@tailport I've had my AUS for six years. Yes, pull down on the device while the plumbing is still getting set. Early urination was uncomfortable and activating the device initially was painful in my scrotum. However, once everything gets settled and your scrotum builds up tolerance to the pump activation, the AUS is truly a life changer. My experience with Mayo Clinic through this journey has been very helpful, so if you can, connect with them with your questions.