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Using a Personal Vibrator - ICID
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1. a non invasive way It can also be called Transactaneous Mechanical Nerve Stimulation TMNS or Penile Vibratory Stimulation PVS A PV can also be used to retrieve sperm for assisted reproduction techniques or intimate relationships Regular usage of a PV may improve sperm quality and quantity to a limited degree The Spinal Centre recommends the following personal vibrators e Ferticare e Viberect How does a personal vibrator achieve ejaculation The PV works by employing vibration to the penis Different frequencies and amplitudes of vibration can be adjusted to suit your individual needs By applying adequate vibration to the penis the PV promotes the ejaculatory reflex necessary for ejaculation The PV usually works best with SCI patients who have a lesion of T10 and above Other vibrating devices which are readily available for general use may not necessarily promote ejaculation The Pressure Clinic Tel 01722 429291 Version 3 1 Code P10559 Salisbury NHS Foundation Trust Salisbury District Hospital Salisbury Wiltshire SP2 8BJ www Salisbury nhs uk Using a personal vibrator 2 of 4 NHS Do need an assessment to use a personal vibrator Due to the risk of Autonomic Dysreflexia it is advisable to be assessed by a clinician when using a PV for the first time At the Spinal Centre your Consultant will assess and instruct you on how to use the device A Ferticare or Viberect PV will come with a user m
2. to purchase your own device not using the loan service we can give you the necessary details If you need further advice or help on how to use your PV either during the trial period or afterwards you are welcome to contact the Pressure Clinic Tat Salisbury NHS Foundation Trust The Pressure Clinic Salisbury District Hospital Salisbury Wiltshire SP2 8BJ Tel 01 729 4290201 www salisbury nhs uk Using a personal vibrator 4 of 4 NHS Cleaning and maintenance Both the Ferticare and Viberect personal vibrator require minimal maintenance The outside casing of a PV can be cleaned with an alcohol dampened cloth or a household anti bacterial wipe Do not use undiluted bleach on any components of a PV Depending on the device used remove the applicator heads by unscrewing or unclipping and wash in warm soapy water only Rinse well and dry thoroughly Do not use alcohol based products or bleach on the applicators Do not submerge a PV in any type of fluid to clean it You are putting yourself at risk of electrocution A PV should be stored in a dry place at room temperature Avoid extreme hot or cold storage conditions Always ensure that the PV is fully charged and is recharged after every use Do not use a PV while charging the device Always turn off device before charging Fully charged batteries will allow approx 20 30 minutes minimum usage depending on the setting used and lifespan of battery To avoid the risk of
3. Health amp care 2 aola iioa you can trust i Certified The Information Standard If you need this information in another language or medium audio large print etc please contact the Customer Care Team on 0800 374 208 email customercare salisbury nhs uk You are entitled to a copy of any letter we write about you Please ask if you want one when you come to the hospital If you are unhappy with the advice you have been given by your GP consultant or another healthcare professional you may ask for a second or further opinion The evidence used in the preparation of this leaflet is available on request Please email patient information salisbury nhs uk if you would like a reference list Author Matt Fiddy Role Outpatient Technician Date written September 2007 Last Reviewed November 2013 Review date November 2016 Salisbury NHS NHS Foundation Trust Using a Personal Vibrator 1 of 4 This information sheet is intended for Spinally Injured patients only This leaflet is for guidance only We recommended that you follow the instructions given by your clinician before using this equipment What is a personal vibrator Following a spinal cord injury SCI the ability to ejaculate may be decreased This can have an impact on fertility and other aspects of sexual behaviour gt personal penile vibrator A personal vibrator PV is a hand held device used to induce ejaculation in
4. anual which must be followed in accordance with the recommended instructions from your spinal consultant clinician You are at risk of serious health implications if you do not follow these guidelines How can I use a personal vibrator A PV has been specially designed for patients with neurological loss and can be used safely in the home setting If your hand function is limited your partner can be taught how to use the PV How often can use a personal vibrator It is recommended that a PV is used for a maximum of 3 minutes followed by a pause of 1 minute This can be repeated up to 6 times in one day provided that there are no episodes of Autonomic Dysreflexia and that the penile skin surface is in a healthy condition and not showing signs of skin breakdown Do not use a PV more than once a week unless advised otherwise This will help prevent exhaustion of the ejaculatory reflex Your spinal consultant clinician will discuss with you how often you can use a PV safely How soon can expect ejaculation There is no simple answer Some men can experience ejaculation immediately Others find that ejaculation takes many practise sessions Follow the instructions given by your spinal consultant clinician and the user manual If you have difficulties ejaculating at the recommended settings seek guidance from your spinal consultant clinician before you try another setting Are there any risks involved The use of a PV can cause pote
5. electrocution always use the supplied charger for the device To maintain the optimum battery lifespan of a PV it is recommended that the power is left on and allowed to run down until completely empty When the battery power has become empty recharge the PV fully again This is Known as discharging the internal battery and should be done on alternate months The internal batteries cannot be removed or replaced from the unit Do not dispose of a PV in normal household waste collection Please contact your local waste authority regarding the disposal of Nickel Cadmium batteries and devices containing them Further information It is important that any concerns you may have regarding erectile dysfunction as well as all other aspects of sexual function e g fertility issues ejaculation etc are discussed with your consultant here at the Spinal Centre Remember what may work for one person may not work for you The Pressure Clinic Tel 01 22 429201 Salisbury District e a Tee www salisbury nhs uk
6. ions it is recommended that you seek medical advice before reusing a PV When should not use a personal vibrator If you are taking anti coagulants e g warfarin heparin clexane it is advisable that you check with your spinal consultant before using the PV due to the risks of bruising or skin damage When use of a PV triggers Autonomic Dysreflexia episodes seek medical advice If in doubt contact your spinal consultant clinician or the Pressure Clinic Do have to buy a personal vibrator The Ferticare or Viberect Personal Vibrators are not available on prescription We strongly advise all patients to have an assessment with a clinician before purchasing this type of equipment At the Spinal Centre the assessment is carried out by your consultant You can borrow a PV from the Pressure Clinic when your consultant has authorised this The PV is loaned for a period of one month at a time You will be asked to sign an agreement with regards to the care and maintenance and prompt return of the PV and to finance any necessary repairs for damage caused to the equipment whilst in your possession There is a waiting list for this service and we loan our equipment for a maximum of 4 occasions After 4 loans you are expected to obtain your own equipment We will tell you how to do this lf you do not adhere to agreement loan conditions you will be removed from the waiting list If you have been assessed by the Spinal Consultant but prefer
7. ntial side effects Effects on skin Bruising bleeding or skin breakdown may occur depending on the condition of the skin of your penis It is important not to use a PV on inflamed or damaged areas of skin and to seek medical assistance as soon as possible if problems occur When the skin has completely healed seek advice before using a PV again There are no latex properties in the manufacturing process of a Ferticare or Viberect PV The Pressure Clinic Tel 01 22 429201 Salisbury District e a Teer www salisbury nhs uk Using a personal vibrator 3 of 4 NHS Ejaculation can cause Autonomic Dysreflexia If your level is T6 or above you will be given instructions on how to minimise and manage Autonomic Dysreflexia episodes from your spinal consultant Autonomic Dysreflexia If you follow the instructions carefully and take the necessary precautions to prevent Autonomic Dysreflexia the risks are minimised Pain increased spasm If you feel pain or experience an increase in spasm when using a PV discontinue use and seek medical advice Do not use a PV until the cause of the pain increase in soasm has been established Pain increased spasm may also be a result of the penile skin surface breaking down Do not continue use until skin has completely healed Experience will teach you to find the appropriate applied pressure to achieve ejaculation without any discomfort If pain increase in spasm continues after taking these precaut
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