To. fcstar98. I’m 63 and had AUS in 2021 and it will get better. Yes my Dr said ..tug the AUS down occasionally. She had a patient that didn’t tug it down and she had to operate again on him to get it down into scrotum. U will be nervous about squeezing it but it’s no problem after you get use to it. Extra cushions on chairs and get in n out of car slowly. Too much pressure on perineum where cuff is will cause brief pain. It will get better.. just take your time squeezing the pump . Keep us updated.