A penile prosthesis implantation device includes a barrel having a bore, an obturator and a needle clamp. The obturator has a distal end that is received within the bore of the barrel and is configured to slide along a longitudinal axis of the bore relative to the barrel. The needle clamp is at the distal end of the obturator and includes opposing pinching members that are displaced from an interior wall of the bore when the needle clamp is retracted within the bore, and a receptacle between the pinching members configured to receive a thread attachment end of a needle and hold the end of the needle through an interference fit with the pinching surfaces.