How can we help?

Check below for answers to most questions.

Top Questions

How much does Xialla cost?

Xialla costs $69 USD and comes with 10 single-use adhesive pads.

Is Xialla right for me?

Xialla is designed for men of any age or medical profile who experience ED due to venous leak (excess blood outflow). Because of its unique construction, Xialla offers an effective treatment option for men who may be dissatisfied with the results they have seen from more traditional treatments. Here are some situations where Xialla may be a good fit.

  • I can achieve an erection, but have difficulty maintaining it.”
  • My erection is soft
  • I want to avoid medication or injections.
  • Traditional ED treatments don’t deliver the results I want.
  • I prefer to avoid surgery to treat my ED.
  • I want to enhance spontaneity and pleasure during intimacy.

Answer a few questions to see whether Xialla could be an effective treatment for you or your partner.

How effective is Xialla?

Xialla helps four out of five men get an erection. It has also been proven effective for difficult to treat cases of ED. Since Xialla helps slow blood outflow (venous leakage) clinical trials showed it to be effective both alone and in combination with conventional ED drugs or injections that promote blood inflow.

What is the refund and exchange policy?

Xialla comes with a 100% satisfaction guarantee. If you don't love it, get a full refund within 60 days. Need a different size? We’ll send one for free. No returns required - just contact us, and we'll take care of you.

What size should I order?

We have a size guide here to help you choose. If you’re not sure of your size, we suggest Regular, as this fits most men. And no need to worry - we’ll send you a free replacement if you need something a bit bigger or smaller.

Penis circumference
Flaccid (in)
under 4
over 5
Penis circumference
Erect (in)
under 5
over 6

If you're not sure, start with Regular. If you need a different size we'll send it at no charge.

How long does shipping take?

Free shipping to the USA and Canada takes 5-7 business days. Expedited shipping is available to the USA and takes 3-5 business days. Shipping time to other countries varies on a country by country basis.

Does Xialla work with ED medication?

Yes Xialla works with ED medication. Your regularly prescribed ED medication increases blood inflow. Xialla helps you prevent blood outflow so that your erection stays stronger for longer.

Does Xialla work with injections?

Yes Xialla works with injections. Xialla has been clinically tested to complement penile injection therapies. While injections primarily target blood inflow, Xialla targets blood outflow.

Does Xialla work with pumps?

Yes Xialla works with pumps. Use Xialla in place of the standard constriction rings used with vacuum pumps for dramatically better results. Learn more about Xialla and pumps here.

I've tried everything and nothing works. Can Xialla help me?

Even if your ED is severe, Xialla might help. In clinical trials Xialla was effective at treating 54% of men who had failed all other treatments. For some of the men Xialla worked on its own and for some Xialla worked when combined with oral or injection medication. With our money back guarantee Xialla is always risk-free to try.

Is Xialla tested in clinical trials?

Yes. In two separate clinical trials Xialla demonstrated significant benefit to erectile function and sexual enhancement for the majority of men.

What lubricant should I use with Xialla?

We recommend a high quality water based or oil based personal lubricant, available in pharmacies or adult stores. You should avoid using silicone lubricants as they react with the silicone of Xialla to gradually soften and expand it.

Orders & Shipping

Where do you ship?

We ship to the USA, Canada, United Kingdom, France, Germany, Ireland, Italy, Spain, Sweden, Switzerland, Australia, Mexico, Netherlands, United Arab Emirates (Dubai), Finland, and South Africa.

How long does shipping take?

Free shipping to the USA and Canada takes 5-7 business days. Expedited shipping is available to the USA and takes 3-5 business days. Shipping time to other countries varies on a country by country basis.

Is Xialla packaged discreetly?

Yes. Xialla arrives in a plain bubble-pack envelope.

Is my payment information secure?

We use the Shopify e-commerce platform and the Stripe payment platform, the global gold standards, so you can be confident that all of your information is 100% protected.

Where is my order?

Use the link in your confirmation email to check in on your order at any time. In the event that we're backordered, we'll let you know the status by email.

Can my order be expedited?

Expedited shipping is available to selected countries and will appear as an option at checkout if available in your country.

What is the refund and exchange policy?

Xialla comes with a 100% satisfaction guarantee. If you don't love it, get a full refund within 60 days. Need a different size? We’ll send one for free. No returns required - just contact us, and we'll take care of you.

What payment methods are accepted?

We accept all major credit cards, Visa gift cards, Visa debit cards and PayPal.

How do I order adhesive pads? Are the adhesive pads multiple or one-time use?

With your Xialla device you receive 10 pads. Each adhesive pad is intended for one-time use. To order more pads, click here.

Is Xialla covered under my health insurance policy?

Xialla isn't currently covered under health insurance.

How it Works

What makes Xialla different?

Xialla is an integrated ring, loop, and adhesive band - all constructed of soft, elastic silicone. Xialla's unique, patented design anchors the ring in place to prevent it from moving during sexual activity, giving you a stronger, longer-lasting erection.

What’s the difference between Xialla and a “cock ring”?

Cock rings move back and forth during sex, which allows blood to escape and your erection to fade. Xialla secures the ring in place, preventing blood outflow and helping you maintain a firm long-lasting erection.

Am I able to orgasm while wearing Xialla?

Xialla was designed to improve your erection so that you can have better sex. Xialla won’t impede or prevent your ability to orgasm. If you've tried cock rings and they make ejaculation uncomfortable or impossible, it may be that the rings were too tight. Cock rings need to be tight so they don't move. Xialla doesn't need to be as tight because it's prevented from moving by the unique, patented design which anchors the ring in place.

Will Xialla work for me after a prostatectomy?

In clinical trials, Xialla helped 40% of men with a prostatectomy. If you've had a prostatectomy we recommend consulting your doctor about using medication in combination with Xialla, as this was sometimes required to be successful in the case of a prostatectomy.

Does it matter if I’m circumcised?

Not at all. Xialla rests at the base of the penis, so circumcision does not have any impact on the use of the device.

Do I need an erection to start?

No. Xialla can actually help you get an erection. As you begin to get stimulated and blood flows into the penis, Xialla helps the erection to build by preventing blood from flowing back out too quickly.

Can I use a pump with Xialla?

Yes. Simply use Xialla instead of the ring supplied with the pump.

I have a penile implant. Can I still use Xialla?

Xialla is a completely external device, so it may be effective in promoting engorgement in the case of penile implant. We strongly recommend you consult your doctor before using Xialla with a penile implant.

How does Xialla block blood outflow but not block blood inflow?

Xialla targets blood outflow which occurs through veins near the surface of the penis, just under the skin. Blood inflow occurs through arteries that are deep within the penile shaft.

I can get an erection but it goes away. Can Xialla help?

Yes, there's a good chance that Xialla may help. Xialla works best for men who struggle with excessive blood outflow. Many men can get an erection, but find it difficult to maintain because the blood outflow is too much. Xialla works by slowing blood outflow from the penis so that your erection lasts longer.

Does Xialla work if you're diabetic or have high blood pressure or heart disease?

Xialla has been proven to help men with difficult to treat conditions. Conditions such as diabetes, high blood pressure and heart disease can all contribute to ED by slowing the inflow of blood to the penis and/or inhibiting the mechanism that prevents excessive blood outflow. While existing therapies enhance blood inflow, Xialla targets blood outflow. Therefore Xialla may help on its own, and it may also help in combination with existing therapies such as medication, injections or pumps.


Is Xialla visible when on?

Xialla has a minimalist design, but it’s not invisible. When it’s on, your partner is able to see the ring at the base of your penis, and if you turn around, they may see the adhesive pad that rests above your buttocks.

How long can I use Xialla for?

To avoid temporary or permanent injury: Avoid falling asleep while wearing Xialla. Allow at least 1 hour between uses. Use Xialla for no longer than 30 minutes per time.

How do I clean Xialla?

Xialla is easily cleaned with warm water and gentle soap.

How often do I have to reorder the Xialla device?

Xialla can be used multiple times. We recommend using it for 2-4 months before considering a new one for hygienic reasons.

Does Xialla come in other colours?

For now we exclusively offer a white, semi-translucent device.

Do I need help putting on Xialla?

Xialla is easy to put on by yourself. However, if you have limited mobility and have trouble reaching behind yourself to your lower back, a partner can help. See the step by step user guide here. A user guide also comes with every Xialla.


Xialla doesn't help me get an erection.

Don’t give up. First, if Xialla isn’t snug around the penis, contact us and we’ll send you a replacement. Second, since Xialla helps control excess blood outflow, clinical trials proved Xialla to be highly effective in combination with therapies that promote blood inflow, including both oral ED medication and injections. Consider talking to your doctor about using an oral therapy in combination with Xialla.

The adhesive pad doesn't stick well to my skin.

Make sure the area is clean and dry (not sweaty) when you attach the pad.  Attach the pad before you use any lubricant. If there's lubricant on your skin where the pad is being attached, the pad won't stick. Place the pad as low as possible on your back since putting it higher increases the tension on the band. Attach the tab lock near the bottom of the pad instead of in the middle or at the top, since attaching it higher on the pad may tend to pull the pad off the skin.

My Xialla broke.

Contact us for a free replacement within one year of purchase.

Xialla doesn't fit well (too tight or too loose).

If your Xialla is too tight or too loose, please get in touch and we’ll send you a different size free of charge.

Can't find the answer?

Call or email us any time. We are always available to help you.

Nigel Shaw, inventor