The Tension System is the most important component of Dr Silverman’s Penis Pump Therapy System. The Tension System determines the quality of erection achieved when using Dr. Silverman’s Penis Pump Therapy System. The Tension System is the only component of the Penis Pump Therapy System that contacts the penis and remains in place throughout sexual intercourse. Med-Care has invested a lot of time in the product development of Tension Systems and will continue to develop better designs based on feedback provided by our patients. Med-Care offers many different varieties of Tension Systems, in different textures and tension strengths. You will need to determine which Tension System is best for you.