Hydraulic Penile Implant — the Highest-Satisfaction Option in Jordan
The hydraulic implant is the most widely used technique worldwide for treating chronic erectile dysfunction, offering an erection that closely resembles the natural one, with the penis returning to a flaccid state once intercourse is complete. Dr. Yaman Al Tall, the first Arab physician to hold the FGPS Fellowship in genitourinary prosthetic surgery, personally handles placement from the first evaluation session through the final follow-up visit.
What Is the Hydraulic Penile Implant?
The hydraulic implant consists of two cylinders placed inside the penis, a small pump placed inside the scrotum, and usually a separate saline reservoir. Its advanced engineering makes the chance of malfunction very low, and manufacturers typically provide a lifetime warranty on the device itself.
It differs from the malleable implant in that it delivers a stronger erection and greater girth, with the ability to return to a natural flaccid state once intercourse is complete — which is what makes it the most widely used option worldwide for treating erectile dysfunction.
The Difference Between Two-Piece and Three-Piece Implants
Three-Piece
Two cylinders, a pump, and a separate saline reservoir, connected via thin tubing. Offers finer control over firmness and is considered the global gold standard.
Two-Piece
Works on the same principle, but without a separate reservoir — the fluid is stored inside the pump unit itself. A suitable option for certain anatomical cases, determined by the physician.
How Does the Hydraulic Implant Work?
When intimacy is desired, the patient squeezes the pump located inside the scrotum, which moves saline from the reservoir into the two cylinders inside the penis, filling them and producing a firm, controllable erection. Once intercourse is complete, the fluid is released through the same mechanism, and the penis returns to its natural flaccid state.
Who Specifically Benefits from a Hydraulic Implant?
Chronic Erectile Dysfunction
Especially cases that haven't responded to oral medications or local injections.
Side Effects from Medication
For those who can't continue taking erectile dysfunction medications due to other health reasons.
Venous Leak Patients
A condition where the penis can't retain enough blood for an adequate erection.
Peyronie's Disease & Penile Curvature
The implant can partially correct curvature alongside treating the accompanying erectile dysfunction.
Above-Average Penile Length
Cases above roughly 18 cm may be better suited to the hydraulic implant than other types.
Four Real Benefits of the Hydraulic Implant
A more natural erection, with full return to flaccidity
Unlike the malleable implant, the hydraulic implant returns to a fully flaccid state after intercourse, offering comfort and easier concealment.
Controllable firmness and girth
An increase in penile girth of roughly 20% during full erection, with real control over the degree of firmness as needed.
Guaranteed performance, no advance planning like medication
No need to take a medication or wait for it to work — performance is consistent every time, with no worry of medication failure.
Suitable for heart and diabetes patients, and most ages
A relatively safe procedure for groups who aren't good candidates for certain erectile dysfunction medications due to other health reasons.
What Happens Before the Day of Surgery?
Evaluation & Preparation Session
A direct meeting with Dr. Yaman before scheduling the surgery dateStopping blood thinners in advance
The patient is asked to do this before arriving for surgery, to reduce the risk of bleeding.
Controlling HbA1c levels
Especially important for diabetic patients to reduce the risk of infection after surgery.
Taking a detailed medical history
An extended session with Dr. Yaman personally to fully understand your condition.
Physical exam and baseline lab work
To determine the appropriate implant size and rule out any medical contraindication.
A full explanation of how the implant works
So that by the day of surgery, you know exactly what will happen, step by step.
No surprises on the day of surgery — everything is clearly explained in advance.
How Is Hydraulic Implant Placement Surgery Performed?
- Shaving of the pubic area before entering the operating room
- Meeting the anesthesia consultant directly before starting
- Light regional anesthesia in most cases
- Intravenous antibiotics to prevent infection
- Skin sterilized three times with specialized antiseptics
- Full isolation of the surgical area using a no-touch technique
Dr. Yaman Al Tall places the implant through a small cosmetic incision beneath the penis that leaves no noticeable scar. The procedure takes under an hour, and the patient needs to stay in the hospital for one night.
The Recovery Protocol Dr. Yaman Follows
Precisely defined steps to speed up recovery and reduce complications — not just general advice:
Staying in bed as much as possible to reduce swelling and pressure on the surgical area.
Applying an ice pack to the scrotum for 10 minutes, three times a day, along with regular pain medication as instructed.
Starting daily warm-water soaks, with gentle downward tension on the pump as directed by the physician.
Beginning gradual inflation of the implant, in preparation for full use.
Full use of the implant becomes possible, while still avoiding intercourse until 45 days after surgery.
Complications of Hydraulic Implant Surgery
It is considered one of the safest implant options, with complications rare when performed by an experienced surgeon:
- Infection: very rare with the strict infection-control measures followed.
- Mechanical failure: very rare with modern devices backed by manufacturer warranties.
- Change in penile length: avoided by taking precise measurements before surgery.
- Curvature or pain in the penis: usually results from an implant that's larger than the case requires.
- Scrotal swelling: usually resolves within a few days after surgery.
- Reservoir visibility: rare, and depends on placement location and the patient's body structure.
These complication rates are noticeably lower when the surgery is performed by a surgeon who regularly does this specific type of procedure, compared to a surgeon not specialized in it.
Not sure if the hydraulic implant is the right choice? Compare it with the technically simpler, lower-cost malleable implant, to better determine what fits your case and priorities.
Read About the Malleable Implant →Clarity
Dr. Yaman's Commitment to You
We don't suggest the implant as a first option before openly discussing every other alternative with you. If medication or injections could work for your case, we'll tell you so. The decision for an implant comes after a full discussion — not as an automatic solution for every patient.
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Talk to Dr. Yaman Al Tall's team on WhatsApp — quickly, with complete privacy, and answers from a trusted source.
Message Us on WhatsApp NowEverything You Need to Know About the Hydraulic Implant
The three-piece implant consists of two cylinders, a pump, and a separate saline reservoir. The two-piece implant works on the same principle, but without a separate reservoir — the fluid is stored inside the pump unit itself, making it a technically simpler option in select cases.
It has among the highest satisfaction rates of any erectile dysfunction treatment option overall, especially when performed by an experienced surgeon who regularly does this procedure. No physician can promise an absolute outcome for every case, but the results we document in our clinic remain consistently high.
Neither is absolutely superior to the other — each has advantages and drawbacks. The hydraulic implant gives a more natural feel and returns to a flaccid state after intercourse, while the malleable implant is technically simpler and less costly. The most suitable choice depends on your condition and priorities, and is determined after consultation.
No, normal sensation is not noticeably affected after placement. The implant only targets the erection mechanism, and does not involve the nerves responsible for sensation or orgasm.
It usually takes under an hour when performed by an experienced urologic surgeon, with a one-night hospital stay and a recovery period of three to five days before resuming light activity.
It's advisable to wait about 45 days, with gradual inflation of the implant starting one week after surgery, reaching full usability within 4 to 6 weeks.
It starts from approximately 6,000 Jordanian Dinars, with the final cost confirmed after consultation based on implant type and the requirements of each case. See the full price table in the complete guide to penile implants.