Most men begin two to four weeks after surgery, once the catheter has been removed and their physician has cleared them. The first four to eight months after surgery are generally considered the most important window, because that's when maintaining blood flow has the greatest effect on long-term recovery. 

Confirm the timing with your surgeon, since it depends on how your individual recovery is going.

Many men do. Starting before treatment is called prehabilitation, and it means entering surgery with well-conditioned tissue and already knowing how to use the device, instead of learning something new while recovering from an operation. If you have a surgery date, this is worth raising with your urologist now.

No. Start today. Earlier is better and the research is consistent on that, but later is far better than never. Men who begin months or even years after treatment still see improvement, and the recovery window is longer than most men are told.

No. CBH programs are available directly, with no prescription and no office visit required.

No. The CBH program has sections covering prostate cancer treatment (both surgery and radiation), Peyronie's disease, and organic erectile dysfunction related to diabetes, cardiovascular disease, low testosterone, medication, or age.

A Vacuum Therapy Device — also called a Vacuum Erection Device, VED, or penis pump — is an external, FDA-cleared medical device that goes over the penis and uses gentle negative pressure from a manual or battery-powered pump to draw oxygen-rich arterial blood into the penis. It is indicated for creating an erection strong enough for intercourse, and it is also used as a rehabilitation tool to maintain tissue health.

Vacuum devices came to market in the 1980s and were the first-line therapy for men recovering from prostate surgery. As oral medications became widely available, vacuum therapy moved to a second-line or combination recommendation. It remains one of the most consistent and predictable ways to bring blood to the penile region when the body cannot do it on its own.

A 2018 meta-analysis published in the American Journal of Men's Health pooled six randomized controlled trials covering 273 men after radical prostatectomy. It found that early use of vacuum therapy significantly improved both IIEF-5 erectile function scores and penile shrinkage, with few adverse events reported across the studies. The authors noted that the overall quality of available studies is limited and that larger trials are still needed.

A 2013 review in Translational Andrology and Urology explains the mechanism: vacuum therapy increases arterial blood flow into the penis while counteracting three processes that damage erectile tissue during recovery — cell death, scarring, and oxygen deprivation.

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

They're two different uses of the same tool. Therapy is the daily rehabilitation routine — cycling oxygenated blood through the tissue to keep it healthy. It has nothing to do with arousal or with having sex. Intimacy use means building an erection with the device and then using a tension ring to maintain it. Your program covers both, and explains when each applies.

Yes. Vacuum therapy and oral medications work through different mechanisms and are frequently used together. Vacuum therapy draws blood in mechanically, so it doesn't depend on the nerve signaling that limits oral medications when nerve function is impaired after surgery. Confirm with your physician for your specific situation.

Vacuum devices are external and non-invasive and are generally compatible with other treatments, but confirm with your oncologist. Hormone therapy suppresses the testosterone that drives the body's natural erection cycle, sometimes for one to three years after treatment ends — which is why maintaining blood flow mechanically matters during this period.

An FDA-cleared vacuum erection device includes an automatic vacuum safety limiter that shuts off the pump when maximum safe pressure is reached, which makes over-pumping impossible. Devices sold as novelty items generally have no pressure cutoff, are not manufactured under FDA-regulated conditions, and carry a real risk of injury from over-pumping. For rehabilitation — frequent use over months on healing tissue — that safety feature is not optional.

Buying from the manufacturer gets you a device and a user guide. CBH provides the device plus everything around it: a step-by-step routine matched to your situation, video tutorials, one-on-one coaching support, and educational resources. Most men who stop using a device don't stop because it failed — they stop because nobody explained what to expect. That's the part CBH provides.

Six, ranging from $150 to $399, including Pos-T-Vac and Osbon ErecAid systems in manual and battery-powered configurations. Every option includes the complete CBH program. If you're unsure which fits your situation, call and we'll talk it through.

Warranty terms are different for each device. The specific warranty length is listed on that device's page, and it's shown again at checkout before you order. If you want to compare warranties before deciding, call us and we'll walk you through them.

The medical-grade lubricant included in your kit creates an airtight seal between the cylinder rim and your body. Without it, the device cannot build proper suction. It's water-soluble — oil-based lubricants degrade tension rings over time and should never be used with the device.

The most common cause is battery life. Your program includes a simple test to confirm the device is working properly, and if it isn't resolved, call us — this is exactly the kind of question the coaching support exists for.

Every program includes an FDA-cleared medical device of your choice, a step-by-step penile rehabilitation routine matched to your situation, video tutorials, one-on-one coaching support, an ED health and wellness e-book, and all parts and accessories for both rehabilitation and intimacy.

Unlimited consultation time with a CBH advocate. If you aren't seeing the results you expect, additional training is available. Call or text 947.224.7342 — most questions are answered the same day.

Active rehabilitation is a defined period that varies by treatment type, after which most men move to a lighter maintenance routine rather than stopping entirely. Erectile tissue continues to need regular blood flow the same way any tissue does. Your program lays out the timeline for your specific situation.

Yes. A complete Spanish-language program is available at cbh4men.com/espanol.

FDA-cleared vacuum erection devices have a strong safety record when used as directed. The 2018 meta-analysis of six randomized trials reported few adverse events and identified no serious side effects. Some men experience mild, temporary effects such as bruising, skin discoloration, coldness, or numbness. Pain is always a signal to stop, rest, and resume at a lower pressure. Your program covers all of this in detail.

The automatic vacuum safety limiter prevents over-pumping by shutting off at maximum safe pressure. Follow the routine in your program rather than increasing sessions on your own, and contact us if anything doesn't feel right.

Men with certain bleeding disorders, men taking anticoagulant medication, and men with some penile conditions should speak with their physician before starting. If you have any doubt, ask your doctor first.

Place your order online. You'll receive an email with your program materials and tracking details right away. Read the guide and watch the tutorials while your device is in transit. UPS delivers in three to five business days, and therapy can begin on day one.

In a plain, non-descript box with CBH Medical as the return address. Nothing on the outside indicates the contents. Orders ship next business day.

Yes. CBH Medical accepts all FSA and HSA cards for payment.

Some commercial plans provide coverage. The CPT code for a vacuum erection device is L7900. CBH does not bill insurance directly, but can provide documentation if you want to submit a claim yourself. Check with your plan before assuming coverage.

CBH honors the manufacturer's 90-day return policy on unopened product only, unless otherwise approved by CBH. Original proof of purchase is required.

Contact us at 947.224.7342 to discuss international orders.