Category Archives: Questions & Answers

When Should You Treat Peyronie’s with the P-Shot® Procedure…Early After Onset, or Later?

Question (name changed)...

Dr. Runels:

I'm an ENT doctor but in this case a urology pt with recent-onset (noticed 2-3 weeks ago) Peyronie's. My urologist ______ in ______ gave me your flier about the Priapus Shot® treatment.

(1) Does your Rx address the plaques?

(2) Does it stop or reverse the Peyronie's process?

(3) Is it better to treat early (now) or wait 8-10 months when the plaques stabilize?

Thank you.

Answer:

(1) Yes! Research shows a decrease in plaque size.
(see research listing below)

(2) If you mean, does the Priapus Shot® procedure help the curvature? Yes, in most men.  If you mean, does it permanently reverse the underlying process so the curvature never recurs...then probably in some. To further elaborate with some data, we did the following research (click to read) with lichen sclerosus (also thought to be an autoimmune process, like Peyronie's), showing that our process with the O-Shot® procedure decreased inflammation according to 2 blinded dermatopothologists--indicating that somehow the procedure down-regulates the autoimmune response.  There are other papers showing this downregulation of the autoimmune process by PRP.

Further as to permanence, our provider group has seen women who see a recurrence of their lichen at 1 year out, a few who are not helped at all, and many who are still well at 3-4 years post procedure. How these data will relate to Peyronie's disease remains to be seen but we expect a similar spectrum.
(see research listing below)

(3) DEFINITELY  better to treat early  before the scar tissue matures. I saw Dr. Virag lecture in Venice this past summer when we shared the podium and he will soon publish data showing that using PRP is more effective and safer than Xiaflex. Depending on how you look at the data, Xiaflex has a 1 in 50 to 1 in 100 risk of fracture/impotence post procedure. The Priapus Shot® procedure has associated with it the probable side effect of an improvement in erection quality by around 5 - 7 on the 25 point scale commonly used.
(see research listing below)

IMPORTANT! If your provider is not on the following list of physicians who have studied the accepted methods of the Priapus Shot® procedure (click) and agreed to follow them, then your physician may be a wonderful provider, but I have no way of knowing who or how he/she was trained and what method he learned. So, I have NO way to make any comments about the quality of the procedure he/she may provide. What I can say, is that your physician (if she/he says he's providing the P-Shot® but is not listed on that directory) is either knowingly or unknowingly breaking the law and pretending to be part of a group that he/she is NOT a part of. The certified providers of the Priapus Shot® procedure share notes with each other, finance research, and support the advancement of the effectiveness of the procedure. THOSE WHO USE THE NAME "PRIAPUS SHOT" BUT WHO ARE NOT LISTED AS ONE OF OUR MEMBERS ARE USING THE FRUITS OF OUR LABORS ILLEGALLY and possibly providing and inferior service by deceiving patients.

Certified Members of the Priapus Shot® Provider Group (click)<--
Research Listings for the Priapus Shot® Protocol for Treating Peyronie's Disease (click to read)<--

Best regards,

Charles Runels, MD

 

Inventor of the Priapus Shot® Procedure

 

Size

3 Questions about the Priapus Shot® Procedure

  1. P-Shot® increase size much? With or without the pump?
  2. Other methods for size- pump work alone? If so how to use and for how long etc?
  3.  Physical techniques using the hands or traction?

Podcast Answer.
Consult your doctor before doing anything & before stopping anything your doctor told you to do...

Related Links...

Transcription of Podcast

Question 1: Does the P-Shot® increase the size much and with or without the penis pump?

First of all, what's much?

If you take the average-sized penis of 6" in length and you increase the circumference by 1 inch (2.5 cm), then you double the volume of the penis!

That's not enough that you're going to make a shocking display on the next porn movie, but it's definitely enough that your lover will be able to feel the difference.

Starting Point

First of all, nothing is 100% especially the Priapus Shot® procedure for size. I am first to tell you that it is very frustrating when I get a phone call from someone like I did a few months ago; a fellow tells me that his full erection is 2 inches long—2 inches long! His full erection is only 5 cm long and he's never been alone with a woman because he's embarrassed by the size of his penis.

With this man, the size of his penis is NOT just about being proud of his penis in the shower. He suffers with a social problem. Unfortunately, I cannot offer him a guaranteed solution. Just like with muscles, it appears that the more you have, the easier it is to grow. You can watch a guy who's already muscular and when he goes to the gym his biceps grow like crazy, while the man with little muscle tone struggles to increase arm size and strength.

The people who come to me who have a 6 inch penis, it's easier for them to grow to 7, than it is for the fellow with a 3 inch erection to grow to a 4.

I wish it weren't so, but my suspicion is that with the muscles and with the penis the results involve many factors (some not so obvious). But, what appears plain is that when we’re talking about cellular growth, then the more you start with, the more easily you’ll see noticeable growth—because it’s a percentage results based on your baseline cellular mass when you start.

Nutrition & Growth

In addition to starting cell mass, other factors affecting growth include nutrition.

Poisons to Growth

Also, will the toxins from cigarette smoking be poisoning the new growth (why many surgeons won't do a face lift if the person smoked cigarettes with a week or two prior to surgery).

The same process that results in wound healing after surgery works as the way the penile tissue responds to the Priapus Shot® procedure—cellular growth & if the tissue struggles because of toxins, then it's not going to grow.

Method of Preparing & Injecting

Another factor that affects the results of the Priapus Shot® procedure is the method by which the procedure is done. Does the person doing the shot use equipment approved by the FDA for the preparation of PRP in a method that makes the PRP sterile enough to go back into the body and does the kit actually isolate an adequate concentration of PRP. Multiple attorneys work with us around the world to shut down physicians and non-physicians who claim to be doing the Priapus Shot® procedure but who do not understand the method of injecting or the method of preparing the PRP. You may think that’s a rare occurrence, but it’s not.

You can find a certified provider here (click)<—

If you’re a physician or physician extender, you can apply to become one of our providers here (click)<—

Not only has is the platelet plasma made, but does the person understand where to put the plasma, how to inject it into the corpus cavernosum of the penis?

What’s Possible with the Priapus Shot® Procedure?

Somewhere around 60% of the people across the world, (around 70% in my practice) see growth of the penis that's a half an inch or more (that’s in circumference and in length).

I treated 2 men who swore they grew 2 inches in length and 2 inches in circumference. I saw quite a few who grew an inch to an inch and a half, but routinely, after the first procedure, you'll see a full half an inch in circumference and then another half an inch in length. The circumference appears first (within 2-3 weeks) and then the length appears after that (within 6-12 weeks).

Does it “work” every time? Can you guarantee results?

To understand how medicine works, consider antibiotics for people suffering with pneumonia in the hospital. That's a severe thing. One out of five of those people, 20% of people in the hospital with pneumonia die even on IV antibiotics, even with simultaneous dosing of our most strong, antibiotics-the infection kills them.

So, there's only an eight out of ten success rate with antibiotics for pneumonia in the hospital, but do antibiotics work?

Of course, they work! Just because 20% of the people who take them for pneumonia in the hospital still die from pneumonia doesn't mean that antibiotics don't work—they do work for 80% of people!

Should we quit using antibiotics for people because the antibiotics “don’t work” for some people? Are doctors tricking patients when they try to get people suffering with pneumonia well with antibiotics? Of course not!

But, sometimes I’ll get an email from someone who says the Priapus Shot didn't work! I was “ripped off!”

When I get emails like this, it makes me sad because I’m imagining a man who may suffer with sex & relationship problems and feel angry because he’s not yet well. I always want to help but because sexual function involves so many factors (with the penis, endocrine system, circulatory system, orgasm system, neurological system, psychology, social relations to his lover, & much more), there is no way for me to tell from an email or even a phone call what to do. All of these factors should be considered by the healer who is able to see the man on multiple occasions and to do a physical exam. He may even need a TEAM of providers to help guide him back to excellent physical and sexual health.

Some simple things to ask include the following:

Do you smoke ciagarettes?
Do you smoke pot?
Do you use narcotics for pain or recreation?
Do you take blood pressure medicine?
Is your testosterone too low?
Is your growth hormone too low?
Do you have a high estradiol level?
Is your prolactin too high? (In the recording, I erroneously say “too high.”)
Is your nutrition adequate?
Is your blood flow down because you're suffering with Type 2 diabetes and uncontrolled hyperglycemia?
There's so many things that can go on to explain why the Priapus Shot® “didn’t work.”

Also, why did you get the Priapus Shot? Was it for growth?

Was it for erectile dysfunction, Peyronie’s, lichen sclerosus, post op for prostate surgery, or to grow your penis in length or girth?

The success rate varies tremendously depending upon why you were treated and on all the cofactor discussed.

Do weight lifts work for muscle growth? Of course, they do, but some people lift weights their whole life and still never really get that strong or big. Others, they're genetically inclined to larger muscles and so they seemassive growth when they lift weights.

Your possibility for most strength and size of musculature happens if you do lift weights. If you want ultimate growth of your muscles, then you would lift weights.

What else might you do to grow bigger & stronger muscles?

You would use anabolic steroids!

Would Arnold look like Arnold if he weren't genetically endowed-an Austrian man with an excellent bone structure?

Absolutely not.

Would he look like Arnold if he never used anabolic steroids?

Absolutely not!

He very says that he used large doses of anabolic steroids. Back in his days of Mr. Olympia competitions, in the '70s, anabolic steroids were treated almost like antibiotics. Your pharmacist would just almost give them to you without a prescription.

They weren't controlled (like a narcotic) by the DEA until the 1990s.

Also, along those same lines, physicians did not think (in the formal medical literature) that bodybuilders were actually strong! They thought that the body builders just added “water weight.” Of course, they were stronger.

In the late 1980s, the medical research finally stated that the combination of weights plus anabolic steroids do make you stronger—much stronger! Your strongest self happens when you combine the two. Arnold because Arnold not because of genetics, because of anabolic steroid, or because of gut-wrenching, vomiting-because-of-effort workouts. He became Arnold & Mr Olympia 7 times because of all 3 of those combined!

If you talk to NFL players, they'll say, "Yeah, there's only two kinds of NFL players. Those who use anabolic steroids and those who lie about it." I don't know how true that is, but that's what I hear when I talk to NFL athletes.

Back to penis growth and a second question.

Do other methods work along with the Priapus Shot® and does the pump work alone?

Do weights work alone for muscles?

Yes, they do.

Do they work for everybody significantly?

No, they don't.

Do weights work better if you have growth hormones and steroids involved?

Yes, they do.

What's in platelet rich plasma?

One of the hormones in platelets is IGF-1 or somatomedin C, which is the active hormone we think that results from people who use growth hormone.

Growth hormone results in somatomedin C formation (also called insulin-like growth factor 1 or IGF-1) by the liver and other tissues.

That exact same growth factor (IGF-1) is released from platelets. When platelets are injected with a Priapus Shot® procedure.

Then, when you use the pump along with the Priapus Shot®, you're basically lifting weights and using steroids with your penis.

If the pump works, then how should I use it and for how long?

I have a link here (click) that takes you to a whole video and a whole transcript that gives you details about how to use the pump. There, I give you details that go along with research about how the pump works alone (without the Priapus Shot).

There you’ll find a paper showing growth with the pump alone—research published by the British Journal of Urology showing growth and straightening of the penis with a pump alone. In the study, men suffered with severe Peyronie's disease (enough that they planned surgery). Over half of them, canceled their surgery after 12 weeks of using a penis pump alone.

Physical techniques using the hands or traction, do they work?

Anything physical with the penis is going to “work” if performed intelligently. The problem with the hand is you can't as accurately judge what pressure you're applying (with the pump, you can use a pressure gauge). Risk for lack of efficacy and for significant side effects increase with inconsistent application of traction and pressure.

More significantly, in seeing thousands of men in my office, for every one person I've seen who increased the size of their penis by jelqing (which is another word for using your hand) or by using a traction device, I saw 50 men who reported to me that they saw a growth of their penis using a pump.

Use a pump (with your doctor’s supervision) and you use it the way I describe on the video (click).

Pump Ideas

What makes the penis growth from a pump?

How does the penis decide how big to be?

It's a physics problem—think of a water balloon.

A balloon (including the penis) stops growing when the pressure inside equals the combined pressure of the atmosphere outside and the tensile or stretch on the wall of the penis (a mathematical model for the collective connective tissue of the penis).

If you're using your pump regularly, it just makes sense, just like if you stretch out a balloon, it becomes easier to blow it up, but also because of the tensile strength of the wall becomes less, it equalizes at a greater size.

That's the physics of it. So first the tensile strength from the penis goes down. Then the Priapus Shot helps with repair and growth.

If you lift weights, then you repair, then you lift weights again, then you see growth of muscles. And, If you lift weights too much, there's damage.

You can use that same idea to grow the penis.

Follow the guidelines here (click)<—.

Some of the growth from the pump can also be edema. When you use the pump for a significant time (even at 10 or 15 minutes), you may see that fluid comes out of the intravascular space into the extravascular space (leaves the blood vessels to fill the tissue outside the blood vessels). You can even see this edema under the skin when your erection goes flaccid. There's no harm from the edema.

Sometimes, after weeks of using a penis pump, you might see some darkening of the skin of the penis. That color change tends to reverse if you stop pumping or quit pumping on a daily basis.

Summary

Any time there's significant growth of a physical biological structure (your finger, your hair, your face, your penis, your nose, whatever), for true growth, you must cause cell growth by either enlargement of the individual cells or by proliferation in the numbers of the cells.

That cellular growth happens in multiple other tissues: straightening bone or elongating bone, in some orthopedic injuries with traction devices & with soft tissues like the nose or the ears.

We know that the combination of physical therapies with hormonal or biological therapies affect the most significant growth (rather than either one alone).

And, we know that growth varies with multiple factors about which some of we know and about which some we continue to be completely ignorant.

I hope this is helpful. There is no 100% satisfaction with any procedure. What I can promise you is that the combination of all the factors that go in with health and with a healthy penis that are covered in my materials and those who are the other Priapus Shot® providers will be a good chance at your best penis.

Just like exercising and good nutrition and all that goes with the growth of the rest of your body— whether it’s growing muscles, or growing heart, or growing vasculature when you exercise— will achieve your best overall aerobic health and personal musculature strength, in the same way, following these therapies will achieve your best penis.

I wish you the best and I hope these ideas help you.

Peace & health,

Charles Runels, MD
888-920-5311

 

 

 

Priapus Shot® Providers
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Should you repeat the P-Shot® (Priapus Shot®) in an 80-year-old man?

Find nearest certified P-Shot® provider world wide (click)<--
(anyone not on this list is not certified to provide the procedure)

Training for Physicians and Physician Extenders <--

Priapus Shot® Post Penile Implant? Why & Why Not…

Is it OK to do a Priapus Shot® procedure after a penile implant? Why should you? What's the danger to avoid?

Drs Joseph Banno (board certified urologist) & Charles Runels (inventor of the P-Shot® procedure) discuss the issue...

Find Certified Provider of the Priapus Shot® Procedure (click)<--

Apply for Membership in the Provider Group (physicians & physician extenders) click <--

Free Information for Physicians & Physician Extenders (click)<--

“How Long Does It Take for the P-Shot® to Work?”

Drs. Joseph Banno & Charles Runels answer questions about the time frame surrounding the Priapus Shot® procedure...

Short version- in most people, it STARTS to work at around 3-4 weeks with full effects at 12 weeks. Some people will see effects sooner. In some people it will not work at all. Depends on the goal.

  • For Peyronie's, the success rate is 75-80%
  • For growth of 1/2 inch or more (length & girth), it's around 70%.  The more the man starts with the more likely that growth will be successful.
  • For ED, the average increase in the erection scale is 7 (on a scale of 5-25).

Certified Members of the Priapus Shot® Provider Group<--

Pain & Bruising after the Priapus Shot® Procedure

Question...

I would like to know if the following issue is ok or not.
Two weeks ago i had my first P shot, in the Netherlands, the treatment went fine, but i had some bruses on my penis on the spots were the needle was set, after a couple of days it was gone.

However, i had pain in my penis, especially in the nights, i woke up several times because of a painfull nightly erection.
Also my erection was worse than before the treatment.
My doctor told me to give the penis some rest, so no pump for 3-4 days, after that start again.

Everywhere i see on the internet the color of the plasma is yellow, mine was red, is this normal?
Did the centrifuge do his work well?

Thank you for your reply in advance.
Kind regards,

Answer...