10/27/2018
Some details about my extender process just to be clear. As others have stated, you reach through the noose/strap and pull the glans through while simultaneously compressing the extender and with the free hand tighten the noose/strap. At that point while still compressed I run the velcro through the Hybrid slots to secure the free ends of the noose so that they are secure and do not slip during the session.
At that point the extender is sticking straight out. I follow a stress relaxation protocol. There is a lot of clinical work that has been done centered around rehab and much has been published about it, but basically if given time tissues held at a particular stretched length will relax.
At 2.5 minutes I push the extender down. And then every 2.5 minutes I back out the screws a set amount till I get to the max tension that I can use for the session. I judge that by how much the glans can take in terms of session duration, but basically I have found that ~ 60 minutes is optimal. There is some recent anecdotal information that the Restorex research suggests the same but that won’t be published till early next year. In the preliminary data they did find results from 30 minute sessions, much greater results from 60 minute sessions and then nothing additional from the 90 minute sessions compared to the 60. Keep in mind that this is a high tension extender protocol.
So at a new extender length I might start by backing out the screws 7-10 half turns, with max tension being about 70-72 half turns as close to 80 the screws are out of the housing and are no longer secure. Once I can consistently get 60 minutes, AND the glans is in the forward position in the cradle, indicating the tissues have accommodated, I then increase the rate of tension increase so that I back out the screws 12 half turns every 2.5 minutes so that I get to max tension earlier.
I basically continue this process of teasing stretched length until I get to max tension in ~10 minutes am able to hold that for 60 minutes and the glans is in the forward position. At that point the tissues have accommodated so that additional length can be used.
After the newbie gains this is a very slow process. I’m adding 1/8” and the last addition took just under 3 months before additional length was needed.
I’m not saying that this protocol is optimal but it’s just what I’ve figured out through trial and error and maybe it is useful to someone.