Peyronie’s Disease & Penile Implant: Long-term length recovery with Rigicon Infla10 AX vs. Vacuum Device?

[Esweed]

Hello everyone,

I am looking for feedback from anyone who has Peyronie’s disease (without curvature (hour glass from the middle of the shaft to the gland), but with significant length loss due to plaque/fibrosis) and went on to get a 3-piece inflatable penile prosthesis (IPP).

Here is my specific situation and dilemma:
* Current natural erection length: 12 cm (reduced significantly due to Peyronie's).
* Vacuum Erection Device (VED / Pump) length: 16 cm (when using the pump, it pulls enough tissue to hit 16 cm).

I am currently consulting with my surgeon and considering getting the Rigicon Infla10® AX (the model designed for both length and girth expansion).

I fully understand and accept that on the day of the surgery, the doctor will only insert a cylinder size that matches my current stretched tissue (around 12–13 cm) to prevent severe complications or erosion. However, my main question is about the long-term results after months or years of regular use and cycling.

For those who were in a similar boat:
1. Long-Term Length Gain: Over 1 to 2 years of daily cycling and pumping to the maximum, were you able to gradually stretch the Peyronie's plaque from the inside out and approach your vacuum pump length (closer to 16 cm)?
2. Experience with Rigicon AX: If you have the Rigicon Infla10 AX (or a similar length-expanding cylinder like the AMS 700 LGX), how much realistic length did you actually gain back over time compared to day one after surgery?
3. Plaque Release Techniques: Did your doctor perform any synchronous plaque incision, grafting, or scoring during the implant surgery to help give you an immediate boost in size?

I would deeply appreciate any honest, real-world experiences, timelines, or advice you can share regarding managing expectations for long-term length recovery.

Thank you so much!

[Esweed]

Could someone please take a look at my post?
I'm not sure if I didn't explain the issue clearly enough or if I need to provide more details.
If anything is unclear, I'd be happy to update the post with additional information.

[Chris1967]

The Ricicon Infla AX was developed specifically for such cases, thanks to its special coating. Please take a look at the website for more information.

[LGXDownunder]

Could someone please take a look at my post?
I'm not sure if I didn't explain the issue clearly enough or if I need to provide more details.
If anything is unclear, I'd be happy to update the post with additional information.

Hi Esweed,
Unfortunately I think the very unique and specific circumstances you are asking about limits things to a really small potential cohort of responders.
That's why I hadn't replied up to now. But I am happy to share my own experience. It doesn't come all that close to matching yours but there are similarities. So I'll try and address each of your points as best as I can.

Here is my specific situation and dilemma:

* Current natural erection length: 12 cm (reduced significantly due to Peyronie's)

.
My pre ED length was ~6.5 inches (16.5 cm). Post RALP I lost size significantly due to atrophy from the sudden onset ED it caused.
I didn't measure it as it was very obvious and was also causing problems with urination. But I'm guessing I lost 1-2 inches erect.
I also noticed some curvature after I started using Trimix injections but it wasn't significant (and I always had a slight curve naturally).

* Vacuum Erection Device (VED / Pump) length: 16 cm (when using the pump, it pulls enough tissue to hit 16 cm).

Once I figured that I needed to take action to reverse the atrophy I started using the VED quite aggressively.
Inside the VED I was getting up to 7.4 inches length with huge girth that would almost fill the tube. Unfortunately VED size is very temporary, artificially induced, and doesn't represent your natural size. But yes, VED therapy helps restore size and prevent further loss in my experience.

I am currently consulting with my surgeon and considering getting the Rigicon Infla10® AX (the model designed for both length and girth expansion).

I have the AMS LGX with similar properties. Pre op I also researched the Rigicon Infla10® AX and made my decision between it and the LGX.
If you are average sized they are both excellent choices in my opinion. However with obvious Peyronie's you may want to also consider an implant with more rigid properties, such as the AMS CX or Coloplast Titan, which could potentially help straighten your penis. Properly measured and fitted by a competent surgeon any implant should allow you to restore pre op size. It's something best discussed with your surgeon for an opinion.

I fully understand and accept that on the day of the surgery, the doctor will only insert a cylinder size that matches my current stretched tissue (around 12–13 cm) to prevent severe complications or erosion. However, my main question is about the long-term results after months or years of regular use and cycling.

So, immediately after surgery I didn't measure but it was very obvious that I was much shorter than pre op. I had expected that and knew it would take a while to recover my original size. My surgeon leaves patients 30 to 40% erect 24/7 for the first 6 weeks before starting cycling. It allows the penoscrotal incision to heal. Some docs do this, others have different protocols. That was basically a full on erection but not fully hard, which was uncomfortable and made concealment, urination a challenge. But you find ways to deal with it. Once I started cycling the implant at 6 weeks initially I didn't see much change and worried that I might stay at the same size. But over the next few weeks my length started to recover. I can't remember exactly but maybe around 10 weeks post op I seemed to be more or less back to normal size. By around 9 months I had recovered my pre ED length and girth. At 15 months I continue to cycle a minimum of twice a day to keep everything stretched, and I have sex three times a week. I also try and do a long session of an hour or more when I can, and/or a 20 minute VED session. Size has basically remained unchanged.

For those who were in a similar boat:

1. Long-Term Length Gain: Over 1 to 2 years of daily cycling and pumping to the maximum, were you able to gradually stretch the Peyronie's plaque from the inside out and approach your vacuum pump length (closer to 16 cm)?

So here's where we have a similar issue. Post Implant I developed a significant Peyronie's curve over time. The thinking is that it's likely related to removal of a build up of fibrotic plaque during my implant procedure (fibrosis was caused by the use of Trimix injections). I'm at 15 months and have been cycling regularly since 6 weeks. At around 12 months my surgeon advised me to do some exercises to address the curve. Essentially bending my partially inflated penis against the curve and holding it there to help break up any plaque. But he said it would take 2 to 3 years to see results assuming it works. So far no obvious change. In my case it's a double edged sword as the curve actually makes sex better by imitating a larger girth than what I have naturally. But cosmetically straighter would be better. I'm in two minds about it and it doesn't affect enjoyment of my implant. My surgeon is not a great advocate of VEDs but I got him to agree to let me start using one again post implant. So I've been doing that infrequently hoping it might help with the curve. He doesn't think it will and gave me a technical reason (which I've forgotten). In any case I haven't been regular enough with it to see any difference but plan on continuing when I can.

2. Experience with Rigicon AX: If you have the Rigicon Infla10 AX (or a similar length-expanding cylinder like the AMS 700 LGX), how much realistic length did you actually gain back over time compared to day one after surgery?

For me it's difficult to assess accurately but I'll estimate as best I can. My ED was sudden onset caused by radical prostatectomy and I never recovered any natural erectile function. I was never an avid measurer but knew I was ~6.5 inches erect before ED set in. During ED I was 100% limp 24/7. Pills did zero. Trimix injections worked briefly then didn't, but those induced erections were always very undersized. Tried focal shockwave therapy which also did nothing. As I said earlier I could get to ~7.4 inches inside a VED. After removing the device you immediately lose some of that but I never measured it. Even with an additional tight cock ring the VED erections were not sustainable for penetrative sex. I would start going soft in less than 30 seconds.

So my points for comparison are pre ED, post op, and post recovery after regular cycling. The ED period right up to pre op is irrelevant for me. Immediately post implant my forced 30 to 40% erection was only about 4.5 inches (estimated). So I had lost around 2 inches. My memory gets vague as more time passes but I'd say by around 10 to 12 weeks post op I had basically recovered the missing 2 inches through healing and cycling.
I generally say that after 9 months I was confident that I had regained my pre ED size. I still measure now and then. I may have gained a very small amount since 9 months, but less than 5 mm. So I believe I have reached my limit, which is on par with what can be expected.
In summary
Pre ED 6.5 inches
Day zero post op ~4.5 inches
At 12 weeks after recovery/cycling 6.5 inches
At 15 months post op 6.5 inches (+3-5 mm). YMMV.

3. Plaque Release Techniques: Did your doctor perform any synchronous plaque incision, grafting, or scoring during the implant surgery to help give you an immediate boost in size?

My surgeon told me he removed some plaque during my procedure (related to the previous use of Trimix) and pointed to the location, but he didn't discuss the technique.

I would deeply appreciate any honest, real-world experiences, timelines, or advice you can share regarding managing expectations for long-term length recovery.

There is a lot of variation both in the timeframe and outcome. If you set your expectation to restoring the size you have now that is a reasonable goal and most guys achieve that over time. There is no guarantee on how long that might take as there are too many variables. Use the best surgeon you can find who understands and specializes in your specific problem, tell them your goals and concerns, then follow their instructions to the letter.

In my opinion the best thing you can do for yourself right now is to continue with as much pre op VED therapy as you are able to fit in. That should at least stretch the corporeal tissue to the maximum you can currently achieve, and give your surgeon the best chance of fitting the largest implant that your anatomy can safely accept.

I hope that helps. Feel free to ask further questions. I'm also happy to discuss anything by private message.