ED Vacuum Devices A vacuum constriction device (VCD) is an external pump with a band on it that a man with erectile dysfunction can use to get and maintain an erection. Penile Implants for ED A penile prosthesis or implant is an effective treatment for erectile dysfunction. Penile implant surgeries take about an hour and are typically done in an outpatient center. ED Surgery Vascular reconstructive surgery is one way to improve blood flow to the penis to help a man with erectile dysfunction ...