Are two-a-days the key to growth? Small clinical series and case reports have used ~10 minutes twice daily and reported modest improvements in penile length, girth, curvature, or tissue pliability over weeks to months in selected patients (for example in Peyronie’s or post-prostatectomy rehab). Sample conservative clinic protocol Assessment first: medical exam and discussion with a urologist to confirm VED is appropriate for you. Warm up: gentle warm shower or warm compress to the penis for a few minutes to promote circulation. Session frequency: twice daily (morning + evening) on most days; a typical program used in studies is 10–15 minutes per session . Technique basics: assemble cylinder and pump per manufacturer instructions; create a gentle vacuum until erection is achieved (stop if painful); if using a constriction ring, place it only as directed and do not leave it on >30 minutes . Pressure & comfort: do not over-pressurize to painful levels; fo...