Rigicon Infla10 Pulse: Design Innovations & Surgical Insights from Dr. Manuel Fernández Arjona

The Infla10^® Pulse^™ offers a new generation of penile prosthesis engineering, balancing strength, durability, and patient comfort. Its four-layer reinforced cylinders ensure rigidity during intercourse while maintaining a natural feel at rest.

A hydrophilic coating across all components allows for antibiotic absorption—commonly Rifampin and Gentamicin—reducing infection risk and easing insertion by lubricating the cylinders.

Three prosthesis models are available:

• Infla10^® Pulse^™ X: Girth expansion only.
• Infla10^® Pulse^™ AX: Expands both girth and length, meeting patient expectations around penile size.
• Infla10^® Pulse^™: Designed for fibrotic or narrow corpora where standard cylinders won’t fit.

A comprehensive range of rear tip extenders (0.5 to 6 cm) offers customized sizing to accommodate a wide spectrum of anatomies.

Successful outcomes in prosthetic surgery rely heavily on small details. For example, I prefer a midline scrotal incision placed low to avoid postoperative discomfort. The incision doesn’t need to be large—natural tissue expansion provides adequate exposure during the operation.

Meticulous corporal dilation is essential, especially in patients with fibrosis. Inadequate dilation may result in selecting a cylinder that’s too short, leaving the patient unsatisfied.

To minimize infection risk, all instruments—including dilators and cavernotomes—are immersed in antibiotic solution throughout the surgery. The prosthesis components are also soaked in antibiotics thanks to their hydrophilic coating.

When placing the pump, it’s essential to position it low in the scrotum so the patient barely feels it. Tubing should be carefully routed and cushioned by tissue to prevent discomfort and avoid friction-related damage over time.

“Every connection is made using a simplified system that doesn’t require special tools. This makes intraoperative handling smoother and shortens operating time.”

In some cases, additional procedures are necessary to optimize outcomes. For example, if a patient develops glans hypermobility—what we call “Concorde deformity”—a small glans anchoring procedure can be performed to improve sexual function and comfort. It’s critical to avoid damaging the prosthesis during this maneuver.

For patients with scrotal webbing, a minor scrotoplasty enhances aesthetics and prevents bunching during inflation.

In a series of six patients followed over 18 months, there were no infections or mechanical complications, and patient satisfaction exceeded 80%. These results, though early, are encouraging and validate the Infla10^® Pulse^™‘s design and the effectiveness of a detail-oriented surgical approach.