I have never used an ADS in conjunction with hanging, the concept of “holding open micro-tears to augment length gains” is a complete falsehood. One reason some people never gain length is because their physiology will not respond to the techniques prescribed by PE exercises. Some people do not understand the changes taking place through PE activities. This is quite evident in the responses to the question. I do not know how many theories for growth are put forth in this forum but they cannot all be right. As a result, many people are confused and probably do not know what approach to take.
It is analogous to physical exercises undertaken to increase muscle mass or stamina in the human body, we pretty much know how this works and you can do some different activities that result in the same outcome but the principle of “weight resistance exercise to stimulate growth,” remains the same. PE conforms to the same “like” principle only instead of weight resistance as the “corner block,” it is primarily improving the vascular of the penis and weakening suspensory structures. The penis needs to hold more blood and the erectile pressure needs to be improved/optimized. In this way you can experience new size. The problem we have in this forum is the myriad of ways (good and bad) to accomplish these two objectives.
You could compare it to developing a good “6 pak,” there is a really easy way to develop your abs it just requires consistency and good technique. You can stand on your head and lower your legs “up and down” to stimulate the abs, but most people do not do this because there are much simpler ways to accomplish the same thing. The penis is small and responds easily to good technique; you do not need to stand on your head to accomplish the goal. Unfortunately, there are many myths and many bad techniques that confuse the issue and as a result who really knows what to do after the first three weeks. Its a little bit like golf, if you read all the theories on swing mechanics and then try to work them into your game, you are not going to have a clue which way that ball is going to fly.