Best Penile Implant Surgeon in Jordan
Penile implant surgery is the permanent surgical solution for chronic erectile dysfunction, when the condition no longer responds to medication or injections. It is performed by Dr. Yaman Al Tall, consultant urologist and men's health specialist, who holds a Coloplast Global Center of Excellence certification and the European subspecialty certification in sexual medicine (UEMS) — the only surgeon in Jordan with this credential.
What Is a Penile Implant?
A penile implant is an effective solution for chronic erectile dysfunction, available in two main types: a bendable silicone implant and an inflatable hydraulic implant. The implant is placed through a simple surgical incision in the penis, allowing the patient to achieve a firm, on-demand erection. It is also known as a "penile prosthesis," and is entirely different from external vacuum erection devices.
Physicians typically turn to this procedure when medications and injections have failed. It is a day-case procedure that allows the patient to leave the hospital the same day, with sexual activity resumed after a recovery period of approximately 45 days.
Types of Penile Implants
Silicone Implant (Malleable)
A flexible implant that's simple to use and control, using an older technology relative to the hydraulic option. Demand for it is currently lower due to relatively lower patient satisfaction, but it remains a suitable choice for certain cases. Read the full details on the malleable implant page.
Hydraulic Implant (Inflatable)
Made up of three parts with a small pump the patient uses to achieve an erection, with the penis returning to its natural size afterward. It costs more due to the device's technology, and is the most requested option because of its higher satisfaction rate. Read the full details on the inflatable hydraulic implant page.
How Does a Penile Implant Work Inside the Body?
A natural erection occurs when the two erectile chambers inside the penis fill with blood. With severe erectile dysfunction, blood may not enter in sufficient volume or may not remain trapped long enough for intercourse. During implant surgery, two medical cylinders are positioned inside these chambers. They provide the rigidity required for penetration while remaining completely concealed inside the body. Nothing is attached externally, and the patient does not need to take a tablet or prepare an injection every time he wants to have sex.
The implant does not create sexual desire or raise testosterone. It treats the mechanical problem of rigidity. Desire still depends on hormonal health, emotional wellbeing and the relationship between partners, but the erection becomes predictable and controllable. An implant also does not mean the penis must look erect at all times. An inflatable device returns the penis to a natural flaccid state after the fluid is released, while a malleable device is manually positioned downward when it is not being used.
The cylinders are not placed in the glans, urethra, testicles or prostate. They support the erectile chambers from within and do not replace the external penile tissues. Urination remains separate from the device. Sensation, orgasm and ejaculation are generally preserved when no other medical condition has affected them before surgery. A careful consultation is therefore essential to distinguish what an implant can reliably improve from symptoms that require separate treatment.
Who Is a Good Candidate for Penile Implant Surgery?
The typical candidate has persistent organic erectile dysfunction that is affecting his intimate life and has not improved sufficiently with simpler treatments, or he cannot safely or comfortably use them. Age alone does not determine eligibility. The decision depends on the severity and cause of erectile dysfunction, general health, previous treatment results, manual ability and expectations. The operation may be considered for men with diabetes, severe penile fibrosis, erectile dysfunction after prostate or pelvic surgery, and Peyronie’s disease when significant curvature is accompanied by poor erections.
Before recommending surgery, the doctor confirms that the problem is not temporary or caused by a reversible hormonal issue, a medication that can be adjusted, or situational anxiety. The consultation reviews the response to tablets, injections and vacuum devices, as well as the patient’s ability to operate an inflatable pump if that option is being considered. The best decision is shared, with a clear explanation of realistic outcomes, alternatives, risks and recovery.
- Chronic erectile dysfunction with an inadequate response to tablets
- Side effects or medical contraindications that prevent oral treatment
- Poor response to penile injections or an unwillingness to continue them
- Erectile dysfunction following prostate or pelvic surgery
- Peyronie’s disease with severe curvature and erectile dysfunction
- Realistic expectations and willingness to follow recovery instructions
Malleable vs Inflatable Penile Implants
Both designs achieve the same essential goal: dependable rigidity for intercourse. The meaningful differences are how the implant is operated, how the penis appears at rest, the number of components and the overall cost. There is no single implant that is best for every man. Someone who values simplicity may prefer a malleable prosthesis, while another patient may prioritize the more natural transition between flaccidity and erection provided by a three-piece inflatable device.
When May a Malleable Implant Be Suitable?
A malleable implant consists of two bendable cylinders that maintain a relatively constant firmness. The patient raises the penis for intercourse and places it in a comfortable downward position afterward. It does not require a pump, so it may suit men with limited hand dexterity or those who prefer the simplest mechanism. Surgery is generally more straightforward and the price is lower, although concealment under clothing may be less convenient and the resting state is not as natural as with an inflatable implant.
When May an Inflatable Implant Be Suitable?
A three-piece inflatable implant includes two cylinders, a fluid reservoir and a small pump positioned inside the scrotum. Squeezing the pump moves fluid into the cylinders to create an erection, and a release mechanism returns the fluid after intercourse. This design provides strong rigidity with a more natural flaccid appearance and is associated with high satisfaction. It requires learning how to operate the pump, costs more and contains more mechanical components than a malleable implant.
Implant selection also takes account of body anatomy, penile size, fibrosis or curvature, previous surgery, hand function, lifestyle, budget and personal preference. During the consultation, the surgeon can explain the available manufacturers, models and dimensions without assuming that the most expensive device is automatically the most appropriate one.
Benefits of Penile Implant Surgery
- Simple surgical procedure, usually under an hour
- No need for ongoing medication afterward
- Patient discharged from the hospital the same day
- Full restoration of sexual function
- A permanent solution compared to temporary medical options
- Suitable for most ages, including older patients
How Is a Patient Evaluated Before Penile Implant Surgery?
Evaluation begins with a detailed medical and sexual history. The surgeon asks when erectile dysfunction started, whether morning erections remain, how the patient responded to tablets or injections, and whether he has undergone prostate, pelvic or previous implant surgery. Diabetes, hypertension, heart disease, smoking, allergies, urinary infections and all current medications are reviewed. This information confirms whether an implant is appropriate and helps reduce preventable risks.
A physical examination assesses the penis, scrotum and surrounding tissues, including any curvature, plaque, scarring or previous surgical incisions. Blood and urine tests may be requested, together with an HbA1c test for patients with diabetes and any investigations required for anesthesia. Men with significant cardiac disease or blood-thinning medication may need coordinated advice from their cardiologist or anesthetist before a date is confirmed.
Setting expectations is equally important. The patient learns how the chosen device works, how recovery progresses, and what appearance and firmness to expect. The discussion should include the possibility that perceived penile length is different from what the patient remembers before years of erectile dysfunction or fibrosis. Desire, ejaculation and orgasm are also discussed because an implant restores rigidity but does not automatically treat low libido, premature ejaculation, delayed orgasm or relationship difficulties.
How to Prepare for Penile Implant Surgery
Instructions are individualized, so patients should never stop medication on their own. The medical team may coordinate changes to anticoagulants, improve diabetes control, and treat any urinary or skin infection before surgery. Fever, a new wound or any infection close to the surgical area must be reported. Postponing an elective implant procedure until an active infection has resolved can be safer than proceeding as planned.
- Provide medical reports and a complete list of current medication
- Complete requested blood, urine and anesthesia tests on time
- Follow fasting and medication instructions on the day of surgery
- Follow the hospital’s bathing and hygiene instructions
- Arrange for an adult companion and avoid driving after anesthesia
- Prepare supportive underwear and loose clothing for recovery
Patients should arrange several quiet days after surgery and postpone strenuous work or travel until cleared by the surgeon. International patients are encouraged to send a concise medical summary in advance and allow enough time in Jordan for examination before surgery and follow-up afterward, rather than booking a return flight that is too early for safe wound assessment.
How Is Penile Implant Surgery Performed?
The operation is performed under the type of anesthesia recommended for the patient by the anesthesia team. After meticulous preparation and sterilization, the surgeon makes a small incision using the approach best suited to the anatomy and chosen device. The erectile chambers are accessed and carefully measured so that cylinders of an appropriate length can be selected. The cylinders are inserted inside the erectile tissue, away from the urethra, and tested for position, symmetry and rigidity.
With a malleable implant, the two cylinders are the principal components. A three-piece inflatable implant also requires a pump inside the scrotum and a reservoir in a suitable internal space. The components are connected through concealed tubing, so no part of the prosthesis remains outside the body. Once the function is tested and bleeding is controlled, the incision is closed and a dressing is applied. A urinary catheter may be used for a short period according to the surgical plan.
The procedure itself may take around one hour in a routine case, but complex fibrosis or the removal and replacement of a previous device can require more time. Speed is not the only goal. Accurate measurement, tissue protection, sterile technique and comfortable positioning of every component are central to a safe and durable result.
Your Treatment Journey, From Consultation to Full Recovery
Select any stage to see what happens and what is expected from you at each step.
Recovery After Penile Implant Surgery
Pain, swelling and bruising around the penis and scrotum can be expected during the first few days. The team provides pain relief and instructions for wound care, and may advise a particular penile position or supportive underwear. Medication should be taken exactly as prescribed. Patients should not add antibiotics or painkillers without asking, and the incision should be kept clean and dry according to the surgeon’s instructions.
Many patients can begin gentle walking early, but heavy lifting, strenuous exercise, cycling and direct pressure on the surgical area must be avoided. The timing of a return to work depends on the job. Desk work is different from a role requiring lifting or continuous movement, so the surgeon’s advice after examination is more reliable than a fixed timetable found online.
The First Week
Rest, gentle walking and wound observation are the priorities. Swelling and bruising are usually most visible during this stage and then begin to settle. The pump should not be manipulated and the implant should not be bent unless the team has specifically instructed the patient to do so.
The Following Weeks
Movement becomes easier and discomfort gradually decreases. Once healing has been checked, the surgeon determines when training can begin for inflating and deflating a hydraulic implant or positioning a malleable device.
Returning to Intercourse
Sex should not resume simply because pain has improved. Patients usually wait approximately 45 days and return only after the surgeon confirms healing and comfortable, correct operation of the device.
Long-Term Follow-Up
Once recovery is complete, the implant generally requires no special daily maintenance. Medical review remains important if new pain, a change in function or difficulty operating the device develops.
Complications & Risks of the Procedure
Penile implant surgery is very safe, and the recorded complication rate is very low. The most notable possible (rare) complications:
- Infection: avoided through high-level sterilization techniques.
- Glans pain: usually results from imprecise implant sizing, and improves over time in most patients.
- Urethral injury: rare, and usually linked to pre-existing scarring in the area.
- Delayed orgasm: improves gradually as the body adjusts to the implant.
- Mild curvature of the glans: the result of an implant sized shorter than needed.
Listing possible complications does not mean they are expected, but it is an essential part of informed consent. Individual risk varies with diabetes control, previous operations, fibrosis, general health and the type of procedure. Optimizing chronic conditions, choosing an experienced implant surgeon and following postoperative instructions can reduce risk, although no operation can make it zero.
When Should You Contact the Surgeon Urgently?
Do not wait for a routine appointment if you develop fever, pain that is worsening rather than improving, spreading redness, unusual discharge, severe swelling or difficulty urinating. Exposure of any device component through the skin, sudden pain with a clear malfunction, or an inability to deflate an inflatable implant also requires prompt assessment. Early contact gives the medical team the best opportunity to address a problem before it progresses.
What Does an Erection Feel Like After an Implant?
The goal is a dependable erection firm enough for intercourse whenever the patient chooses, once recovery is complete. It is not dependent on the timing of a tablet or injection and does not disappear because of performance anxiety. With an inflatable prosthesis, the patient controls the beginning and end of the erection using the pump. A malleable prosthesis maintains firmness and is positioned manually. Operation requires a little practice at first but becomes familiar for most patients.
Rigidity must be distinguished from libido, sensation and orgasm. If these functions were normal before surgery, they are generally preserved because the device does not target the sensory nerves or testicles. If diabetes, prostate surgery, medication or another condition already caused low desire or ejaculatory difficulty, the implant will not correct that separate problem and additional assessment may be needed.
Does a Penile Implant Increase Length?
A penile implant is not an enlargement procedure, and it should not be promoted as a way to increase length or girth. The surgeon selects the largest safe cylinder length that matches the internal measurements of the erectile chambers. An oversized device can create pressure, pain and complications. Some men feel shorter than they remember from years earlier because chronic erectile dysfunction, fibrosis or pelvic surgery has already reduced tissue elasticity, not because the implant has shortened the penis.
Can a Partner Feel the Implant?
Every component sits beneath the skin, with no exposed or sharp external part. A partner may notice the firmness of the erection but does not see a device outside the body. With an inflatable model, the flaccid appearance is closer to natural and the pump remains inside the scrotum. Open communication and understanding how the device works often make the first experiences after medical clearance more comfortable for both partners.
Ejaculation, Orgasm and Fertility After a Penile Implant
The prosthesis is not placed inside the testicles, prostate or semen pathway, so it does not directly stop sperm production. A man whose fertility and ejaculation were normal before surgery can generally retain them afterward. Orgasm depends more on nerves, sensation and general health than on the mechanical rigidity of the penis, which is why the implant itself should not eliminate it.
Separate medical issues may already exist. A man who has undergone radical prostatectomy may still experience orgasm without visible semen, a patient with diabetes may have neuropathy or retrograde ejaculation, and some medications can delay ejaculation. The implant provides dependable rigidity but cannot restore semen after prostate removal or automatically treat infertility and ejaculatory disorders.
If fathering children is a present or future goal, it should be mentioned during the consultation. Fertility can be evaluated separately, with semen testing or discussion of sperm preservation when clinically relevant. This distinction prevents confusion between erectile ability and reproductive ability: they are related aspects of sexual health, but they are not the same function.
Penile Implant Cost in Jordan
The final cost is determined after the medical consultation, since the treatment plan is customized for each patient's condition. Approximate foreign currency prices depend on the exchange rate on the day of payment.
| Implant Type | Price (JOD) | Approx. Equivalent |
|---|---|---|
| Malleable Implant (Silicone) | from 2,500 JOD | ≈ $3,525 · SAR 13,230 · €3,075 · KWD 1,085 |
| Three-Piece Hydraulic Implant | from 6,000 JOD | ≈ $8,550 · SAR 31,750 · €7,385 · KWD 2,605 |
The price generally includes the hospital, anesthesia, the implant device, and the surgeon's fees — the full breakdown is confirmed after the consultation.
Causes of Erectile Dysfunction
Neurological Causes
Conditions such as Parkinson's disease and multiple sclerosis, as well as spinal cord injuries that block nerve signals from reaching the penis.
Cardiovascular Causes
High blood pressure and hardened arteries impede the blood flow needed for an erection.
Psychological Causes
About 20% of cases are linked to anxiety, depression, and psychological or marital stress.
Hormonal Causes
Diabetes and endocrine disorders are among the most prominent hormonal causes of erectile dysfunction.
Medication-Related Causes
Some medications (sedatives, blood pressure medications, muscle relaxants) can cause erectile dysfunction as a side effect.
Penile Implants for Diabetes, Prostate Surgery and Peyronie’s Disease
Penile Implant Surgery for Men With Diabetes
Diabetes affects blood vessels and nerves and may eventually cause erectile dysfunction that responds poorly to medication. A man with diabetes can still be a candidate for an implant, but careful preparation is important because uncontrolled glucose may slow wound healing and increase infection risk. The surgeon reviews HbA1c and overall health and may recommend improving diabetes control before surgery. There is no single number that determines suitability for every patient; the decision balances clinical need with individual safety.
After surgery, a patient with diabetes should be meticulous with wound care, medication and early reporting of any change. Diabetes treatment must continue even when the implant has restored erectile function, because the device does not remove the effects of diabetes on the heart, kidneys or nerves. Good glucose control supports both surgical safety and long-term general health.
Penile Implant Surgery After Prostatectomy
Erectile dysfunction may follow prostate cancer surgery because nerves or blood vessels can be affected even when the cancer operation has been successful. Some men are given time for nerve recovery and follow a penile rehabilitation program. If severe erectile dysfunction continues despite treatment, an implant can offer reliable rigidity. It does not restore ejaculation after the prostate has been removed, although orgasm may still be possible without visible semen.
Penile Implant Surgery With Peyronie’s Disease or Fibrosis
When penile curvature occurs together with severe erectile dysfunction, an implant may restore firmness and help correct much of the curvature during the same procedure. Some patients require additional straightening techniques depending on the angle and location of the plaque. Fibrosis makes measurement and cylinder placement more challenging, so it is important to choose a surgeon familiar with complex cases and to provide records of previous operations, trauma or penile injections.
How Long Does a Penile Implant Last?
Modern prostheses are designed to function for many years, but no mechanical device can be guaranteed for life. An inflatable implant may work reliably for a long time and later develop a leak or a problem involving the pump, cylinders or connections. A malleable implant has fewer components, although replacement can still become necessary in uncommon situations such as device damage, pain, erosion or infection.
A functioning, comfortable implant is not replaced merely because a fixed number of years has passed. If a mechanical failure occurs, the patient returns for assessment and the device can often be removed and replaced. Revision surgery differs from a first implantation because scar tissue may be present. The surgeon decides whether all components should be exchanged based on the device, findings and cause of failure.
Patients can protect their result by operating the prosthesis exactly as taught, avoiding excessive force and seeking review if inflation, deflation, position or comfort changes. The implant requires no charging and contains no replaceable battery. It does not usually cause problems at airport security, and patients can keep their device information with their medical records for future healthcare visits.
How to Choose a Penile Implant Surgeon
Choosing treatment involves more than comparing implant brands or prices. The surgeon’s volume of implant procedures, experience with complex cases, clarity of communication, infection-prevention pathway, hospital standards and postoperative availability all shape the outcome. Ask how often the surgeon performs these procedures, which devices are offered, and what support is available if a concern appears after you return home or leave the country.
A responsible consultation does not push every patient directly toward surgery. It confirms the diagnosis, reviews alternatives and explains the limits of treatment. You should know the planned implant and manufacturer, what the quoted cost covers, the anesthesia plan, expected hospital stay, follow-up schedule and emergency contact process. You should also have enough time to ask sensitive questions without embarrassment or unrealistic promises.
Dr. Yaman Al Tall has performed more than 3,000 penile implant procedures and treats primary implantation, severe fibrosis and revision cases. Surgery is performed at Al Abdali Hospital in Amman with a multidisciplinary medical team. The consultation determines whether an implant is appropriate in the first place, then discusses device type, sizing, plan and cost according to the individual patient, with privacy throughout communication and follow-up.
Travelling to Jordan for Penile Implant Surgery
The team receives patients from across the region, and an initial review can begin remotely using medical reports, medication lists and previous operative records. Online communication cannot replace an in-person examination, however, and the final device and surgical plan cannot be confirmed until the surgeon has assessed the patient. Cardiac reports, diabetes results, blood thinners and any history of fibrosis or a previous prosthesis should be disclosed clearly in advance.
Patients should arrive with enough time for examination, investigations and anesthesia review before surgery. A return flight should not be booked until the surgeon has recommended a safe travel interval. An adult companion, comfortable nearby accommodation and a clear plan for medication and wound care are valuable. Before leaving Jordan, the patient and team should agree on remote follow-up and on circumstances requiring local assessment or a return visit.
When comparing countries or centers, compare what each quotation actually includes: the implant brand and model, hospital, anesthesia, surgeon and team fees, investigations and follow-up. The lowest price alone does not reveal the surgeon’s experience or the plan for managing a complication. The objective is an appropriate operation with a clear safety and follow-up pathway, not simply the fastest possible procedure.
Does Every Case Need an Implant Right Away?
The implant is a definitive treatment, not necessarily the first option. Evaluation begins with an accurate diagnosis of the condition and identifying the cause, then choosing the most appropriate treatment — which may include managing an underlying factor (such as diabetes or blood pressure) or adjusting a medication causing the problem, before considering surgical intervention.
Oral Medications
Such as Viagra and Cialis — they improve blood flow to the penis. Their side effects are usually mild and temporary, and require consulting a specialist before starting.
Non-Oral Medications
For those who don't respond to oral medication, such as Alprostadil injections or suppositories. Side effects can include prolonged erection and a local burning sensation.
Medication is temporary in effect and tied to a specific timing before intercourse, while a penile implant is a radical and permanent solution to the problem.
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Message Us on WhatsApp NowEverything You Need to Know About the Implant
The implant is an excellent, definitive solution that restores the patient's sexual function permanently. Other, less effective options exist (medication, injections), but they don't offer guaranteed results to the same degree as the implant.
With adherence to pre- and post-operative instructions, it is considered very safe and suitable for most ages — it has been performed safely on patients over eighty years old.
All types are effective, but the choice depends on the patient's condition and age: some cases suit the bendable malleable implant, others suit the hydraulic type. The medical consultation is what determines the most suitable type.
The implant does not treat premature ejaculation specifically, but the erection remains firm until intercourse is complete. Normal sensation is not noticeably affected after placement.
The procedure does not exceed one hour when performed by a highly experienced urologic surgeon.
It's advisable to wait about 45 days before resuming intercourse after implant placement surgery.
Shaving of the pubic area, followed by general anesthesia and placement of a urinary catheter, a small incision below the glans, insertion of the implant cylinders into the erectile tissue, and finally closing the wound with sutures.