Liberty University College of Osteopathic Medicine
Introduction: Patient experiences and expectations with constriction rings for erectile dysfunction (ED) are not well described. In this study, we query patients’ perspectives on commercially available constriction rings and catalog positive and negative factors associated with their experience. Methods: An Amazon search using the terms “ED constriction ring'' and“cock ring” resulted in 9 independent products that were included in the study. The most recent 10% of reviews on the product were used for analysis. Two researchers (AT and ED) assigned overall sentiment codes (positive, indifferent or negative) and positive or negative codes (see Table 1) to all reviews (n=413). Inter-rater reliability was considered strong (?= 0.82). Discrepancies in analysis were decided by a third independent reviewer SM. A codebook was developed using grounded theory methodology with both inductive and deductive codes. Results: Amazon reviews of constriction rings were more frequently positive (n=242) than negative (n=136) in overall sentiment. The most frequent praise was based on appropriate sizing of the product (n=79) followed by the comfort of the ring (n=74). The most frequent complaint was associated with inappropriate sizing of the product (n=79) followed by quality of the product (n=50). The device with the greatest number of reviews mentioning effective erectile enhancement was the Eddie by Giddy, and the device with the most negative mentions of ineffective use was the Utimi Adjustable ring set. Of note a significant number of reviews detail the device being worn around both the phallus as well as the scrotum (x=15), which is contrary to medical advice. Additionally, a small number of reviews comment on wearing the device for long periods to enhance the appearance of genitalia under clothing (x=5). Conclusions: Constriction rings appear to be well tolerated by patients for the treatment of ED based on qualitative analysis of reviews. Sizing options in conjunction with proper size selection and product design are important factors to overall satisfaction with the device. SOURCE OF Funding: None
