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Two-A-Days: The Key to Permanent Gains?

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; follow device guidance and any clinician-recommended limits; discomfort or numbness means ease off immediately.

  • Duration & progression: continue protocol for weeks; many clinical programs evaluate progress at 6–12 weeks and adjust per findings. Document measurements and symptoms to review with your clinician.

Do / Don’t (quick)

  • Do: get medical clearance, follow manufacturer and clinician instructions, stop for pain, keep sessions brief and regular, keep the device and seals clean.

  • Don’t: use excessive pressure, leave constriction rings on >30 minutes, use while intoxicated or without assistance if you have dexterity/vision issues, attempt extreme ‘stretching’ beyond comfort.

What to expect

  • Short-term: temporary engorgement and firmer erections for sexual activity; mild bruising possible if used aggressively.

  • Medium term: in some patients (post-op rehab or Peyronie’s cohorts) small gains in stretched penile length or girth.

  • Long term: permanent, large gains show strong evidence.

When to call your doctor (stop use and seek care)

  • Severe or worsening pain, persistent numbness, large or rapidly spreading bruises, loss of penile sensation, or if the penis turns pale/blue or does not return to normal color after use.

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