A tool for inserting a cylinder of a penile prosthesis into a patient includes a handle extending between first (24) and second (26) guides. The first guide is located at a first end portion of the tool and includes a first cylinder cradle (50) on a first side of the tool and a first tubing cradle (52) on a second side of the tool that is opposite of the first side of the tool. The second guide located at a second end portion of the tool and includes a second cylinder cradle (60) on one of the first side or the second side of the tool and a second tubing cradle (62) on the other side of the tool. The lateral width of the first tubing cradle and the second tubing cradle is the same and a lateral width of the first cylinder cradle is smaller than a lateral width of the second cylinder cradle.