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Patient Education · Regenerative Protocols

How to Properly Use a Penile Extender

A safe and effective protocol for men using traction therapy to improve length, correct curvature, or complement regenerative treatments like the P-Long® protocol.

20 Min · Twice Daily · Consistency Matters

“Consistency and technique matter more than intensity or duration — a careful 20-minute session, done twice a day, is more effective than pushing beyond your body’s comfort.”

Penile extenders are a safe, non-invasive tool for men looking to increase penile length or correct curvature associated with Peyronie’s disease. When used properly and consistently, extenders can lead to real results — especially when combined with regenerative treatments like PRP or peptides, as in the P-Long® Protocol.

But how should you actually wear it? Sitting? Standing? Naked? Clothed? And how long? Read on for everything you need to know about proper use — including the two different duration protocols depending on how you’re using it.

Which Protocol Fits You?
Using It Standalone
Progressive — up to 8 hrs
Follow the AndroDEEP manufacturer’s standard method — gradual adaptation over 15 days, up to 8 hours daily with 2-hour breaks. Measures flaccid size.
Using It With P-Long®
20 min, twice daily
PMG’s P-Long® Protocol — shorter daily wear works because PRP injections amplify tissue response. Measures erect length.
The positioning, aftercare, and safety guidelines below apply to both protocols. The two main differences: daily duration and what’s being measured (flaccid vs erect).
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AndroDEEP Stretcher — Available from PMG
The exact device used in the P-Long® Protocol. In-office pickup only — Tustin & Santa Ana, CA.
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Video Guide

How to Use AndroDEEP

A visual walkthrough demonstrating proper setup, positioning, and use of the AndroDEEP penile extender device.

The Basics

What Is a Penile Extender?

A penile extender is a traction device that gently stretches the penis over time. The traction encourages cellular growth and collagen remodeling, which may result in gains in length, improved curvature, and even better blood flow when used consistently.

Penile extender device setup and use
PMG P-Long® Protocol Duration

The 20-Minute Protocol (For P-Long® Patients)

Dr. Gabal’s prescribed schedule for P-Long® patients — designed to work in combination with scheduled PRP injections. If you’re using the device on its own, follow the manufacturer’s 4–6 hour daily recommendation instead.

20
Minutes per session
Short, focused sessions promote tissue remodeling without overstrain — amplified by PRP.
2×
Times per day
Twice daily, ideally spaced 4-6 hours apart.
6 mo
Program length
The full P-Long® program runs 6 months with structured PRP sessions.

P-Long® Frequency Guidelines

  • 20 minutes, twice daily — the PMG P-Long® protocol dose
  • Ideally spaced 4-6 hours apart
  • Consistency matters more than pushing beyond prescribed time

Not a P-Long® patient? If you’re using the AndroDEEP on its own, follow the manufacturer’s Standard Method instead — a progressive adaptation protocol detailed below. The 20-minute dose only delivers results when combined with the full P-Long® program.

Manufacturer’s Standard Method (For Standalone Use)

For patients using the AndroDEEP without the P-Long® Protocol, the manufacturer recommends a 15-day progressive adaptation period before reaching full daily duration:

Days
Device Size
Daily Duration
First 5 days
Initial size
Up to 3 hours at 2 hr intervals
Day 6–10
Add small 0.5cm shaft (piece 11)
Up to 6 hours at 2 hr intervals
Day 11–15
Add another 0.5cm shaft (piece 11)
Up to 8 hours at 2 hr intervals
  • Never exceed 8 hours daily — even at regular intervals
  • Every 2 hours, remove the device for a few minutes to allow tissues to relax
  • Never sleep with the device on — you can’t monitor pressure or circulation
Positioning

Proper Positioning

Body Position

  • The best position while wearing the device is sitting or standing.
  • Avoid lying down during use. Lying down can reduce traction force or misalign the device, making the session less effective.
  • When seated, use a chair with a flat, open seat (avoid squishing or pressure).

Extender Direction

  • The extender should point downward for comfort and concealment.
  • In some devices, a slight upward angle may be acceptable — but pointing downward is usually best, especially if you’re moving around.

Movement

  • It’s fine to walk around the house or do light tasks, as long as you’re not engaging in intense activity or bending at the waist.
  • Avoid sudden movements or anything that could cause the device to shift abruptly.
Clothing

What to Wear (or Not Wear)

  • The extender can be worn under loose-fitting clothing like sweatpants or athletic shorts if you’re comfortable.
  • Some men prefer to wear it naked at home to monitor placement and prevent rubbing.
  • Avoid tight underwear or pants that could press the device into the skin or change its angle.
  • If wearing clothes over it, do a mirror check to ensure nothing is tugging or pulling the extender awkwardly.
Comfort

Lubrication & Skin Protection

  • Use of lube or moisturizer is not typically necessary during wear unless the contact points cause friction or dryness.
  • However, applying a light, unscented moisturizer before or after the session can help prevent irritation.
  • Some men benefit from using a silicone sleeve or foam padding to cushion the base or head of the penis for better comfort.

Important: Never use petroleum jelly or thick oil-based lubricants — they can irritate sensitive tissue and damage some devices.

Application

Device Setup & Application

  • Ensure the device is clean and fully assembled.
  • Start with low traction and slowly increase tension as tolerated.
  • Position the penis comfortably in the extender with snug, even pressure — not tight enough to cut off circulation.
  • If using a noose-style grip, ensure it’s secure but not strangling.
  • If using a vacuum extender, make sure there’s no pinching.
  • Start the timer for 20 minutes.

Stop immediately if you feel: numbness, coldness, sharp pain, or tingling. Remove the device and rest.

Aftercare

Proper Aftercare

  • After 20 minutes, remove the device gently.
  • Massage the penis to restore circulation.
  • Wash the area and apply a moisturizer if there’s any redness or dry skin.
  • Let the skin breathe between sessions — especially in sensitive areas.
Common Questions

Frequently Asked Questions

Can I wear the extender while sleeping?
No. Never wear a penile extender while asleep. You won’t be able to monitor for pressure, circulation, or discomfort, which increases your risk of injury.
How long until I see results?
For standalone use following the manufacturer’s progressive protocol (up to 8 hours daily), most men see gradual flaccid-size changes after 8–12 weeks of consistent use. For P-Long® protocol patients, the full 6-month program produced measurable erect length (+0.805″) and erect girth (+0.469″) gains in the published clinical trial.
How long should I wear it each day?
It depends on how you’re using it. Standalone users follow the AndroDEEP manufacturer’s Standard Method — a progressive 15-day adaptation (3 hrs → 6 hrs → 8 hrs), with a maximum of 8 hours daily, in 2-hour intervals with breaks, never sleeping with it. P-Long® protocol patients wear it just 20 minutes twice daily — the shorter protocol works because PRP injections amplify the device’s effect. Don’t apply the 20-minute dose to standalone use.
What’s the difference between flaccid vs erect length gains?
Flaccid length is penile length when not erect — easier to change through traction alone. Erect length is the measurement that matters most to patients clinically and aesthetically. Published trials of the AndroDEEP as a standalone device measure flaccid-state growth. The published P-Long® Protocol trial measured gains in erect length (+0.805″) and erect girth (+0.469″) — the dimension that correlates with patient satisfaction.
Should I continue if I feel sore?
A mild stretching sensation is normal, but pain, bruising, or persistent soreness is not. If you’re unsure, pause your routine and consult your provider.
Do I need medical supervision to use an extender?
While extenders can be used at home, working with a medical provider offers real advantages: proper device selection, personalized traction protocols, and combination with regenerative therapies like PRP. This is the core of the P-Long® Protocol at Prestige Medical Group.
Can I combine an extender with other treatments?
Yes — and it often produces better results. The P-Long® Protocol combines traction therapy with PRP injections. The P-Max™ package adds a penile filler for combined length and girth enhancement.
The P-Long® Difference

Less Time. Erect Length Gains.

Standalone extender use requires up to 8 hours of daily device wear, and clinical trials measure flaccid size gains. The P-Long® Protocol cuts daily wear to 20 minutes twice daily, and the published clinical trial measured gains in erect length and girth — the dimension that actually matters.

The Critical Distinction
Standalone
Flaccid Size
vs
P-Long®
Erect Length
Published clinical trials of the AndroDEEP measured flaccid-state growth. The P-Long® Protocol’s published trial measured erect length and girth — a clinically more meaningful outcome.
Interactive Tool · Erect Measurements

What Could You Gain in Erect Length?

Enter your current erect length and girth to see your projected P-Long® results, based on the published clinical trial of erect-state measurements.

Your Projected P-Long® Erect Result
Current
5.5″ L
4.5″ G
→
After P-Long®
6.31″ L
4.97″ G
Based on published clinical trial data. Individual results vary.
Ready to Go Further?

Three Ways to Get Started

Whether you’re ready to shop the full protocol, book a consultation, or pick up the device — here are your three paths forward.

AndroDEEP: In-office pickup only (Tustin & Santa Ana, CA)
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