Do you have an assistant to aid you in using a device? Using a [words=https://shop.mattersofsize.com/products/sizegenetics-penis-extender]Extender[/words] will be the best way for you to gain length with no use of hands but it will require help in putting on. There are three to choose from here:
The Phalosan
The SizeGentcis
The [words=https://www.internetzahlung.de/cc-aktuell/bestellung.php3?PID=PM0440A&Sprache=en]PeniMasterPro[/words]
There could be more you could do but I would need to know if you have any assistance.
I have an assistant but not day in and day out like i use to have. I did manage to get a wide shoe lace and make it like a noose in a way where it can open and tighten. Would that help any?
So maybe you could use the [words=https://shop.mattersofsize.com/products/sizegenetics-penis-extender]SizeGenetics[/words] as a loop attachment is one of the many attachment they have. Also, the Velcro attachment may also work well for you since you can make a noose you should be able to use the velcro strap. The [words=http://TLCTugger.com/MOS]VLC[/words] attachment may made it easier for you to get in and out. The [words=https://www.internetzahlung.de/cc-aktuell/bestellung.php3?PID=PM0440A&Sprache=en]PeniMasterPro[/words] and the [words=http://www.phallosan.com/shop/catalog/default.php?z=eNortjIxtVKyL0pNszWxMFcrSSxKTy2JL0hMT7U1UisoykyxtbBQSy4tLsnPjS8uKcrMS7dVsgZcMMpbEbo%2C]Phallosan[/words] used vacuum attachments which may also work for you with some practice. It is so hard to tell without having the issue.
This is the [words=https://shop.mattersofsize.com/products/sizegenetics-penis-extender]SizeGenetics[/words] with the [words=http://TLCTugger.com/MOS]VLC[/words] Attachment