"Vacuum erection device Elite Custom has been specifically engineered to provide the best vacuum erection therapy for erectile dysfunction at the lowest possible cost. This vacuum erection device is the finest available and is recommended as a first line treatment for erectile dysfunction. Elite Custom's vacuum cylinder is made up of high-grade medical plastics for years of trouble-free use. The six penis tension bands included with the Vitality Plus erection device are designed to provide efficient management of the erection and insures that the patient and his partner have enjoyable intimacy without the fear of losing the erection. No prescription required. "