What Causes Edema Aka Donut Effects?

With low level pressure it’s not really noticable. I am for past bpel , currently, once a week. I use two silicon sleeves from just almost on the head, overing the area, where donut effects occurs. It seems to possibly minimize it. That said , every time I pump effect, past, which two silicon sleeves on, which does seem to make length a bit longer, edema is present below the glans.

Does this involve any enlargement, of any kind, girth or length, or just a temporary swelling from pressure, that isn’t a concern, if don’t safely?

I think Hink on youtube has the best explanation of Edema, many of the sessions he has with vets talk about this. Basically, it’s not recommended to have this with PE, no benefit so you do what you do with no or the least amount of Edema as possible.

Subcutaneous edema (which means right under the skin surface) doesn’t help with permanent enlargement.

The aim of pumping is to expand the tunica (and to some degree the CS and glans) for permanent enlargement. These are the erectile tissues and tunica expansion, over time, becomes permanent gain.

Subcutaneous edema has a few negative effects. Firstly, it is not useful for permanent enlargement since the lymphatics of the skin will resolve the edema fairly quickly and the skin goes from being thick back to its normal caliber. Secondly, the edema is unsightly, lumpy and squishy. Lastly, the edema actually causes some degree of temporary cutaneous nerve desensitization, and the sensitivity of these nerves is the major reason that sexual stimulation feels nice. So you kind of numb your penis a bit until it resolves. This is why most guys have some degree of erectile dysfunction while the edema is there.

Some degree of edema is probably unavoidable if you are using enough vacuum pressure to create tunica expansion enough to lead to growth over time. But it is sensible to limit this as much as possible and once you notice your penis is getting edematous the session is likely over in terms of useful expansion, since once the vacuum pressure starts to be more in the skin, the deeper structures, which are harder to expand, are no longer the main target of the pressure.

Best overall break down. So, a follow up question. To get the gains you want with vacuum tubes, is it sensible to simply break up sessions into smaller manageable sessions with breaks?

Instead of a one hour pump session, doing 3-6 10 minute pump sessions? I want to focus on length and girth gains, hence me wanting to do manual stretches, ADS, and pumping, but I want to do so in a way that encourages the MOST permanent growth, not temporary and problematic gains.

"Yes."

When edema starts showing up, stop. Wait ten minutes, then do another session. You want to balance your session times and wait times to prevent edema.

Once you get edema, you’re not stretching the tunica any more, so you’re not accomplishing anything as far as size increase, just stretching skin. But all you can pull on is the skin, so you pull until the space between the skin and tunica fills with lymphatic fluid and it’s not pulling on the tunica any more.