I just got mine - Phallosan Plus+ , I do live in Europe.
Wore it last week , Thu/Fri for 4h each day( keeping the extension at 5 cm longer than flaccid penis, as they recommend anyway).
Today I had it for 6h as this is the recommended minimum time in the paper you got with Phallosan Plus+.
It is a nice rod extender which I hope will do the trick for me as the regular PF did not do much( my experience with PF is somewhere here on Pegym).
Also you need to have the PF to order Plus+ , you cant have Plus+ without the regular PF.
The support could help as I could not recall order ID of my PF purchase so I wrote to support and they seem to have found me in their DB.
Long story short they've provided a code which worked so I could order Plus+. In few days it arrived.
I'm using large bell so the setup( plus removing it and putting it back) is slightly more challenging than PF.
It is also kinda visible in the jeans( I wear mine kinda positioned upwards then I let it hang on the left side and the underwear keeps it in place).
I feel almost nothing, no pain, no nothing. Nice feeling.
I like how the extension is constant even if you have tight underwear due to the rods ( as opposite to the PF belt, which gets affected by the clothes you wear ,if they're tighter they affect the extension power. It may never happened to any of you, but it did to me, so the rod extender seems better for me.
As some other people said, the Plus+ seems to be 'lower quality' than X4 labs for instance. There's some truth in this. But anyway, it still works.
I do own X4 labs, brand new, never managed to use it, so I could adapt the Plus+ to the X4 labs base and rods. I'll see.
Too soon to comment on anything, but feeling encouraged again to wear an extender - Phallosan Plus+. My plan is at least 6h , 5 days a week and lets see in 3-6 months , if there'll be any result. For best results I'd say perhaps combination with jelqing and Bathmate should be considered
That's all I wanted to share at this moment