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The ULTIMA 20 TENS offers 12 preset modes and 8 manual modes to effectively treat Neuropathy pain, Arthritis, and many more conditions. Our one size fits all conductive garments include the ULTIMA Gloves, ULTIMA Socks, or the ULTIMA Sleeve.


Erectile Dysfunction, also referred to as ED, usually has a physical cause, such as disease, injury, or side effects from drugs. Any disorder that causes injury to the nerves or impairs blood flow in the penis has the potential to cause ED.

Because an erection requires a precise sequence of events, ED can occur when any of the events is disrupted. The sequence includes nerve impulses in the brain, spinal column, and area around the penis, and response in muscles, fibrous tissues, veins, and arteries in and near the corpora cavernosa.

Damage to nerves, arteries, smooth muscles, and fibrous tissues, often as a result of disease, is the most common cause of ED. Diseases, such as diabetes, high blood pressure, nerve disease or nerve damage, multiple sclerosis, atherosclerosis, and heart disease, account for the majority of ED cases. Patients should be thoroughly evaluated for these conditions before they begin any form of treatment for ED.

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Lifestyle choices that contribute to heart disease and vascular problems also raise the risk of ED. Smoking, drinking alcohol excessively, being overweight, and not exercising are possible causes of ED.

Surgery, especially radical prostate and bladder surgery for cancer, can also injure nerves and arteries near the penis, causing ED. Injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to ED by harming nerves, smooth muscles, arteries, and the fibrous tissues of the corpora cavernosa.

In addition, ED can be a side effect of many common medicines such as blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants, and cimetidine, an ulcer drug.

Psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure can also cause ED. Even when ED has a physical cause, psychological factors may make the condition worse.

Hormonal abnormalities, such as low levels of testosterone, are a less frequent cause of ED.


Mechanical vacuum devices cause an erection by creating a partial vacuum, which draws blood into the corpora cavernosa, engorging and expanding the penis.

The devices have three components: a plastic cylinder, into which the penis is placed; a pump, which draws air out of the cylinder; and an elastic ring, which is moved from the end of the cylinder to the base of the penis as the cylinder is removed. The elastic ring maintains the erection during intercourse by preventing blood from flowing back into the body (see Figure 2). The elastic ring can remain in place up to 30 minutes. The ring should be removed after that time to restore normal circulation and to avoid skin irritation.

Couples may find that using a vacuum device requires some practice or adjustment. An erection achieved with a vacuum device may not feel like an erection achieved naturally. The penis may feel cold or numb and have a purple color. Bruising on the shaft of the penis may occur, but the bruises are usually painless and disappear in a few days. Ejaculation may be weakened because the elastic ring blocks some of the semen from traveling through the urethra, but the pleasure of orgasm is usually not affected.


A vacuum device causes an erection by creating a partial vacuum around the penis, which draws blood into the corpora cavernosa.


The Encore Revive Premium Combo Device* is, without question, the most advanced and effective ED device on the market. The Encore Premium System includes BOTH a battery and manual pump and seven different size rings.The Encore Revive Premium restores sexual function without the negative side effects or high costs associated with medications. Our system is safe, proven & effective. With Encore, restoring your love life is easier than ever!


This device will create an immediate, strong erection for 95% of all men, regardless of the underlying cause of the problem. Vacuum Therapy creates an erection by placing the penis in a cylinder which draws blood into the erectile tissues replicating the natural process. The erection can be maintained by a specially designed ring placed by the patient around the base of the penis.

The Encore Revive Premium System delivers maximum results with unparalleled performance. Through state-of-the-art design and functionality, the Premium System is the most advanced and effective system available.  

Hear what Beatty Cohen has to say about the new Revive Premium System:


The Encore Revive Premium Vacuum Therapy System for Erectile Dysfunction is proven to deliver results (95%) effective. It's simple, safe, effective! At, we require NO MONEY up front. Simply fill out our short form to provide your insurance information, and we’ll contact your insurance and handle all the paper work for you. Your privacy is very important us, we will handle your inquiry with utmost discretion. Restore Your Intimacy Today, call to speak to one of our Personal Patient Advocates today!

*Supplier reserves the right to ship a similar item from a different manufacturer!

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**Generally, you pay 20% of the Medicare-approved amount after you pay your Medicare Part B deductible for the year ($162 in 2011). Medicare pays the other 80%. The Medicare-approved amount is the lower of the actual charge for the item or the fee Medicare sets for the item. However, the amount you pay may vary because Medicare pays for different kinds of durable medical equipment in different ways. You may be able to rent or buy the equipment.

This information is intended as a patient education resource only and should not be used for diagnosing or treating a health problem as it is not a substitute for expert professional care. If you have or suspect you may have a health problem, please consult your health care provider. In addition, every effort is made to ensure links to external sites as well as medical information and/or medical animations are current and correct.

Medicare or your health insurance may cover the entire cost of your medical supplies.* Click here to see what products are available to treat your pain.

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