Rigicon Infla 10X - Surgery in Germany – Surgeons: Dr. Sean Park & Prof. Dr. Osmonov – Highly recommended!

[NewGuy2025]

Hello everybody,
It has now been six weeks since my surgery, and I would like to share my story with you and provide ongoing updates in this post.

TLDR:

I struggled with erectile dysfunction (ED) since puberty and tried various treatments without lasting success. I opted for a Rigicon Infla 10 X penile implant, performed by Prof. Dr. Osmonov and Dr. Sean Park in Germany. Despite initial issues (thought I got the wrong implant model, pain, swelling), I’m thrilled six weeks post-surgery. Swelling has subsided, my penis length increased from 4.9 post-surgery to 5.74 inches when inflated after just one week of cycling, and I highly recommend the surgeons and implant. I’m still a "grower" and will continue documenting my recovery.


Background:

ED since puberty with no apparent cause. I was able to get erections occasionally, but couldn't maintain them. The first time I saw a urologist, I was 16, and he told me to drink a glass of champagne. That wasn't very helpful, of course, and that experience kept me from seeing other doctors for a while.
A few years later, in my early 20s, I was prescribed tadalafil, which worked well for me.
Over the next few years, until I was 35, I was able to control my ED well with the pills. However, I had to constantly increase the dose. At times, I was taking up to 200 mg of sildenafil, 80 mg of vardenafil, and 60 mg of tadalafil at the same time.
At these doses, the side effects were so severe that they were no longer proportional to the desired effect. The desired effect was also barely noticeable. I consulted specialists again, and after many tests, as with the countless tests before, no cause could be found.
So I switched to injections. In fact, for the first time in my life, the injections allowed me to have sex without having to think about my erection. It worked reliably. But it was still not satisfying because you could never be spontaneous.
On top of that, last year and at the beginning of this year, I had priapism after an injection and had to be treated in the emergency room both times.
I had read about the possibility of an implant in my early 20s, but I always dismissed it and pushed it out of my mind.
However, the priapism experiences were the final straw that made me decide to get an implant. - I wish I did it earlier.


Search for a surgeon:

Since I am from Germany, I am fortunate that my health insurance covers the cost of the surgery. But only if I have the operation done in Germany.
This immediately limited my choice of surgeon.
But after a short search, it was clear that this was not a disadvantage, as Prof. Osmonov is one of the most experienced surgeons for penile prostheses in the world and the most experienced in Germany.
So I contacted him and made an appointment.
This was very easy to do by email. I wrote an email to Prof. Osmonov, received a reply within a short time, and was given an initial appointment in just three weeks.


Before the operation:

On the day of the appointment, I drove to Lübeck to the UKSH, where Prof. Osmonov is deputy clinic director.
Prof. Osmonov is a very friendly doctor and after discussing my case, he quickly recommended the implantation of a penile prosthesis.
He answered all the questions I had at the time in detail and offered to operate on me as part of further training for other surgeons.
International luminaries such as Prof. Wilson from the USA and Dr. Park from South Korea would also be present.
Anyone who researches penis implants thoroughly will quickly come across these names—they are absolute specialists in this type of surgery.
I therefore agreed and was able to have the surgery just two months later.
We also agreed that I would receive a Rigicon implant.
Prof. Osmonov said that in my case I had a free choice, but he recommended the Rigicon implant because it has four layers, which makes the cylinders more durable than those of other manufacturers, and because the implant is less prone to dog ears and he has had very good experience with it.
In the excitement of the first appointment, I unfortunately forgot to ask which Rigicon model I would be receiving.
This question was clarified later in a phone call, and we agreed that I would receive the Infla 10 AX model. This is the model that also expands in length.


Day of the operation:

What I didn't like about the day of the operation was that I had to go to the hospital on the same day.
I would have preferred to arrive the day before and check into my room.
Also when I arrived, I asked several nurses if I could have something to calm me down, but no one felt responsible.
In the end, I was given something to calm me down just one minute before the anesthesia—which was then, of course, unnecessary.
When I woke up after the operation, I got some pain-medications and a tasty Orange-Ice.
After one hour of "waking up" I was then taken to my room and, although I had booked a single room several weeks before, I was unfortunately put in a twin room.
I found this very unpleasant, as I would have liked to have had some privacy after such an operation.
When I objected, I was told that there were no vacancies.
Not nice, but of course you have to remember that I wasn't in a private clinic, but in a large university hospital, and when all the rooms are full, all the rooms are full.
Apart from this issue with the room, the care provided by the nurses was good.
I was given painkillers, ice, and a testicle pad immediately.
After my first glance under the blanket, I realized that I was partially inflated and had a catheter and a drain.
My scrotum was almost as big as a grapefruit. I spent the rest of the day watching Netflix.


First day after the operation:

On the first day after the operation, Prof. Osmonov came by and asked how I was feeling.
As he surprised me at breakfast, I didn't ask many questions at the time and just said that I was fine so far.
Before he left, he emptied my implant with a quick movement.
Later, a nurse came and tried to motivate me to get up.
However, this was absolutely impossible.
When I tried, I felt extreme tension in my lower abdomen and in the area where the operation had been performed, so there was no chance of getting out of bed.
So I stayed in bed and waited for the next day... until suddenly another nurse came in and handed me documents about my implant.
At first, I was shocked because I could read in the documents that I had been implanted with the Infla 10 X model, i.e., the model that does not expand in length, and not the Infla 10 AX model. Unfortunately, none of the nurses or ward doctors could explain the reason for this to me.
This led to a restless night and I waited to speak to Prof. Osmonov again during the next day's rounds.


Second day after the operation:

After a restless night due to the “wrong implant” and some considerable pain, which was well controlled with painkillers, I waited for Prof. Osmonov to ask him why I had received a different implant.
Unfortunately, it turned out that Prof. Osmonov was not in the hospital that day and I would not see him again until the next day.
This was a bit of a psychological strain for me, as I thought at the time that I had received the wrong implant.
But at least I was able to get up for the first time that day, even though it was very exhausting and very painful.


Third day after the operation:

A new day, new hope to get answers to my questions.
And that's exactly what happened.
Prof. Osmonov came into my room and first apologized for not having time for me until now and that he had unfortunately been prevented from seeing me yesterday.
He then gave me detailed information about the course of the operation.
He told me that during the operation it was discovered that I had PD and that the original plan had therefore had to be changed.
Instead of a penoscrotal approach, a subcoronal approach had to be chosen in order to be able to work on the scar tissue.
And because of this approach, the model had to be changed from AX to X, as otherwise there is an increased risk of erosion with a subcoronal approach if the implant also expands in length.
Prof. Osmonov took a lot of time for me and answered all my questions in detail.
He also shared the measurement results with me during the operation. The proximal measurement was 10 cm and the distal measurement was 11.5 cm.
So I received an implant with 18 cm cylinders and 2 RTE with 1.5 cm and 2 cm. That's a total of 21.5 cm.
Later that day, the catheter and drainage were removed.
Removing the drainage was very painful, and removing the catheter was also unpleasant, but I survived and was glad to be rid of them.
Going to the toilet was a big challenge, but in the end, everything was manageable.


Fourth day after the operation:

After receiving my last dose of antibiotics, I was discharged later that morning.
The pain was bearable, but walking was almost impossible. Nevertheless, I had to drive 400 km home. And somehow I managed it.
But it wasn't a good idea to drive such a long distance by car on my own.
My scrotum swelled to the size of two grapefruits, and I could only move around in a cowboy style.
After I got home, I lay down on the couch and spent the next few days there almost continuously.


The first two weeks after the operation:
After veing back home, I spent almost the entire time of the first two weeks exclusively on the couch.
I was practically pain-free when lying down, but as soon as I tried to walk, stand, or sit, I was in extreme pain. I therefore limited getting up to what was absolutely necessary.
Also sleep was quit a challange, as I usually sleep on my front. But no chance. Even sleeping on the side was not really possible. So I had to manage to sleep on my back every night. That was really challenging.


Third week after the operation:

In the third week, things slowly started to improve. The swelling went down and the pain when walking, standing or sitting became less every day.
At the same time, however, I noticed that my penis was suddenly only 4.9 inches long. A few days before the operation, I still had an erection of 6.1 inches.
This made me a little panicky, as you can read in this post:

viewtopic.php?f=6&t=26397

At times, I even considered revision surgery, as I convinced myself that this couldn't be right.
But thanks to Franktalk, I was able to calm down and not pay much attention to the whole thing for the time being, telling myself that I would give it time to heal.


Fourth week after the operation:

The fourth week was similar to the third week. Everything got a little better every day, and I also started working again.
At first with painkillers, but by the end of the week I was able to work without them. Otherwise, I didn't pay much attention to the implant.


Fifth week after the operation:

At the beginning of the fifth week, the swelling and pain had almost completely disappeared and I ventured a first attempt to inflate the implant.
This went well. It was a little difficult to find the button to deflate it, so I spent several hours with an erection.
But once I finally found the button, the subsequent attempts went better and better.
So, in the fifth week, I slowly started cycling.
And what can I say?
When I dared to pump my penis up completely for the first time, it “exploded” from 4.9 inches to 5.5 inches.
That wasn't the original length I had a few days before the operation, but I was immediately much more relaxed than in week three and was confident that I would get my original length back.

Now I am atweek 6 and all that's left now is a follow-up appointment and the official activation.
The appointment isn't for another two weeks, but I don't think there will be much to report. Otherwise, I'll update here again.


What I would like to say now:

I can absolutely recommend Dr. Park and Prof. Osmonov!
They did a very good job with me and I am absolutely satisfied as of today.
I am also very satisfied with the choice of implant.
My Rigicon is fully inflated and hard as a rock, but otherwise it is so soft that you can hardly feel it.
And here is some very important information for everyone:
Although I don't have an implant that expands in length, my penis grows up to 2 inches when I pump it up. Many people here say that you go from being a grower to a shower and that even when you're not inflated, you have the full length. But that's not always true. I'm still a grower.
So don't be afraid when you see your penis for the first time when it's not fully inflated. It's entirely possible that it will also gain length when pumped up!


Below, I would like to document my cycling process.
I will update this from time to time so that you can follow how cycling affects my size.

If you have any questions, feel free to ask!


Cycling-Documentation:
(all measurements are bone pressed)


Pre-OP (strongly aroused):

Length: 15,5cm / 6.10 inch
Girth: 11,5cm / 4,52inch
Volume: 146,81ml - 100%


5 Weeks Post-OP (start of cycling):

Length: 14,0cm / 5.51 inch
Girth: 11,0cm / 4,33 inch
Volume: 121,32ml - 82,64%


6 Weeks Post-OP (1 week of cycling):

Length: 14,6cm / 5,74 inch
Girth: 11,5cm / 4,52 inch
Volume: 138,29ml - 94,20%

[NewGuy2025]

I made an additional picture thread:

viewtopic.php?f=6&t=26567

[Thisworld]

Interesting journey, I hope you will be able to gain that 1cm back.
The post op (6 weeks) measurements are while aroused or not aroused?

[Oren8888]

How fun to hear success stories. Excellent, continue your wonderful recovery and keep updating.

[NewGuy2025]

Interesting journey, I hope you will be able to gain that 1cm back.
The post op (6 weeks) measurements are while aroused or not aroused?

Thank you!
Slightly aroused. So maybe it´s a bit more when I am fully aroused. Will check

How fun to hear success stories. Excellent, continue your wonderful recovery and keep updating.

Thank you! Will do!

[Nico_from_belgium]

Really happy for you. In another post you were concerned about the cylinder ending at the base of your glans, did the cylinder finished to end higher after you cycled?
I'm 18 days post op and have the same concern. I cycled a bit but don't want to cycle to hard as I don't have the green light from my surgeon but I'm still a little bit sceptical about the right sizing.

[Discovernew]

I am very happy for you NewGuy

I have a couple questions, when you inflate the implant does it feel round or more flat/oval?

And how well is the pump and connection tubes hidden?

[NewGuy2025]

Really happy for you. In another post you were concerned about the cylinder ending at the base of your glans, did the cylinder finished to end higher after you cycled?
I'm 18 days post op and have the same concern. I cycled a bit but don't want to cycle to hard as I don't have the green light from my surgeon but I'm still a little bit sceptical about the right sizing.

Thank you Nico.
You are right, I was concerned about the position of the tips of the cylinders.
This concern came from my understanding, that the cylinders are on e fixed position and they doesn´t move within the corpora cavernosa.
But this isn´t true completely.
When deflated, the cylinders can move a little bit.. that means even if the tips are below the glans when deflated, as soon as i pump them up in full, the tips reach the right position.
So i wouldn´t be concerned before you not have pumped up your implant to the max.

I am very happy for you NewGuy

I have a couple questions, when you inflate the implant does it feel round or more flat/oval?

And how well is the pump and connection tubes hidden?

Thank you!

Well, at the beginning, for the first 2-3days of cycling, it felt indeed more oval than round.
However, now after a week of cycling it feels round. So with cycling there is definitely still progress and changes. Not to forget i increased an half inch of girth within this week of cycling. So it seem it takes a bit time for everything to get in the correct form.

My pump is between and behind my eggs. my scrotom is more a small one, so the pump take a lot of space.. but if you don´t touch it, you don´t see it if you don´t know it´s there.
I can feel the tubes only at one spot on the right side of my base. But i have to push with my fingers into my body to get there. So nothing a woman would do usually.
Even in my scrotum it´s hard to feel any tubes and you need to search for them to feel them.

[Mazzio]

How much did you pay for the implant?

[NewGuy2025]

How much did you pay for the implant?

Nothing, insurance covered it in full.
However, I know the amount the insurance paid for everything to the hospital. Around 11.000 Euro.