If you are going to vac hang or extend using standard equipment you have to get used to minor stuff on the glans, like focal edema, little bruises, transient insensitivity, stinging, etc. The vacuum created in the cup puts focal tension at the tip, especially if you evacuate all of the air or water (if you use the water trick). Plus, over a session I’ve found I have to occasionally evacuate more from the cup as the glans pulls away from the end bit by bit over time. This space that opens up leads to more focal pressure at the tip, which leads to some of these issues. More weight leads to more vacuum at the tip. And finally there can be some discomfort if the glans is right up agains the valve when you evacuate.
So lots of factors to deal with.
I get something along these lines pretty much every session. Usually it is transient. Occasionally it takes a bit longer to heal, like a blister (rare for me these days but still happens when I do something intense like add vibration without taking enough care) or a bruise.
There are all kinds of tricks using tape and covers and cloth, etc, depending on your issue, but in the end, like XL says, you kind of have to be ok dealing with them.
In the end vac hanging/extending is still way better than compression or noose techniques, IMO, so its worth figuring it out and dealing with what comes up.
I kind of think of it like the bumps and bruises you get going to a martial arts class or playing a sport. Not what you hope for on any given day, but part of the game. You get better at avoiding and dealing with them as you get more experienced, but you have to keep going to get experience.
BTW, I mentioned standard equipment because there are other more expensive options that might work better. A member on the board has had great experience with the Stealth for Men vacuum hanger setup and just talked me into trying it after my last blister. He says it has addressed all of his issues with high intensity extending. So I’m giving that a try but haven’t received mine yet. I mention it in case you want to look into another option, though it is way more expensive than other set ups.