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Using the ultrasound for therapeutic heat in PE

Originally Posted by sublime311
I only have 2 inch space between my hanger (which is attached to middle of my shaft) and base of my penis. So how exactly I am going to wrap FIR around in that 2 inch space?

Is there a picture or video of how to apply this heat method on our penis during hanging? That would be very helpful. Thank you.


You have to use a vaccum hanger to make it work.
I guess you haven’t read anything here, if you did you would know that evereybody that is using FIR or ultrasound use vaccum hangers.


190416 Bpel 16,5 Bpfsl 16,5 Meg 14,2 Beg 15,0

210312 Bpel 19 Bpfsl 19,6 Meg 14,5 Beg 15,3

___Gain Bpel +2,5 Bpfsl +3,1 Meg +0,3 Beg +0,3

Originally Posted by Patrik_16
You have to use a vacuum hanger to make it work.
I guess you haven’t read anything here, if you did you would know that everybody that is using FIR or ultrasound use vacuum hangers.

No that’s not true. I just asked TotalMan and he uses FIR wrapped with his compressor hanger. I have the picture but I can’t post (I believe because I am new to this forum).

Originally Posted by Tutt
First off, what do you mean by decon? My baseline assumption during decon is that there are frequent natural erections, but no exogenous tissue stress.

We haven’t yet figured out a way to continue PE indefinitely without the physiological response of toughening the existing tissues. I strongly suspect that it is primarily strain rate that is the primary problem. But anyway we are left with trying to work within the most optimal cycles using the current data. Keep in mind that the tissue responds heavily to tissue stress about 10-21 days into repeated treatment. That is, your body has mechanisms to avoid using precious tissue-building resources responding to random isolated stressors. After about a week of repeated stress, the body assumes the stress will keep repeating and begins to fortify the tissues. This response correlates to the intensity of the stress. Faster, higher load, colder, more damaging stresses create a more rapid and intense physiological response. As the stress continues into weeks 3, 4, 5, etc. the body fully adapts and makes the tissue so tough that it could withstand exponentially higher loading. Absent the stress, the tissue will regain a significant amount of elasticity within 3 months, which means the fibers begin to reorganize, re-crimp, and re-bond. However, the increased tissue density remains much longer.

At this point we get into pure theory in the absence of controlled trials. On the one hand, it might be optimal to perform treatment until short term gains are exhausted and then decon for 3 months until the modulus has changed enough to create elasticity. On the other hand, it might be optimal to cease treatment at about 18-21 days to abort the full physiological response, then take a 3 month decon. Then again, it might be best to perform treatment so infrequently (once every 4-7 days) and optimally (reaching absolutr maximum strain very slowly at perfect temp) that the tissue response simply doesn’t happen.

We simply don’t have the data for this. But there are somethings we do know. The first of those options absolutely creates an adverse tissue response that builds over time. To the point that not even a 3 month decon will work. Depending on the person, the long 6-12 month decon will be required, in order to allow more than 80% of the old tissue cells to cycle.

The last of those could possibly produce the greatest long term results, but require incredible dedication over many years of slow progress. While the second protocol might be the best hybrid of reasonably rapid results with only short bursts of dedication.

But for you currently, I don’t see any way that you can avoid at least a 6 month decon and then another 3 month decon after each intense cycle, the way you are currently doing things.

Thanks a lot for your detailed and quick answer, this is greatly appreciated. You can be sure I will implement the information you give me and it will benefit more people through my log :-) . By decon I meant no PE and not even measuring. Only sex and sometimes (preferably little) masturbation. I understand and find the hybrid version enticing.
If I see it correctly, 40 days of training toughens the tissue too much, that is why 18-21 days is preferred. This would mean after the initial long 6+ months decon, I only have to do 3months after every 18-21 day training session. If my body allows, another very long 6+ months decon will not be necessary then. My goal is to gain an additional 3.8cm BPFSL to reach 25cm BPFSL. Ideally, this should equal 23cm BPEL. Thus there are no “indefinite” gains planned, but still very substantial ones. Now I only hope my gains rate increases.
My current gaining speed is 1mm/5 days. My initial gaining speed was 1.7mm/5 days where I gained my first 1.5cm BPFSL relatively quickly. If I can only gain 1mm/5 days and only train for 20 days a period and do a 90 days decon then, it will take a lot of time to reach my goal. Then again, it may be faster than toughening the tissue too much and reaching a dead end where only a year off can help.


[before PE] Start BPFSL: 17.6cm (6.93 inches) start BPEL: 16.7cm (6.57 inches)

[currently decon until aug 2024] latest BFPSL: 21.2cm (8.35 inches) latest BPEL: 19.5cm (7,68 inches) latest NBPEL: 17cm (6.69 inches)

Click here to see my amazing US progress report (always updated!Kyrpa's methodology) ;-)

Ultrasound Device

This is an excellent thread. I read the original posts but not many of the user comments.

Is there a specific ultrasound heating device that you recommend? I didn’t happen to catch that detail anywhere.

Originally Posted by morethanuknow
This is an excellent thread. I read the original posts but not many of the user comments.

Is there a specific ultrasound heating device that you recommend? I didn’t happen to catch that detail anywhere.


Read the user comments. The information you seek is mentioned many times in it.


Initial: 7” BPEL; 6” NBPEL; 5.25” - 5.5” MEG

Current: 7.75” BPEL; 7.25” NBPEL; 8.5” BPFSL; 6.5” MEG; 6”x5” Flaccid.

Goal: Improved/consistent EQ while managing ED. Secondary: maintain current stats.

Originally Posted by morethanuknow
This is an excellent thread. I read the original posts but not many of the user comments.

Is there a specific ultrasound heating device that you recommend? I didn’t happen to catch that detail anywhere.

Search this thread for US Pro 2000

Hey guy’s thanks for keeping the thread going. I have not been doing any US therapy work for a couple years. I am planning on starting ultra sound again this spring. In the past I found for myself 1 on 2 off was what worked best for myself. I was 56 at the time and my gains would slow quickly after 20 work days in a 60 day cycle. This go around I may try 1 on 3 off and see if gains continue over a longer period of time.

Getting back into some US, although finding it a bit cumbersome to use in combination with a LeLuv slider, as I’m trying to put the penis over the leg to use US, as has been instructed, and the extender doesn’t exactly want to go that direction. Since a towel seemingly blocks the US ray, would it be safe to stretch the penis over the stomach with a towel covering the stomach, and then have something between the stomach and towel for proper transmission? If what would be safe, anyone have a recommendation on exactly could be best to use between a towel and the penis for US transmission?

Also, being able to heat directly under the penis head while wearing an extender doesn’t quite work since the extender is covering that top part, is it okay to just heat this area for a bit while doing manual stretching? For whatever reason the ultrasound experts think manual stretching isn’t sufficient, but I’d like to apply heat to that area for equal coverage and because turtling specifically happens in that area very easily. Ideally I want my flaccid to have as much of that skin showing as possible, the area between the head and the main shaft.

Originally Posted by fdersby8
Do not heat the sides of the shaft, a.k.a the CC, we only need to heat up the septum, nothing else.

Is it harmful to the CC to heat with ultrasound there? I mean, part of it is definitely already getting hit with US anyway. It seems like heat anywhere along the penis within the recommended temperature should be fine.

Tutt, you are already providing so much value, it is incredible. May I ask one last question? With my traditional 3 days on, 2 days off approach, it looks like:

I gain 1mm/5 days and do 20 days on and 90 days off. 110 days per Period and thus 3.3 periods per year. In each period I will gain 0.4cm BPFSL which comes to 1.32cm BPFSL annually.

Can I only hope to gain about that much annually? Or is there hope my gains rate increases with the decon and your proposed strategy? It bugs me because I want to gain 3.8cm BPFSL.

All the best.


[before PE] Start BPFSL: 17.6cm (6.93 inches) start BPEL: 16.7cm (6.57 inches)

[currently decon until aug 2024] latest BFPSL: 21.2cm (8.35 inches) latest BPEL: 19.5cm (7,68 inches) latest NBPEL: 17cm (6.69 inches)

Click here to see my amazing US progress report (always updated!Kyrpa's methodology) ;-)

Originally Posted by Tutt
This aligns with my theory and research. IF… heat, load, and strain rate are precisely controlled to be optimal, I suspect that 1 on 3 off for about 20 days is best. But it will.tale patience.

I had a similar anecdotal experience in my last period. Although my first period was 3 on 2 off, my second period started the same, but due to work, many times I was able to only do 1 on 2 off or 2 on 2 off, and I noticed my strain improved with longer breaks between US days. I believe maximum 2 days in a row with a period of 2-3 days off would work perfect for me.

Although I am anxious about starting my third period, in a way I am happy that this decon break is very beneficial for gains. I believe its been some 8 months since the second period which puts my tissues in a very nice situation to be remodeled again, and I am staying at pretty much the exact same measurement.


Period 1: 06/08/2020 BPFSL: 22cm (8.66") BPEL: 22cm (8.66") EG: 15.8cm (6.25") => 09/07/2020 BPFSL: 23.9cm (9.40")

Period 2: 05/01/2021 BPFSL: 24cm (9.44") BPEL: 22cm (8.66") EG: 15.8cm (6.25") => 07/24/2021 BPFSL: 25.4cm (10.00") BPEL: 23.5cm (9.25")

Goal: 1 Foot x 7.5 Inches (30.48cm x 19.05cm) NBPEL

Originally Posted by Tutt
There’s no reason to protect the design of my device. If I wanted to commercialize, I would use a 3D printer to create more streamlined parts and I would make it all programmable and automated. But that would result in a cost of tens of thousands and FDA approvals. I don’t have time for that.

To anchor off the public bone…
US Man Penis Extender Enlargement System Enlarger Stretcher Enhancement 963941885306 | eBay

You don’t need the noose or anything, just the pivoting ring and struts.

To precisely adjust the strain…
Newport 436 Precision Linear Translation Stage with SM-50 Micrometer | eBay

You’ll need to fabricate brackets that attach the ends of the struts to the bottom table of translation stage. This anchors the bottom table to the public bone and leaves the top table to move as you turn the micrometer.

To attach the penis to the translation stage…

There are many different vacuum cups available. I use the Phallosan Forte cup because of the small integrated pump.

To measure the load…
American Weigh Scales Industrial Precision Digital Hanging Scale, Yellow, 11lb (AMW-SR-5) https://www.ama … /dp/B003SWZWNC/

This will fasten securely to the top table with the hook attached to the end of the vacuum cup.

To turn the micrometer…
Greartisan DC 12V 5RPM Gear Motor High Torque Electric Micro Speed Reduction Geared Motor Centric Output Shaft 37mm Diameter Gearbox https://www.ama … /dp/B072N867G3/

The shaft will attach to the end of the micrometer while the body must be prevented from turning while also being allowed to slide with the micrometer.

To power the motor…
Tenergy NiMH Battery Pack 12V 2000mAh High Capacity Rechargeable Battery w/Bare Leads Replacement Battery Pack for DIY, Medical Equipments, LED Light Kit, RC Models, Portable 12V DC Devices and More https://www.ama … /dp/B077Y9HNTF/

To control the speed and direction of motor…
RioRand 6V 12V 24V 28V 3A 80W DC Motor Speed Controller PWM Speed Adjustable Reversible Switch 1203BB DC Motor Driver Reversing https://www.ama … /dp/B071H2YQG5/

This post right here is worth A LOT of money. Trust me. if somebody has the time, effort and money to put this together and commercialize in a way around regulations, it would be a revolution in the PE community. But not necessarily from a commercial standpoint. If you are really into PE, passionate about results, if you take it as a hobby and put this together nicely, you would grow an anaconda.

Thank you so much for your contributions Tutt. You and others have brought so much value to our sport.


Period 1: 06/08/2020 BPFSL: 22cm (8.66") BPEL: 22cm (8.66") EG: 15.8cm (6.25") => 09/07/2020 BPFSL: 23.9cm (9.40")

Period 2: 05/01/2021 BPFSL: 24cm (9.44") BPEL: 22cm (8.66") EG: 15.8cm (6.25") => 07/24/2021 BPFSL: 25.4cm (10.00") BPEL: 23.5cm (9.25")

Goal: 1 Foot x 7.5 Inches (30.48cm x 19.05cm) NBPEL

Originally Posted by CBateman
Tutt, you are already providing so much value, it is incredible. May I ask one last question? With my traditional 3 days on, 2 days off approach, it looks like:
I gain 1mm/5 days and do 20 days on and 90 days off. 110 days per Period and thus 3.3 periods per year. In each period I will gain 0.4cm BPFSL which comes to 1.32cm BPFSL annually.
Can I only hope to gain about that much annually? Or is there hope my gains rate increases with the decon and your proposed strategy? It bugs me because I want to gain 3.8cm BPFSL.
All the best.

I don’t think I would be so bold as to say what any individual should expect as max growth rate. I’m only fairly confident in the mechanisms for tissue restructuring. That is, what things to avoid that would hinder progress. Just like some people are naturally more flexible than others, it stands to reason that one person might have a thicker less elastic TA than another. But just as a generally inflexible person can increase joint mobility over time, so with the proper techniques and tools any person should be able to achieve PE gains, albeit maybe more slowly than others.

Years go by in a blink. The key is to not be making counterproductive mistakes. So don’t spend 3-5 years on several hours per week of PE only to toughen the tissues and render gains impossible. Instead use only optimal load, strain rate, and heat and limit time under tension to the minimum possible to reach your potential. IMO, it’s OK if it takes 3-5 years to reach the ultimate goal if you are only spending 2 hours week doing it. Heck, I spend 7 hours a week in the gym, and have for many years. My physique is acceptable, but that amount of time and effort for something temporary if I stop seems questionable. If your penis size is anywhere close to you as my physique to me, a few hundred hours of effort total over a few years seems very reasonable to me.

NOTE: the posts discussing construction and use of Tutt’s digitally controlled automated strain device were moved to a new thread:

Digitally controlled constant strain extender


Initial: 7” BPEL; 6” NBPEL; 5.25” - 5.5” MEG

Current: 7.75” BPEL; 7.25” NBPEL; 8.5” BPFSL; 6.5” MEG; 6”x5” Flaccid.

Goal: Improved/consistent EQ while managing ED. Secondary: maintain current stats.

Originally Posted by sublime311
No that’s not true. I just asked TotalMan and he uses FIR wrapped with his compressor hanger. I have the picture but I can’t post (I believe because I am new to this forum).

I would like to know what his routine looks like. Did he share that with you? I too am a compression guy and think this can be done with this type of hanger.

I need to understand something.

Is this method only good for people who developed a steel cord? How about the once who always had the steel cord and never gained anything? I wonder is there are people here who tried the method and gained but before never gained anything due to having a steel cord from the get go?

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