Re the debate of whether or not to issue Cialis, I would consider approaching your NHS trust with a compelling case for the prescription, and this could, be backed up by your own trial if you felt that way inclined?
The suggestion that Cialis is no better than a daily use of the pump is demonstrably inaccurate.
You use the pump. The penis expands to fill the space created by the vacuum in the chamber. The flesh does not burst but fills the space, and is filled with blood and you probably get a somewhat purple appendage. Maybe to use the pump for 10 minutes or 20? While you are using the pump, blood is encouraged to flow to the penis, because that flesh is creating space for blood. Even though the blood vessels to that area nay be damaged because you are actively encouraging blood there it gets there? Maybe. The theory seems good to me. You stop using the pump, blood is no longer encouraged to flow to the penis, it just floats about wherever it is easiest to get to. The damaged vessels that had been calling for blood when you were pumping are no longer getting engorged, as the heart pumps blood and the blood flows taking the route of least resistance, the open undamaged vessels.
You take a Cialis pill, the drug works by encouraging blood flow and recirculation throughout the body. 24/7. Not just for 10 or 20 minutes, all day every day, while you are asleep. Combine this with a pump and you have a double edged sword attacking the problem and supplying blood to the damaged vessels.
When I bought my first lot of Cialis before I was prescribed, I think they cost me about £30 for 28 tablets.
If you buy a months supply, combine a daily tablet with regular use of the pump, and, IF this produces beneficial results for you, you could go back to your GP with a business case for obtaining them on prescription?
May be worth a punt?
You are still doing well young man.