I read about the RestoreX device being used for smooth muscle rehab a couple months after RALP and bought it and used it. Like @trusam1 I have no idea whether it made a difference, although it appeared to be helpful. I had side effects from the sildenafil/taladafil (pills) which kept me from using them and i didn't try the vacuum pump, which I only learned about being used in this way much later. It seems like the vacuum pump and the physical stretching using the restorex device might have similar benefit in terms of muscle tone?