Research, 2006.

Hoyland K, Vasdev N, Adshead J. The Use of Vacuum Erection Devices in Erectile Dysfunction After Radical Prostatectomy. Reviews in Urology, 2013.

Why CBH Medical?

CBH Medical Rehabilitation is an at-home penile rehabilitation program for men recovering from prostate surgery, radiation, and hormone therapy, as well as men managing Peyronie's disease or organic erectile dysfunction from diabetes, cardiovascular disease, or age. What separates CBH from buying a device on your own is everything that comes with it: a routine built for your situation, instruction on how to do it, and a person you can call.

Built by someone who went through it 

CBH was founded by Charles Hilson, a prostate cancer survivor. After his own treatment, he was handed a device and very little else — no schedule, no explanation, no one to ask. He spent the next fifteen years building the program he needed and couldn't find, and has since worked with thousands of men through their recovery.That's why CBH works differently from a product company. Physicians at MD Anderson Cancer Center and UT Physicians refer their patients to Charles for penile rehabilitation support, as do urologists, oncologists, and pelvic floor therapists across the country.

A program, not just a device

Most men who are handed a vacuum device stop using it within a few weeks. Not because it failed — because nobody told them what to expect, so when progress felt slow they assumed it wasn't working.

Every CBH program includes:

• An FDA-cleared medical device — six options from $150 to $399, including Pos-T-Vac and Osbon ErecAid systems, each with an automatic vacuum safety limiter that prevents over-pumping
• A step-by-step routine built for your situation — prostate surgery, radiation and hormone therapy, Peyronie's disease, or organic ED each follow a different protocol
• Video tutorials — see exactly how each step is done before your first session
• One-on-one coaching support — call or text Charles directly at 947.224.7342. Most questions are answered the same day
• All parts and accessories — everything needed for both rehabilitation sessions and intimacy
• Discreet delivery — plain box, CBH Medical as the return address, shipped next business day

Why the support matters more than the equipment

Penile rehabilitation isn't a one-time treatment. It's a routine you follow over months while nerves and blood vessels heal, and the men who see the best outcomes are almost always the ones who were still doing it consistently at month six.Staying consistent for six months is hard without someone to check in with. That's the part CBH provides that a device alone cannot.

Getting started

CBH programs are available nationwide with no prescription required, no office visits, and no insurance paperwork to navigate. FSA and HSA cards are accepted. A complete Spanish-language program is available at cbh4men.com/espanol.

If you're not sure which program or device fits your situation, call or text Charles at 947.224.7342. He'll answer your questions whether or not you order anything.