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The VCD consists of an acrylic cylinder with a pump that may be attached directly to the end of the penis. A constriction ring or band is placed on the cylinder at the other end, which is applied to the body. The cylinder and pump are used to create a vacuum to help the penis become erect; the band or constriction ring is used to help maintain the erection. All you need to know when buying Viagra Online buy viagra online without prescription A. From a practical point of view, a VED is one of the best ED treatments available. It's very effective, works for almost everybody, and is very inexpensive over the long haul. There are no serious side effects when used properly, and it can be utilized whenever an erection is desired. About half of the men who purchase the device like it and keep using it. I've found that the VED works for about 90 percent of my patients but working and liking to use it are two different things altogether. By Randy Dotinga