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Doctors view the penis pump‚or "vacuum constriction device," as it's called in the business‚as a reasonable, low-cost treatment for erectile dysfunction. 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.]