Can someone explain to me Vacuum Extenders?

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Voltage

I've used the noose head on andropenis for too long. The pain got so unbearable, I actually quit for nearly 4 months and lost .5" in size. I did a quick search on the forum and found some people used a vac head on their andropenis model. I was wondering how the vac piece works. It sort of looks convoluted, because of all the equipment it takes to put together. Can someone give me a direct link on what I want to buy? I have all the extension rods I need. Maybe with your help I could save some $$$? Thanks everyone.
Loss of erections since 2014.
Slight bend to left, used to be straight.
8 Hrs of Phallosan Forte daily.
20mg Tadalafil from River Pharmacy daily.
Two unique c*ck rings for maintenance.
Erection quality sufficient for s*x when all used together.