Penile implant devices and methods are disclosed. A penile implant device in accordance with the present invention includes an implantable penile prosthesis pre-connected to a needle by a suture. The needle and suture may also be at least partially enclosed in a sheath or the like. In accordance with the present invention, a penile prosthesis is connected to a needle by a suture during a pre-operative storage period of the penile implant device. For example, the penile prosthesis may be connected to the needle during manufacture of the penile implant device.