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As the user pumps air out of the tube, the resulting vacuum increases blood flow into his erectile tissue. He then slides a "constriction ring" over the base of his penis to maintain the erection when he removes the tube. A vacuum erection may not always feel like the real thing. Various sources describe them as "spongy and semi-flaccid," purplish in color, and sometimes cold or numb.

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Pfizer Inc. said in its most recent quarterly filing with the Securities and Exchange Commission that sales of the drug rose 5 percent to 438 million in the first quarter of the year. Pfizer also said at the time that Viagra had a 68 percent worldwide market share. Viagra sales have been under pressure from new competitors Cialis and Levitra, with revenue sinking 11 percent last year to 1.]