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It appears to be safe and well tolerated but requires a great deal of patient . The use of a penile extender device was associated with increased penile length ‎Introduction · ‎What is the evidence for · ‎The use of a vacuum · ‎Expert opinion. Mar 11, - Penile Extenders Actually Might Work, Doctors Say. The penile extender, a traction device for the dedicated — to be used at least six hours a day for at least six months — is not only safe and effective, doctors say, but also can increase erection size and improve erectile function.