Let's break it down further. The company likes to be on the "safe" side first, and does not provide you the essential hidden details. I like safety, but at the same time, sciences and medical results overpower safety's concens.
The feeling of 4 to 5 inHg is common in air. There's a feeling of disorientation or distortion of vacuum influences around the penile body. If your penile shaft cannot handle more than 5 inHg, that means you have sensitive tissues. Since you made the mod with the Bathmate using the MityVac gauge, monitor your pressure water, and create a dynamic pressure between 4 to 5 inHg, and then 5 to 6 inHg every two weeks, or even 3 weeks. You must go up in pressure as progressive pressure rising to break down the cellular walls. If you continue to use low pressures all the time, the body will adapt. When you go into higher pressure zone, the body can only adapt so much and have to give in. Commonly, the body stop adapting around 8 inHg and forces into cellular repair rather than adapting. Just like how the ADS stresses the penile shaft tissues. The body will adapt to 1lbs of traction due to blood volume entering the penis, but it cannot perform the adaption long term. Between 1.5 to 2.5 lbs, the body rather give in to cellular repairs than to adapt to the heavy weight. This is why the body forces the penis to retracts into the body for minimal energy expenditure for support and adaption than to keep the penis extended and erected constantly. We take advantage of that. The companies don't explain this because they want to appease the masses to buy their products, while hiding the needs to go beyond the required range the companies are introducing.
As for erected vs flaccid, the entering flaccid is to promote to those who have ED. Can most ED sufferers enter the pump semi to fully erected? No. Either entering flaccid or erected, the vacuum pressures forced you to become erected regardless. To get expansion gain, you have to become erected, forcing the corpus cavernosa tissue to expand beyond 1.75x the size, breaking down the cell bodies micro hair hines at a time, and then healing. Anything less, you won't get the gain. You get the erection quality (EQ) compared to ED issues, but not the gain.
You can use whatever extender you want, be traction type, mushroom cap type, or vacuum cylinder type. However, be warned that:
- Traction type causes pinches to the nerve bundles and blood vessels due to to the straps used. Even the larger straps (dual strapping causes irritation and kinking to the nerves and blood vessels. Force traction against the base may be constant, but the pain from traction pushed against the glans while force gripping the base of the glans along the penile shaft can be quite painful.
- Mushroom cap pressure system is like the vacuum cylinder system. It holds onto the glans, tugs, and pulls on the entire penis shaft and muscles holding onto the ligaments. However, the mushroom cap system looses pressure fast. I mean very fast. I use the caps too after pumping for quick on and quick off. However, loss of pressure within 10 minutes is a pain in the butt. I have to repump the cap to reengage the pressure constanly.
- Cylinder type vacuum system is so far the better of the 3. Why? A proper sized cylinder will engage pressure between the glans and the pressure seal cap. 1 to 2 full twists engages up to 8 inHg in a good seal, and it's just as easy to put on and take off. The pressure seal is completely sealed until you release it. The only down side is the pressure can be be painful if you don't shove the entire glans pass the cylinder's bottom edge. Any part of the glans sticks out will cause a compressive kink, which will be painful over time. That's why I like to have the SiliStretcher 2 to be at least 0.5in longe as a wishlist. The SS2 helps to ease the fatigue of glans pressure using the traction of the penis sleeve below the glans. You're engaging more than 2.5 inches of grip strength on 2.5in of your penis to pull against the inner muscles and ligaments at 2.5lbs of traction tension. More comfortable, no nerve or blood vessel impacts, and also expand your glans at the same time.
The longe you wear the ADS (with large cylindes and then switch to a smaller cylinder when the glans shrinks), with semi erection after pumping,
you can pursue both girth and length. The longer you wear, the longer the traction will help expand the cell membranes for minimal energy repairs.
Hope this helps.
