Originally Posted by ticktickticker
Because the increased internal pressure (clamping) has no big influence on the tissue between the skin and the tunica.
By contrast, if you pump, the tunica is indirectly affected: the pulling effect is transmitted from the skin to the tissue under the skin to the tunica. Therefore, tissue pressure (Pt in the equation) decreases and that favors filtration of fluid from the blood into the tissue, according to starlings equation. I’ll try to remember that equation as good as I can (pudendum correct me if necessary):
V/t = C (Pi - Pt) - r * (pi - pt)
Where V/t is the Volume of fluid filtered across the semipermeable microvascular blood membrane, C is a Conductivity factor, r is a reflection coefficient for the macromolecules at the membranes depending on the size of the macromolecules relative to the pore size of the membrane, P are hydrostatic pressures, p are oncotic (= colloid osmotic) pressures (resulting from macromolecules), I is intravascular and t is tissue).
That’s why.
Thanks 3T. I’m not familiar with that equation, but it looks like it is basically saying that volume of fluid filtered is a function of the difference between internal and external pressures. So, You are saying the tissue above the tunica has some tension on it that reduces the effect of the vacuum on the tunica. That may well be at least part of the explanation. But after I typed my question I thought about something else:
A clamp stops the flow of blood into the CC’s as well as into the tissue and skin external to the tunica (and lymph as well?)
On the other hand, inflow and outflow are not effected by vacuum pumping.
Therefore, as you pull a vacuum, you are pulling more lymph into the penis, and more plasma is filtering through the capillary and cell walls into the interstitial spaces. (I am theorizing, not stating this as fact).
I don’t think it matters if you are at full erection or not. If you assume vacuum pumping at full erection, and assume all blood flow out of the CC’s is stopped, there would still be blood and lymph vessels open on the exterior tissues and skin. So, you end up with blood and lymph flowing into the skin as long as you are pulling a vacuum, and more and more of that fluid ends up as edema.
So to summarize my latest theory: Clamping is more effective than vacuum pumping because clamping closes off fluid flow into the superficial tissues of the penis, which prevents the problem of lymphedema. In contrast, vacuum pumping allows blood and lymph to flow into those superficial tissues, causing fluid build up to increase the longer the vacuum is applied.
The net result of this difference is that equivalent stress can not be placed on the tunica with vacuum pumping compared to clamping.
How does that sound?