I’ve seen claims in this thread and others that suggest what I think are misapprehensions over what lymphatic fluid is, how it’s formed, and it’s relationship to blood.
Lymph is blood plasma, and it enters the lymphatic system from the circulatory system via the interstitial fluid that surrounds our cells. Here’s the route: Blood plasma exits our blood vessels through hydrostatic pressure; once outside the blood vessels, it becomes known as interstitial fluid and serves to bathe the cells in our tissues; lymphatic vessels then take up the interstitial fluid, at which point it becomes known as lymphatic fluid; the lymphatic vessels then return it to the bloodstream by way of the subclavian veins. Although the fluid changes names as it passes from one system to another, it is still nonetheless the same fluid: blood plasma.
When you pump, clamp, or jelq, you are not somehow sucking ‘lymph’ out of the lymphatic system. In fact, it’s the other way around: you’re increasing the hydrostatic pressure within the circulatory system, which forces a greater than normal amount of blood plasma out the blood vessels and into the interstitial space. The lymphatic system’s job is to transfer that fluid back out of the interstitial space. However, since it’s action operates at much lower pressures than the circulatory system and is not pumped by the heart, the fluid transfer out of the interstitial space lags behind that which you’re creating with your PE exercises. The result is fluid build-up. Given time, the lymphatic system eventually catches up and the fluid is drained, returning the interstitial fluid balance in your penis’ tissue to normal.
With regards to PE and gains, the critical point here is that the pressures in the interstitial space and in the lymphatic system remain much lower than the pressures within circulatory system. The claim that this fluid is at a greater pressure than that of corpi or blood vessels and that it somehow ‘pushes back’ against them, preventing or even reversing gains, is simply incorrect. The only reason the excess fluid is even present in the first place is due to the much higher pressures within the circulatory system.
Regardless what method you use, the flow of fluid is the same: blood vessels —> interstitial space —> lymphatic vessels. And in all cases you are expanding the vessels and bodies of the circulatory system and presumably creating permanent enlargement over time through a regular practice. If you’re going to call into question pumping on this count (I.e., the existence of fluid build-up), you may as well call into question PE as a whole.
Taking things from general human anatomy to my own individual level, I personally have seen real, permanent girth gains from clamping, jelqing, and pumping. However, I have also experienced real, permanent discoloration from clamping and jelqing, along with temporary bruising, skin irritation, uneven gains, and discomfort during the exercises. Therefore, I’ll take the pump, hands down. Additionally, though I don’t attach any significance to it for the reasons cited above, clamping and jelqing always resulted in a great deal more fluid build-up for me than pumping.