Abstract: A combination seal and constricting device and method of use for the external treatment of impotence is provided. The subject device is made of a pliable elastomeric material and is characterized by a centrally disposed cylindrical collar connected at one end thereof to a radially extending skirt having a forwardly facing, annular, elastomeric seating and sealing surface and a rearwardly facing surface substantially flush with one end of said collar. When used in combination with a conventional vacuum erection device, the combination seal and constricting device is positioned at the open end of the evacuation cylinder of the conventional vacuum erection device with the radially extending skirt flush between the open end of the cylinder and the user's groin. In this position, the subject device aids in establishing and maintaining a substantially airtight seal around the open end of the cylinder and the base of the penis during evacuation pumping.