Since I got my Pro Vac cylinder, I'm regularly pumping up to 15 hg and even more. I don't have to worry about sustained pressure, because the cylinder will not sustain that pressure and gradually and steadily declines. When it gets back down to 6 or 7 hg, I pump up again. Wish I could get a good seal and not have to do this, but I've tried just about everything I can think of to get a good seal. Shaved my entire pubic area, apply Vaseline to the rim of the cylinder etc. Makes no difference. Air continues to gradually leak out. I do not have this issue with my X40. I pump to where I want and it holds until I release the vacuum. I used to have a Vacutech cylinder, and it held without any problem either. I think the common denominator here is that the base of the X40 and the Vacutech cylinder cover more surface area than the MOS cylinder, providing more area to seal. the X40 of course has the thick, wide comfort cushion, and the vacutech cylinder had a flared base. I should emphasize that this has nothing to do with the diameter of the cylinder. My pro vac is 2.25", but the X40 is wider at 2.5". By the way, I've discovered that if I pump up to 15hg, I can pull on the cylinder quite strongly and it holds. But the vacuum doesn't, so in a minute or so, I have to pump up again. I think I might use my X40 more often, as it holds the vacuum perfectly. Only trouble is, I have no idea how much vacuum I'm applying, because there is no gauge. But using the wine vac, I expect the vacuum is quite high, probably 15 hg or more. So, I have to rely on how it feels and try not to get carried away with the wine vac.