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A report from the American Urological Association says that constriction devices might be useful in cases where PDE5-inhibitor drugs like Viagra are ineffective. Still, most men (or couples) don't like using the penis pump: The report concludes that "low patient acceptability limits the application or use of this therapy. " Daniel Engber is a columnist for Slate. The device consists of an acrylic tube and a pumping mechanism, which can be a squeeze ball, a hand grip, a plunger, or an electric device.]