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I had 2 shots in jan-may with no results
I’m sorry for your disappointment.
We are the first to want people to know there is no perfect procedure that works with everyone. Some people most likely to see good results include those who had erectile function before prostate surgery who want to maintain function after surgery, those who have erectile function but want to improve function, those with peyronie’s disease, those with loss of sensation.
If you’re trying to grow your penis more than 1/2 an inch in size, then the procedure can be of help but here’s where results can be frustrating for all involved. If you go on the forums and read the research (like this article that showed growth of about 1/4 an inch over 12 weeks), you’ll see that a pump alone can cause growth in some people and after the injection and immediate pump therapy, people usually go home with a larger penis that works better. So, using a pump with PRP seems to give even better results.
But, expectations with improvement in size are what’s most likely to disappoint. If someone’s trying to gain more than an inch, it can be a slow process and only 50-60% get there. Unfortunately, just like with weight training, it seems those who already have the most grow the most when physical and physiological therapies are used.
We routinely see 1 to 1.5 inches both ways, but width comes first and the size comes more easily to those who already are in the 5 inches and up range.
Also, men older than 60 with long-term diabetes and zero erectile function even with injections or cialis-like drugs are not likely to respond. If there’s blockage of flow upstream, then creating new blood flow down-stream will not likely help.
So better erections are a good a reliable outcome, but not 100% and best seen in those who already have some function.
What results were you looking for? Are you able to give us more detail? We want this forum to be honest about the good and the not successful. Thousands have been very successful with the treatment. Only with more research and detailed feedback (which can move faster than the research) can we figure out why some get amazing results and some do not.
Thank you for taking the time to leave your feedback. Hopefully, with time, we can improve the procedure and the outcome. I don’t pretend to know all or be all. But, by having an open discussion here with physicians and patients contributing, hopefully find answers.
Respectfully,
HI, I am 58 health male looking for girth improvement. I am scheduled for mid January to receive the P Shot and was curious if there was any pre-work I could be doing to increase my chances of success, i.e. stretching, vitamins, etc. Any suggestions
Likewise. It’s bullshit. And it hurt like hell!!!
Hello Pete,
I’m sorry that you had pain. We use the same size needle that’s used by men who do Tri-Mix injections every time they have sex (and they do it without numbing cream). Still, there is some thing insulting about a stranger poking your penis with a needle.
I always just give myself a shot without using any numbing cream at all–but I’m sort of a freak I guess (which it would take to do this procedure for the first time in the world and do it to yourself). Most don’t know that when I was developing the Vampire Facelift® procedure, I was doing the work to observe directly how to best use the same methods to rejuvenate the genitalia.
We all have our thing that we just dont really worry about. Maybe your thing is riding bulls or wrestling alligators (which would terrify me). I hate even standing close to the window of a very high building, but I have no problem with giving myself a shot in the penis without numbing cream.
For those who are bothered by needles but wrestle alligators for fun, I worked with some of the urologists in our group to develop teaching materials for all the physicians in our group about how to use lidocaine to put the penis to sleep. So, the next time (if there is a next time) you get a Priapus Shot® procedure, ask your provider to put the thing to sleep!
Thank you for writing.
Charles Runels, MD
I did the trimix it stung a little bit but after three or four minutes the stinging went away. I had an erection for quite some time I could not leave the office until the erection went away it was very hard and Phirm I was completely satisfied but instead of doing the trimix I decided to get the P shot I am scheduled for the trimix this Thursday
Seems to me that a few test subject are needed. I’m in Charlotte, NC, and would be willing to become a test subject for you. Message me back and let me know your thoughts….
I want to do the procedure in order to gain length but would like to know where are there testimonials. I’m not moved by one guy that may not have got what he expected, but I do need to read or see evidence of several men that did get results before I can decide to go ahead. It isw a lot of money to spend if no results are experienced.
Wouldn’t combining this procedure with a topical compounded cream including testosterone and HGH directly to the area help guide or steer the mesenchymal stem cells in that localized area to proliferate even more? Do you or have you considered this option? If so, what are the pros and or cons to adding this method?
on alprostadil injections now.type 2 diabetes since 1998.60 years old. can achieve an hard erection with alprostadil injection specially when standing up.very hard erection.lasting about 3-4 hrs ,difficulty with erection when laying face up more soft and regaining hard erection if standing up.eyeculation is sorta painful as if sperm wont come out if inside the vagina.loosing sensitivity on pennis at touch
based on my comment am I a good candidate for Priapus shot?
I had a procedure 20 days ago, so far absolutely no changes, pumping twice a day……and just been taken for a ride…..definetely it doess not work at all, just another scam.
Your provider should have told you–just like with the face, it STARTS to work at 3 to 4 weeks (your at 20 days–not even to the 3 week mark). Full effect is at 12 weeks.
What’s happening now?
Did you follow the RPD protocol
I want to give this a chance, but first I would like to ask if Acell will be used in the near future or if hormones should be taken with this… Has this been tested with HGH? No disrespect to you Dr. Runnels but have you ever discussed any of this with Dr. Anthony Atala ?
I am 65 and have had erection problems for about 15 years. I received the p shot in July. I saw results that kept getting better over the months. I am diabetic and lost most of my sensation. After 5 months I have regained much of the sensation and saw a big improvement in erection size and function. I am looking forward to see if a second injection will help me to get even better. If you have ed problems you should see if the shot will help you.
Craig thank you for your incouraging report. I am 75 and much like you have lost the ability to maintain an erection and wonder if the shot might help give me some capabilities I have lost over the years and now that I take Eliquis and Metoprolol it seems I can’t even get an erection hard enough to penetrate my Woman.
Can you confide in me who did the shot for you?
Hello doctor Charles Runels, I read about the P-Shot on the facebook newsfeed of Dr. Crisler and I am very excited about this new approach.
I have a blog which helps men overcome premature ejaculation and so I know that most of the PE sufferers do not realize that their real problem is bad erection, so they have problems to go for the 3rd round etc.
Of course, the main reason for having bad erection these days is stress and certain type of movies that everyone can easily find on the internet… (after quitting it the most men see huge improvements). But it’s good to know what other possibilities are available today.
So my question would be whether you have tested the P-Shot with actually younger patients, who have had life-long problems with erection and/or premature ejaculation and how it has helped them?
Thanks
-David
Hello David,
I do agree that too frequent masturbation both has profound effects on hormonal status (prolactin & testosterone levels) as well as on erection quality in some men…and can also train a man to have premature ejaculation. I’m grateful for your pointing this out. Yes, the shot can improve erection in young men even more dramatically than in older men (in the same way that younger men heal wounds more easily than older men).
But, if erection quality is a problem (both in the young and the old) I’d recommend people study the various practices that can help (not just getting a priapus shot). I have a course on the subject that can be subscribed to on the following form. I also would recommend you post the address to your blog in a reply to this post so readers know where to find you.
Here’s the 15-week course that I have on the subject–>>
Hope this helps..
Peace & health,
Charles Runels, MD
Hello Dr. Runels,
thank you for the reply.
The P-shot sounds very promising and I am curious when this kind of treatment is available here in Germany. I think it’s a great complementary treatement for those with ED and PE, because lasting longer also requires men to have a strong erection.
You recommended to post a link to my german blog, here it is: http://www.orgasmed.de/
I also have started an english site, which will get new content (basiclly translated from my german blog) on how to last longer in bed, maybe it will be interesting for the english speaking readers: http://10stepstolastlonger.com/
Hello David,
Posted your link. We have providers in much of Europe but we need more (none yet in Germany).
Send one of your doctors here and I will show them how to be trained.
I had the procedure done about 6 months ago. I’m 58 and was hoping to improve my sexual performance. I’ve had no results at all from the p shot.
I had the procedure July 2014. Over 7 weeks I saw a gain of 3/4″ in length and girth.
Thank you for letting us know. Would you let us know how things are going now?
68 year old that had prostate removed two years ago. Partial success with Cialis/Viagra. Decided to try this shot. Worked in about 20 minutes and lasted 3-3.5 hours. Wish I had my mate around. Exploring about paying the “fee” which is high! I feel that the shot you can administer by yourself might be like using Viagra, CIalis, etc., trying to time it with a receptive partner. Many times I would take the Viagra, then it didn’t materialize, so a waste of an expensive pill. Stay tuned.
This seems perfect for any diabetic who is not yet totally impotent. Diabetes damages nerves and blood vessels, this treatment restores nerves and blood vessels. It seems like a no brainer to me for a diabetic.
Is the P shot effective for correcting penile curvature?
Hello Jake,
First, the Priapus Shot (like every other medical therapy that I know) is NOT perfect. Everyone is not “cured” but many are—after years of suffering—many are. Why? How?
I’ll answer some of the questions I’ve seen posted and give some references.
As back ground..I injected my own penis…first human to have PRP injected into the penis (and chose to inject my own)..over 5 years ago and many times after. The idea for injecting the penis came from injecting scars and rejuvenating the tissue of the face and watching what happened. Out of those ideas came the “Vampire Facelift” which was my invention (not PRP, but the way I use it in the face). But, from the start, the Vampire procedures (there’s also a Vampire Breast Lift® and a Vampire Facial®) were done as a way to visibly test ways to rejuvenate and heal the genitalia.
The medical references about how the Vampire Facelift (vampire because using blood to heal and because the press loves the word) works are listed here and help explain why it may work in the penis: –>>Vampire Facelift References
You’ll also see a movie there of me explaining how PRP works in wound care.
PRP sounds mysterious and in some ways the details of how it works are mysterious, but the idea is very simple: we are making the yellow goo that you can see in the scab that’s on the knee of a child after falling down (that’s platelet rich fibrin, which is what the PRP turns into after injected or before injected if calcium is added to start the thrombin cascade).
To see photos and an interview of the treatment of scar tissue using PRP, watch the movie that’s posted here–>>> Click That video is a VERY important idea and demonstration of what PRP does for scar remodeling into healthy tissue.
For an adjunct to the PRP…
I’m sure you guys have seen this, but here’s a nice research study showing that not all, but some can be helped by a pump alone (click).
So what if you used a pump in combination with PRP and nutritional/hormonal therapies to support regrowth of healthy tissue?
Let me digress make a point…
When I was an ER physician and taught paramedics at a local college how to do resuscitation on a dying heart, I would ridicule the text book they used. The text book would divide up the possible treatments up into 3 categories, (1) those proven to help, (2) those that may help, & (3) those not well researched but that may help. The reason that I thought that designation (when a paramedic is in the street) funny was because of this…if you’re lying there with your heart not beating, which of the 3 categories do you want?
You want all 3!
If category 3 is likely very safe & possibly helpful, then why would you not want that as much as category 1? If you’re lying there with your heart stopped, you don’t want to wait another 20 years for the research to prove or disprove category 3 if it’s considered safe but only possibly helpful.
Of course you see the analogy.
So, yes, you can see one of the 3 research projects (about the Priapus Shot for Peyronie’s) that I know is going on by people whom I have taught if you look at the following video –>> click
…but if you want to see the final result of a multi-center study with 10,000 patients, you’ll be waiting for a while.
On the other hand, there are over 11,000 (that’s eleven thousand!) research papers about PRP (click to see) and NOT ONE of them showing one serious side effect. I cannot say that about any other therapy that I know (I’ve had 2 patients wreck their car just driving to my office over the past 20 years…driving to my office is more risky that the MILLIONS of PRP injections done over the past 15 years).
This treatment is NOT perfect. But the idea behind it is very well established and we DO have people getting amazing results.
Are the results (if any) permanent?
Look at the scarred ankle again in the video referenced above…yes what’s created from the new tissue growth IS permanent. On the other hand, nothing is permanent (in 100 years we are all dirt again). And, there’s still aging. And whatever process started the plaque formation, if left alone could recur. And, the truth is we just do not know why on a cellular level some heal better than others. But, we have ideas (smoking, drinking, and poor nutrition all interfere with healing from wounds or surgery and since PRP is creating the same response then those practices also interfere with the results of the Priapus Shot (R) procedure).
Practices and supplements and hormones that increase tissue health should help!
More specifically, if you’re eating your mother’s amazing spagetti, you don’t debate about whether it’s the noodles or the sauce or the meatballs that make it wonderful—you want the whole secret recipe (and by the way, it’s much better because she cooks it in an iron pot).
The problem with most research is that it must be done with only one variable or else it’s difficult to know if what you’re doing is actually working or not?
But, with over 11,000 research papers, most showing benefit in multiple tissues (mouth, bone, collagen, nerve, scar resolution), and ZERO serious side effects, tell me a good reason why you would not want to include this as part of your recipe for the treatment of Peyronie’s?
Painful? Not that much.
Expensive? Cost less then repairing your car’s transmission.
Five years ago, when I first injected my penis, I was extremely terrified. I did not know what effect the gelatinous platelet rich fibrin would have. Would I get priapism and wind up in the ER? Would I get necrosis from the immediate blockage of blood flow? Would I cause pyeronie’s if the material were not distributed evenly? Those are the things I feared. But now after well over 10,000 patient treatments over the past 5 years, the question becomes “will this work for this one person sitting in front of me with ED or Peyronie’s”?
Sure, there could be the rare person who becomes the first person in the world to have a serious side effect. We have a consent form because we don’t know. But, so far there have been no serious side effects with the Priapus Shot just as with PRP in general.
So, hopefully that helps you with your decision. I mostly teach now and am not looking for new patients (please do not contact me for that purpose and if you have questions please post them here for your forum to discuss or on our review page on the Priapus Shot (R) official page). Here’s where to find providers of the Priapus Shot® procedure —>>>Click
All providers who have been trained and certified to provide the Priapus Shot are listed there. If someone is advertising the Priapus Shot procedure and is NOT listed there, then they are pretending to be something they are not and may not be providing good medicine (at the least you know they are being lying about being part of our group). I’m not sure why some physicians think they can advertise as being part of our group when they are not, but we have 3 attorneys working (one full time) prosecuting those who do (some using inferior, non-FDA approved methods of preparing the blood for re-injection).
As for stem cells. If you NEEDED stem cell transfer for PRP to work, you’d need to get a stem cell transfer to heal the skin of your knee when you fell as a child. You don’t need that transfer because the pluripotent stem cells are sitting there waiting to grow when needed and fertilized by the PRP. Here’s where you can read more about stem cells being there waiting to be activated–>> click.
Here’s a rat study where the penis got much better from “stem cells” but the researchers noted that the stem cells died! So they postulated that the real results came from the growth factors that were mixed with the stem cells (as in PRP): –>> click
Two warnings.
(1) There are FDA approved kits for preparing PRP for injection back into the body. They are expensive and the centrifuges they use are outrageously expensive. To avoid the costs, some doctors try and make their own PRP using homemade lab equipment. Which would your rather have?
(2) Some doctors claim to be in our Priapus Shot provider group who are not and many of these “fakes” I would not trust to feed my cat. They don’t know how we inject and many of them use “home-made” PRP instead of using FDA approved kits. If you try the Priapus Shot® you should use one of the providers listed on our Priapus Shot Provider Group directory (most of them will refund your money if you do not see results…that’s how determined we are to be completely ethical with this treatment).
So, I’d advise using someone in our group.
By the way, the FDA does not approve procedures, the FDA approves drugs and devices. So the doctor should be using lab equipment designed and approved by the FDA for the preparation of platelet rich plasma to go back into the body. Then you know it’s sterile and you actually are getting PRP. But the FDA does not govern the way the doctors inject the PRP…that’s a procedure.
I know that as the inventor of the procedure that it’s impossible for me to be unbiased. But, hopefully the references that I’ve given you will let you research this area of medicine and make a smart decision.
Peace & health,
Charles
Charles Runels, MD
inventor of the Vampire Facelift (R), Priapus Shot (R), O-Shot (R), & Vampire Breast Lift (R)
Here’s a few more of the research projects that I’ve done so you can see that I’m not just another penis snake oil salesman…you’ll see a variety of topics–>> Runels’ Research
Thank you very much for the detailed feedback. I will contact one of the Physicians in your directory for an appointment.
How are things with you now?
Hey hello Dr Runels :so Dr I am going in a cycle of hgh or the iv therapies growth hormones I have 2 herniated disc on my lower back arthritis in the knees and neck but I am ready for the p shot waiting for years to do this just want to know the pro s and cons on this wild going threw the cycle ?
Hello Dr. Runels,
I have been researching the Priapus Shot and reading patient reviews for quite some time hoping to get a better idea on if the shot would prove effective for me..
I am 30 years old with absolutely no history of erectile disfunction. I am solely interested in the Priapus Shot for its cosmetic benefits. I have practiced all forms of penis enlargement since I was 18. Jelqing, stretching, pumping, clamping, taking supplements. I have tried them all at great financial expense. I do believe some of these methods to be beneficial, such as pumping at low pressure for long durations but that can be achieved with clamping which I find to be the most efficient form of P.E. for girth gains anyway. Long story short I am tired of the endless effort and expense of Achieving size gains.
That is what has led me to the hopes I have for the Priapus Shot. As I said I am 30 years old with no erectile disfunction. I am also already above average size and both length and girth. I also do not smoke or take drugs, prescription or recreational and have a handful of drinks a year. I simply want to achieve the best erection quality possible and the largest size in both length and girth possible and fortunately have a lady that not only encourages my goals but looks forward to them.
Knowing what you know about me now, would you consider me a good if not ideal candidate for getting the best effects possible out of the Priapus Shot? And an educated idea of what results I could achieve following the correct protocol.
Thank you for taking the time to read my story and any feedback you can offer me would be greatly appreciated.
Please how can I get the drug because my penis is too small and 25year old.
Providers listed here:
https://priapusshot.com/members/directory
I haven’t seen much about the cost, or how well this PRP does with increasing sensation and ability to ejaculate. I have had ED for years and have taken the “injection” route as well as Viagra, and after a couple years of that found I cannot reach orgasm now. So, how well does the PRP shot(s) work on increasing stimulation toward orgasm, and also, how expensive is the PRP shot/treatment?
The doctor I went to charges 2000 for the shot. I just got the shot a few days ago. I have peyronie’s. I haven’t seen any change in that yet but I think I have a little more sensitivity.. I would say it will probably take a few month cause they suggest using the pump for 12 week (3 months).
Hello Mike,
Please keep us updated. You are correct, when we treat the face for scars, we can see what happens (where I got many of my ideas for the procedure–ironic that people thought I was just thinking of the face when from the start I was treating the face–with the Vampire Facelift® procedure— to understand how better to treat the genitalia).
When treating the face, the affects can begin to appear around the 3rd week with full results around 12 weeks. Around 80% of the benefit happens by the 8th week, which is why we allow people to repeat at 8 weeks, but repeating before then is overkill since you’ve not seen the results of the 1st procedure. If you wait longer than 8 weeks, there’s no harm but if you’re determined to find healing, I’d have the second injection by the 12th week if you are not satisfied with the 1st.
I can see some difference but not a lot. I’m hoping I don’t need a second shot. I can’t really afford it. I did wonder if you could use PRP from a young person and use it on an older person if it would work harder or longer.
Some is better than none. but not a lot is not good if what you have won’t work. Try doing the whole Peyronie’s Protocol and see if that helps.
Hi Doctor, can you indicate how often follow up PRP injections on the penis be given after the initial four injections show improvements in erections.Cheers Bruce
I just learned about this Priapus shot and about to go see one of the doctors listed in your qualified directory of physicians, I don’t know if I really need the shot but I been having some sexually issues (I’m 48 yrs old) and would like to try the shot, also how expensive is the treatment ?
One must always understand that erectile dysfunction makes up part of a syndrome called male sexual dysfunction. Erectile dysfunction is just a symptom.
To have the ultimate sexual experience, the vascular, neurologic and hormonal systems have to be in sync with the anatomy of the penis.
What the P-shot aims to do is rejuvenate the tissues of the penis to allow for the optimal function. This rejuvenation can be in the form of building new penile tissue, building new blood vessels and repairing the nervous connections in this area.
The best course of treatment can only be recommended after a consultation and examination so you’re on the right path Jerry.
I am interested in getting the P-Shot, however, the doctors I contacted said that it is only one shot but here they are talking 3 or more. What is your recommendation?
Hello Arthur,
First talk with one of the providers about whether you’re a good candidate. Make sure it’s someone on our list. Then, after the injection, follow the RPD protocol. Wait 12 weeks and decide. About 60% are happy after the 1st shot. About 85% are happy after the second.
What’s the RPD protocol?
I would like to be a test subject and I am willing to provide both daily and weekly updates to chart and analyze all data. Get back to me Dr. Runels
When we have a research protocol where we treat people for free, then we will let you know.
Make sure you’re on my e-mail list for updates and you take me out of the spam folder (since we talk about the penis, that’s where the spam filters often put my notes).
Here’s where you can get a free copy of one of my books (sent a chapter at a time) and be on the list when the next research project starts:
Hi I’m Daniel and I’m 46 years old. I’ve had ed now for about two years. I’ve tried Viagra, Cialis and testosterone injections but nothing seems to work. I don’t care about getting size I just want to stand up and play ball when the time is right. I’ve ben married 17 years and this just drives me crazy. Do you think the Priapus shot will help me get an erection? I’m so scared of spending that much money with no results.
Hello Daniel,
I’m very sorry that you’re still struggling. Many of our providers will refund your money if no results after the second shot. Most men will see their erections improve by 5-7 on this scale (click). Realistically, that means that you go up by an average of 1 point on each question.
So, take the test, add 1 point to each question–and that’s about what to expect from the shot alone (1 to 3 injections). If you do the whole RPD protocol (Runels Peyronie’s Disease Protocol), you could go up by 7 to 10 on the scale.
Few things work for all people in medicine. Overall, we have a satisfaction rate of around 85% with the men who receive the shot. That means that 15% are not happy with the results.
Things that will make it NOT work–
1. Hormonal issues that have not been corrected (low testosterone or high prolactin for example)
2. Smoking
3. Lack of exercise (NOT bike riding which has been proven to CAUSE erectile dysfunction in some men).
4. Long term vascular disease with blockage of blood flow from the aorta to the penis. The Priapus Shot® procedure is for improving penis health. But if there is blockage of blood flow from the aorta to the penis (as can happen in long term diabetes) that will negatively affect the results of the procedure.
5. Not using the pump as prescribed. The penis pump works. Using the Priapus Shot® procedure and not using the pump is like taking steroids and not lifting weights. You may see an improvement in strength with the steroids alone but you’ll see better results if you lift weights too. Using a pump without the Priapus Shot® is like lifting weights and not taking steroids. For optimal growth, you do both. Increased IGF-1 (or somatomedin C) is one of the benefits of taking hHG (human growth hormone). IGF-1 is also one of the more than 20 growth factors released by platelets when the procedure is done properly using FDA approved lab equipment. I’m not suggesting that you take hGH, I’m just saying that when you do the Priapus Shot® procedure you’re affecting the way the cells regenerate in the same way (only perhaps more powerfully) than if you were on body-building steroid dosages. And in the same way as with weight lifting–physical therapy (with the pump) augments the affects of the growth factors.
Which doctor should I have the procedure done with because I would like to use HGH with it.
Hi Doctor Runnels,
I have had the P shot twice and had some surprising results. The first thing was the increase of sensitivity starting the first day…could feel my clothes touching my skin and this still continues. The next best thing was not getting up during the night to go to the bathroom. By far this has been the best surprise! Now for what everyone is looking for. I did get a noticeable increase in girth both erect and soft. Increase in length when not erect. Increase in vascular size after a few weeks. Sex is much better. I also use the pump on irregular basis. I have used cialis after procedure but for me it’s overkill. Things were working on there own like when I was a teen…popping up all the time for days after taking pill.
So being fifty years old, social drinker and smoker i’m thrilled with the results. Having worked for one of your licensed Doctors of this procedure I highly recommend this to everyone. A side note to procedure is that I had no intentions of doing it but the patients at the office wouldn’t do it until I went first so they could have someone to talk too that has done the procedure.
Many thanks for you work!
How much is for the procedure for the priapus shot and where could I get it done in New York
Thank you for writing. The procedure price changes around the country because the price of everything else is different. Doctors in New York pay 2-3 times the $/square feet of office as what we pay in many parts of the South East. If someone offers the first shot for less than $1,800 there’s a good chance they are using inferior methods. The FDA approved kits we use are not cheap and the time for the procedure is not just a procedure–there should also be some thought and plans made about overall health.
The certified Priapus Shot® providers are listed here (click). Anyone advertising the procedure who is not listed there, is not part of our group and may be doing an inferior procedure. Oddly enough, sometimes it has been the more prestigious physicians who think they don’t need the feedback and on-going research of the group and tend to use our provider-group name without actually learning what it is we do and keeping up with the evolution of our thought–so be careful that your provider is listed here (click).
I have a provider on your list that charges $900 for the shot. Is this a chance he ir she is using inferior methods?
That’s not a good sign.
Another provider is charging $400
very scary, no idea how they do that with the proper materials without losing money.
I want to try the priapus – shot for peyronies
Has any body had positive results with it
I will apreciate all comments thanks
Hello Mr. Yanez,
Thank you for writing. Yes, we are seeing over 1/2 of those with Peyronie’s disease become happy again with their penis function and shape!
Here’s the Runels Peyronie’s Disease Protocol (RPD Protocol) that works best…
1. Walk 21 miles per week. This decreases overall inflammation and changes hormonal status in ways that support tissue healing and decreased scar formation.
2. Correct tesosterone levels back to the upper 1/3 of what’s normal for a male. Here’s the list of lab testing that I recommend (click). Print that list and discuss it with your physician. The person doing your Priapus Shot® procedure may not be the best choice for prescribing your hormones. We all have our special interest. The critical question to your physician is to show them that list and see if they are willing to adjust levels based on your function within the normal range (for example raising a testosterone level from low normal to high normal, or to lower estrogen levels etc–fine tuning rather than settling for anything within normal without regard to your symptoms).
3. Stop smoking! The Priapus Shot® will not work as well if you smoke. With many, it still works when smoking–but your chances of success go down. Most surgeons will not do facial plastic surgery if you’re smoking because they know that the cigarette smoke poisons the stem cells involved in wound healing. When we do the Priapus Shot® procedure, we are triggering the same cascade of growth factors and stem cell development.
4. Get a series of 3 Priapus Shots spaced 8-12 weeks apart. Though there’s about a 50% chance you’ll be happy at the end of the first 12 weeks, for many it will take a series of 3. If you’ve not seen any noticeable results after the second shot, then I’d probably give up and not do the 3rd. Most of our providers will refund your money if you do not see results after the 2nd shot–so they are willing to take the financial risk if you’re willing to follow the RPD protocol.
5. Pump to a pressure of -7 to -12 inHg (-2 to 4 Barr) for 10-15 minutes twice a day. I still prefer a very good custom made pump like what you’ll find here (click). If you can afford it, go for the electric model (I think you’ll see better results and it’s easier. Of course, discuss this with your physician–but now we know that the pump also helps Viagra work better and helps men recover from prostate surgery, and more. It’s not only safe when used properly, it actually improves erection.
I’ll send the rest of the protocol and updates on our research as it comes available to you my email, just put in your first name and email address here–
Very best regards,
Charles
Charles Runels, MD
I have had a consultation with one of your listed providers, (did not want to post his name if this was made public) However doctor made no mention of penis pump, When i inquired i was told it was not needed and that the pump would cause blood to carry prp out of penis, This seems to conflict with all written here, I’m setup next week to have shots and this issue concerns me, Please inform me what to do. Thxs
Complete nonsense! How can a pump that pulls blood into the penis cause blood to go out. In every group there’s the outlier who thinks they’re smarter than the rest and are clueless. We’re embarrassed that someone in our group told you something so non-sensical.
I had a P shot about three months ago and had no improvement whatever in achieving an erection. I did see that the volume of my Tri-Mix injectible I use was cut in half. So there was a minimal improvement in that I need less Tri-Mix but otherwise this was a “bust” for me. However, to give it my best, I did take a second “round” a couple days ago, and will try to remember to report in on that. It is worth noting I used this in conjunction with pumping and followed the instructions to the “T”.
Hello Mike,
Thank you very much for writing. I have some good news and some bad news.
First the bad news: The Priapus Shot® usually only increases erection quality by about 5-7 points on the erection scale. (click to see). That means what happens is exactly what you saw: Your Viagra or cialis works better; you can get by with 1/2 the dose or perhaps don’t need it all the time when you used to need it every time. Or perhaps, it’s quit working at all–and now your trimix starts to work again.
So, your reaction, to be able to cut your Tri-Mix dose in 1/2 is EXACTLY what you would see in a good reaction to the Priapus Shot® procedure! That’s a good thing!
The Good News. I’m sure you know that the natural progression of erectile dysfunction is for Viagra or Cialis or Tri-Mix to eventually QUIT WORKING! Instead of your Tri-Mix going down in it’s effects, you were able to cut your dose in 1/2! That’s a good thing!
Still, I completely agree with you–a penis is similar to a boat, whatever you have, you usually want something bigger and with more horsepower (I live near the water so the analogy works for me/hopefully it’s not too crude). I’d suggest a couple of things to improve your results.
(1) If you’re smoking–stop! The Priapus Shot® does not work well if you’re smoking for the same reason that many surgeons will not operate (most will not even consider a cosmetic procedure) unless you quit smoking. Smoking poisons the stem cells that should be developing in response to the PRP. Basically, if you want a crude analogy that involves a penis–Smoking is like planting a seed that will grow a new penis, then carefully watering the seed and fertilizing it, then turing around an urinating on the seed….not good.
(2) Follow the Dr. Runels Protocol for Peyronie’s Disease. That protocol will also help the Priapus Shot® procedure work better for ED.
Thank you again…very much for writing. I wish the procedure worked perfectly and made it so that nothing else is required.
The fact is that it does not make other therapies obsolete–an overall approach to health and to erectile function gives the best chance of optimal sexual health.
Still, the Priapus Shot® procedure is a very powerful tool! It’s always a little funny to me when people say “herbal remedies don’t do anything” while they are drinking coffee and smoking a cigarette:) Similarly, I also smile when people question whether or not PRP can do anything since every time we fell, or were cut, or had surgery–IT WAS THE PRP THAT PROMOTED THE HEALING! The stitches just held things together until the PRP-stimulated stem cells grew new tissue.
Keep us posted about your progress!
Very best regards,
Charles
Charles Runels, MD
Inventor of the Priapus Shot® procedure
the procedure seems to be unaffordable to persons on a fixed or limited income. Up to 3000.00 for something that is not guaranteed I have been diabetic for over 15 years now and was involved in two near fatal motor vehicle accidents which I suffered broken bones and a skull fracture with traumatic brain injury. I have been left with no sense of taste or smell or love life for that matter even when I do feel a bit frisky it seems my member is no longer connected to my brain, ok so the wife likes it as I can go on and on until she is ready to stop. but it doesn’t give me pleasure as I do not ejaculate what is a good remedy for this a shot? I am frustrated and grabbing at straws here..
Some time ago I asked about wether Acell, HGH and or any hormones would be used. I also asked if you have ever heard of doctor Anthony Atala urologist of Wake Forrest University. Now I am not a doctor but I am very interested in this precedure. And I would like to take it soon.
I had my 2nd shots 3 weeks ago. I’m using a water pump, it works good but theres a learning curve to it. Ask the doc what pump he will give you, if it’s water I suggest start using it a month in advance to make it work .I’ve searched alot for supplements to help make the shot work better. Theres many you can take to help. I think the best one I’ve found is RNA. I started on 1500mg a couple weeks prior, I just upped it to 2000 2 days ago and I’m gonna go 3000 until maybe the 8th week and then cut back to 1500 . I did alot of reading to learn about it. Also Arginine, I took it at 1st for blood flow but now I’m reading it’s important for collagen production and lots of other things. I try to cover all my nutritional bases but I believe thats the best 2 additional supplements that may help with results. I didn’t realize I had low testosterone before the 1st shot but I’ve got that up to optimal levels and I use 10mg of progesterone 6 days a week. Just wanted to say what I’ve learned. I try to learn as much as possible about anything I’m interested in.
I just got the P-Shot Oct 23 2015 which was 2 days ago. Well my penis looks pretty beat up. Now I was told that I had some scaring so my first shot was two shots. Now I will wait and do every thing I was told to do and see what happens. I am mid 50s…
usually the shot has 5 locations. it can be bruised but should look “beaten up” any more than that.
very best of luck!
I have had a consultation with one of your listed providers, (did not want to post his name if this was made public) However doctor made no mention of penis pump, When i inquired i was told it was not needed and that the pump would cause blood to carry prp out of penis, This seems to conflict with all written here, I’m setup next week to have shots and this issue concerns me, Please inform me what to do. Thxs
Odd, how would a pump that draws more blood in cause blood to go out?
We’ve found over and over that the procedure works better if you use the pump (for everything except loss of sensation, in which case not using the pump may be the better option)>
I’ve been thinking about getting the shot.
Im 23, I have a healthy sex life.
No erectile problems.
Im around 7” in length and wanted to try this to see if I could increase my size.
Would you recommend it?
Around 60% of men who get the shot gain size that they think is worth the procedure (1/2 to 1.5 inches in either or both ways). I don’t normally recommend it for this alone. It’s like a boat, we never get one big enough or fast enough…so it’s hard to make people happy if size is the only goal…but many have the shot for this purpose and it seems the more you have the easier it is to make it grow (easier for 5 inches and up to grow than for those less than 5 inches).
I’ve been thinking about getting the shot.
Im 23, I have a healthy sex life.
No erectile problems.
Im around 7” in length and wanted to try this to see if I could increase my size.
Would you recommend it?
Met with Diane Hattel , FNP-C at her clinic in Cheyenne Wyoming for the Priapus procedure. I received five injections in the penis after applying a numbing cream. Two shots on each side of the shaft and one in the head of the penis. Had to apply more numbing cream because I felt the second shot, ouch. LOL! But overall, I would say things went just fine with her and her great staff. I pumped my penis just after the injections for 15 minutes and it was a little sore but not to painful. The next day I was a bit sore and bruised with no major complications. This Is the forth day and still pumping two times a day a 15 minute intervals, I can feel warmth in my penis and I believe it is the healing process taking place. The head of my penis has overwhelming feeling which I have not felt in 30 years as I have had ED for 35 years. I have been a diabetic for 40 years and have tried Viagra and it really did not do much for me. As of now I have been using the pump and putting bands at the base of my penis to hold an erection, It was not really the best because my penis would feel cold and the bands would be a bitch to get off. I am hoping that I can get a decent erection and overcome my never ending problems with ED. Thank you Dr. Runels for a second chance at my sex life. Will post again at three weeks and let you know about girth and length progress. Thanks, Anthony.
usually it’s 2 on each side of the penis and one in the head. with long term diabetes, the chances of success are less because there can be vascular disease blocking flow of the blood vessels up stream (before they get to the penis). Not saying it can’t help, but the success rate is less for men who have suffered over 20 years with diabetes.
Hello, where can you get a priapus shot treatment?
I live in Europe, Belgium
i want a treatment to increase size (girth & length) to save my relationship…
Doctor, a question on the research you did while developing this procedure. Would this procedure work in the nerve problems of a Drop- Foot situation ?
Thank you,
Randy Gray
Some of our providers have reported success with drop-foot.
I am a male who will be 63 soon .I am scheduled for the the p shot Dec 8.Have used viagra 100 mg .What can I expect?
It takes people up 5-7 points on the ED scale.
Practically speaking that means that you’ll be able to get the same effect with 25-50 mg of Viagra that now takes 100mg. There’s a chance that you may not need it at all, but less likely.
As you know, eventually, Viagra can quit working. So, if we can just keep your Viagra working–that’s a good win.
Men can become very discouraged if the Viagra quits working before they quit breathing. Always a good goal to not let your penis wear out before your heart and lungs….the Priapus Shot® helps make that possible.
Well, it has been three weeks since my last post. Still pumping the penis twice a day and have no added girth or length. I can feel a lot of nerves in my penis that are getting repaired by the PRP or irritated by the constant pumping of my penis. Also, I have noticed a slight dark discoloration of my penis due to the constant pumping. Sorry guys but I’m not showing any great results. Dr. Runels, this is a question for you? I was not told prior to my appointment to stop taking my daily dose of aspirin or naproxen. After my injections I pumped my penis and a lot of blood came out into the vacuum pump. I think I may have vacuumed a lot of PRP out of my penis. Do you think this is possible and is it the correct procedure to take aspirin and naproxen the day of this procedure? If this is not the proper procedure should I contact Diane Hattel, FNP-C and ask for another Pripaus shot? Thank You Dr. Runels…..Anthony
There would not be enough blood loss from the needle to matter (happens commonly that a few drops come out and a bruise occurs). The asprin is OK probably…the research is somewhat conflicting about whether it interferes with the growth factors.
The darker color to the skin is a side effect that can happen with the pump. It goes away if you stop pumping but can take some time. Most are ok with a larger harder penis that’s a different shade. Three weeks is when it STARTS to work. So, at 8 weeks decide if want to repeat. If some benefit at all, then I’d repeat. If absolutely no benefit, then it may not be the thing. I’ll sometimes do 2 injections 8 weeks apart before I give up.
Full effect with bone and joints (what the NFL does for linebackers) is 6 to 12 MONTHS. With soft tissue, the full effect is probably around 3 months. So, don’t give up yet!
Everything in the Peyronie’s Disease protocol will also help the Pripus Shot work better for ED and size. Here’s where to find that protocol and the research about why it works.
I was wondering if there is a possibility that one has an infection (Not HIV!) then this method would not be good as you are using ones own blood for the process…would this be an accurate concern?
Thanks
Though we know that part of the function of PRP is to help fight infection when there is an injury to the body, getting the Priapus Shot® procedure while you have an active infection is probably not a good idea…not that it would cause things to be worse, just that a more direct attack of the infection with the appropriate antibiotic (and stopping smoking) is probably a better idea.
wish to contact the associates who have had success in treating the drop foot ” condition. I live in the Oklahoma
City area and what is the price of the procedure.
Appreciate your assistance.
Randy Gray
Doctor, I wish to repeat my request for some type of assistance in contacting associates who have had success in using your procedure in treating the ” Drop Foot ” condition. I live in the Oklahoma City, Oklahoma area. If necessary I will travel to meet with any physician.
Again, I appreciate any assistance you can give me.
Thank you, Randy Gray
Try Dr. Harshfield. He’s on our provider list. There are others, but he’s an interventional radiologist who has treated such conditions.
Hi, would the priapus shot be suitable in repairing damage from a sexual injury? After an injury a few years ago I have been diagnosed with venous leak and have a soft glans when erect.
Yes, follow the protocol given for Peyronie’s Disease. Nothing’s 100% effective, but that’s your best option short of surgical repair (which could make your shorter) or getting a penile implant (which can be the final solution in some men and works best to preserve sensation if done in combination with a Priapus Shot® procedure).
Hi, im a 25 year old black male 5’10 145lbs from alabama (i hear the guy responsible is from alabama or practices here) with no erectile dysfunction. Im 5 1/2 inches lenght maybe 3-4 girth. Ive been researching new developments in penile enlargement since i was maybe 16. I never truely found any with as little risk and such great potential as the P shot BIG PENIS ENLARGEMENT SKEPTIC with lots of hope lol. With that being said i want to know if you thought using traction device would help with cosmetic results in size. Just with the reading i’ve done they seem to be safer to use for a longer time frames a session than pumps, 2 hours as opposed to 10 minutes. If there is any new studies to be done i would love to take part and more than a willing enthusiastic patient regardless of results with hopes for the best. Only because I feel it would be helpful to have someone with intentions of sound advice regardless of results not to smeare. Who could give 1st hand advice from an impartial participant with people like me who feel inadequate despite whats average. I really feel that this is most safest cutting edge way to enlarge the penis. Which why i have never take any opportunity to take part in a medical procedures study of any type. Not that im a Dr or even close, but i was a skeptic in what seem to be a hopeless way of improving myself. Which says a lot when you’re desperate for what was thought and still is thought to not be possible. I also am more than willing to give updates and show results picture or video results, since its sorta lacking form studies on the penis. Although your picture results on other body parts look great so kudos on that. Hope to hear form you soon.
Signed hopelessly average.
Had the shot about five months ago..Did not work and I called the Dr. he said there will be a big reduction in costs for the next round of shots…first one was easy, no pain and no after effects… do you suggest I do it again
I had the procedure done on 15 December 2015
The topical numbing cream was surprisingly effective in preventing injection pain. I did not expect that. Several of the shots stung a bit, but many of them were almost painless.
Most men seem to report an immediate increase in girth due to the amount of fluid injected, which subsides in the next days as that fluid is resorbed. I did a ‘double treatment’ but NOT see any immediate increase in girth. If anything, my penis seemed to shrink back into my body cavity after so brutal an assault!
It has now been a week and I do not notice any increase in sensitivity, ease of getting an erection, and certainly no size change (though for size, it is of course to early to tell.)
I have used the pump as directed, but find it very unpleasant. I do not quite trust that it isn’t doing damage, because it certainly feels that way.. And it gives me a very strange puffiness under the glans, which is worrisome.
I will provide follow up over the next month.
Hi Dr runnels
i was prescribed the most potent steroid ointment for some psoriasis on my upper thighs 2 years ago after using it for 1 week . It has made my penis lose some length but the girth loss is very bad .
Could priapus shot help . please reply
Yes! Men lose an average of 1/2 of the endothelial tissue of the penis by the time they reach 65. Restoration of that tissue is part of what the Priapus Shot® does best. Here’s a video of a woman treated for a scar (caused by cortisone) using PRP…
I am one of 4 people that I know who have had this shot. 3 in San Antonio Texas and one in Houston. One of us has had the shot 3 times. None of us got any results as far as size improvement. It’s safe to say it does not work for penis enlargement. I’m not saying it’s a scam, I believe the doctor believed it ‘could’ have worked, but the truth is that it does not. There are no pics, no before and afters, no credible testimonials. The 4 folks, including myself, literally saw no changes. I can’t speak for the others, but the $1900 I paid for the shot was insignificant to me so I though it would be worth a try. And it was, but received no benefit. I think it’s time for the doctor to stop promoting it and move on.
First, be very sure that whomever did the procedures are on our list. We send out 1 to 2 cease and desist letters per DAY to doctors who pretend to be in our group who are doing who knows what with who knows what material who have never been trained by one of our certified teachers.If you were treated by someone not on this list, there’s a good chance it was a bogus procedure (we at least know that if they used the words “Priapus Shot” and not on this list that they are not being honest).
Also, it’s interesting that the forums are full of people who grow their penis using pumps, etc. but somehow some think that no one ever gets benefit from the shot combined with a pump.
We freely admit that only about 60% of men see 1/2 an inch or more in both directions but we routinely see men grow 1 to 1.5 inches after 2-3 procedures… and we don’t know why we see non-growth in the other 40%. You’ll see a similar ratio on the forums promoting physical therapies for the penis. Not everyone grows.
We think it’s similar to lifting weights, some grow more than others and whatever potential you have is increased by a combination of growth factors and physical therapies. You won’t see many very large muscle men who don’t combine intense physical therapies with multiple diet and exercise routines (it’s an overall plan). We think it’s the same with growing a penis…it’s an overall plan of which the Priapus Shot® procedure is one important part. So, some of the failure could be from missing the physical therapies. But we do have failures in some guys who pump like crazy..and we don’t know why.
You don’t see before & afters because it cheapens medicine and no-one believes them anyway. At one time, the AMA forbade doctors from posting before and afters (because we know that no procedure works all the time so it’s a form of false advertising).
We do have positive testimonies so I’m not sure how you decided those are not credible. We don’t recommend that people have the shot only for size because we don’t really know how to predict who will grow and who won’t. But we do see a reliable increase in erectile function, improvement in Peyronies, and sensation, and in size in some men.
There was one study published about how we help Peyronies and the size goes up. Another study in the British Journal of Urology showed that a pump alone increase size.
A study of 4 men doesn’t really prove much but it’s still extremely discouraging to those men so we take that very very seriously.
Here’s the page about Peyronie’s and following that protocol will help with size and function (for example if any of the 4 smoke, that’s almost a guarantee that PRP won’t work). We are very grateful for you honest and your courtesy in the face of disappointment and hope this helps.
I’m sorry for your disappointment and hope our future efforts will help us find the way to increase the effectiveness of the procedure.
So if I leave a review that says the shot doesn’t work based off my experience with it you delete it?
Hi. I am 59 and have had ED for about 4-5 years now. I take a few medications that I know could effect this (high cholesterol and lexapro). I am scheduled for the P shot in 5 days and am hoping for improvement in my erection and in size as I am small (5 1/2). I don’t smoke or have diabetes. I’ve researched a lot and seen pros and cons. The men’s health clinic I’m going to reports almost 100% success. It’s costly, but I’ve decided I need to try it!
I can get an erection without medication but can’t keep it. I have had two of the Priapus shots without any success. I am 74 and in good health. Not sure if the place where I got my injections really knew what they were doing.
I understand that nothing is promised with any medical procedure, however I was hoping that there would be a since urgency to gather more conclusive and factual information by way of clinical trials. This would help potential customers make a more informed decision. The money aspect is not an issue for me, I just don’t want to gt my hopes up and waste time. I will even volunteer to be a test subject if to gather more valuable information.
My husband recently received the shot from one of your listed providers but only received 2 on top and 2 on bottom nothing in the head . Why would that be and does that decrease effectiveness.? He lacks sensitivity to reach orgasim and must use viagra to get and keep an section. He is 61 and is in good physical shape and takes testosterone injections .
For sensitivity, we usually do include the head, however the dorsal nerve is in the center all the way down the shaft, so there should still be improvement. The nerve tissue grows very slowly and sometimes repeat is needed but usually shows very exciting results.
Here’s some of the research about PRP helping nerve tissue regrow (click).
Some of the verbiage is too “Doctorizee” to follow
57 year old healthy male had priapism for 12 hours due to Trimix 18 months ago at first no erection now 75 percent plus slight curvature had p shot 1 week ago not seeing much yet do you think this will help
Thank you
you had trimix but did not receive an antidote or reversal agent along with it?
I started seeing results at 3 months post procedure. Not sure about your specific situation (I’m not a doctor, just a happy customer)
Was the results growth and if so how much did you see?
Wat all did u see i just got it done 3 weeks ago and haven’t seen anything
Day 5 after receiving P shot. Taking heavy dose of supplements provided by Dr Emily Ripoll and following protocol with excersise and pumping. My penis feels plumper and more sensitive now and improving daily. Had some bruising on 1 side but it is subsiding. I am very excited with the positive results after 5 days. My libido is much improved and erection response is much quicker. I am 59 and healthy and very happy with my doctor and her staff. My testosterone levels are really high going into this and the daily Cialis regiment helps.
Thank you
Michael, what are some of the exercises you do, I just had the shot last week and just wondering if things are working. Does the pump hurt a little at the base of the penis when you pump?? Just curious!!
Hey Michael I see it’s been over a 1 1/2 yrs since your procedure. Is it still effective did you gain size?
It may not work..some people it just doesn’tfor..so be prepared for that…good luck
Just wanted to thank my wife for educating me on the P shot procedure, along with Dr. Brenner for doing the actual produre. So it was explained to me like this…everyone knows I lift weights and stay in shape, why not make sure your penis is in its best shape! Well after studying on it I told my wife lets do it. She already had the O shot procedure done. Now to put like this my sex life with the wife was already amazing n would never change a thing but we do get older n things change with our bodies. So sitting in the office waiting for blood to be drawn, numbing cream on my penis, nervous as all get out, its time. My average sized penis turtling on me, embarrassed was ready to leave, wife by my side helping Dr Brenner quick and easy it went. So after pumping the way I was instructed to found that it kinda worked with added length and increased girth. I was not satisfied so I increased time and more pressure after this I am now seeing some great results. As I call it hey babe I got a pump in today instantly she wants to feel the girth and see the length. Now after having the procedure done I am ready for my next one and looking forward to the next cylinder size on my pump to increase the overall size even more.
Thanks again Dr. Brenner.
My urologist said the p-shot is a scam there is no way to get stem cells from your blood.
Hilarious and sad at the same time. Hilarious that a physician would say something so uninformed (nice way of saying that he made a stupid comment). Sad, that your physician would not take the time to learn what PRP is. When your doctor does surgery, he holds the wound together with stitches but the new tissue must grow before he can take the stitches out. Every time that your doctor does surgery, it’s the PRP that’s made naturally by the body that allows the body to heal! What does he think causes the local stem cells to grow or what recruits stem cells to the area. That comment is sooooo uninformed it almost doesn’t deserve a reply, but I guess the best way to reply would be to show him a few research papers about platelet-rich plasma (PRP)…here’s over 8,000 of them to get him started (eight thousand)…click here to start reading…(laughing and crying at the same time)…
The blood has SDF-1 cells that recruit stem cells to the area.
I’ve just read this reply and a question came up. What prevents the body from healing itself if it is obvious that a part of the body is in need of repair?
Dr Runels I am thinking about getting the p shot. I’m in North Carolina. I don’t have any issues but would like the benefits of the shot and added size would be great as well! I want the best dr in my area. I don’t know who you might suggest. I’m also going to Clearwater Florida for 2 weeks last week of May. Do you suggest someone there or here in NC? Thanks,Todd
Low country male in fort Mill NC does it and has an excellent provider.
Most hematopoietic stem cells are found in the bone marrow, but some cells, called peripheral blood stem cells (PBSCs), are found in the bloodstream. Blood in the umbilical cord also contains hematopoietic stem cells. Cells from any of these sources can be used in transplants.
Yes it can be done. Blood stem cells, for example, can be taken from a donor bone marrow, from blood in the umbilical cord when a baby is born, or from a person’s circulating bloodone.
Have there ever been any reports of scarring or plaques from the priapus shot? I ask because there are multiple injections in one sitting.
Dr. Virag just published data about how he’s using it to TREAT the scarring and plaque of Peyronie’s which is exactly what would be expected. When Dr. Runels first started doing the procedure (he was first to inject the human penis with PRP almost 8 years ago), part of the reason he proceeded (imagine being the first one) was because 10 years ago we knew that PRP could be used to TREAT scarring and plaque in other tissue (from wound care literature) and to prevent scarring with surgery. IT’S YOUR BLOOD! YOUR OWN BLOOD DOES NOT HURT YOU!
That’s the beauty of it…in many thousands of research papers, PRP has NEVER been documented to cause serious side effects! And it’s been used to treat scarring. Thinking PRP may cause scarring is like worrying about suffocating while breathing oxygen. You use oxygen to help people breathe, you use PRP to make scars go away. Not saying your question is not a good one…it is a good question to ask because many uninformed doctors still say, “I’m worried it may cause scarring.” When they say that, you can just think to yourself…”this is a doctor who does not know what PRP is.”
Here’s over 8,000 research papers about PRP, try to find one showing any serious side effect or any scarring. If you find one, please let us know.
Why isn’t it FDA approved?
What is the cost of this procedure and if how often do one needs this injections and if we want to continue to get bigger do we do it more than once?
Thanks.
Only about 60% grow more than 1/2 inch or more. but for those 60% it can sometimes be very dramatic. we don’t recommend the injection for only that purpose. But if you do want to see growth, you’ll likely need to have 2-3 injections.
By 2-3 shots, do you mean at one visit or 2-3 rounds of shots to accomplish this. I have Type – 2 diabetes, but under control with diet & exercise, A1C at 6.6. I’m 65, good shape, with Viagra,etc. help I can get erection but doesn’t last as long as I would like, would the P-shot help this?
I had the Priapus Shot a while back and made this video to tell you more about it.
I just had this done , all I can say is AMAZING.. I have gained 2 inches in length and 1 1/2 in girth, I was 6 ” x 5 1/2 and now I am 8″ x 7″,, Thank You. Dr Brenner
Thank you for this honest testimony. Honestly, though…do you have a link to this comment included in your match.com account 🙂
where is Dr. Brenner located and what is his first name?
Amy Brenner MD
Practice is in Mason, OH (northern suburb of Cincinnati)
http://www.dramybrenner.com
http://www.abmedispa.com
Hi Thomas, where is Dr. Brenner office located? and have much is the injection?
I love hearing from my patients and their successes. Just this morning, I heard from a patient that it worked “too much” and his wife couldn’t keep up with him- that is until she had the O shot. My office is located in the northern suburbs of Cincinnati (Mason, Ohio).
http://www.dramybrenner.com
http://www.abmedispa.com
Hi Dr. Brenner, I have two questions for you:
1. Do you believe this would help me after radical prostatectomy?
2. Do you recommend any doctors in Houston for this?
Thank you!!
Hi Tom, was wondering if anyone responded to your question. I also had a prostatectomy. It was 6 yrs ago. I’m 59 now. Erections are far and few between. Viagra doesn’t do a lot for me. I get semi erect but not rock hard anymore. If I use a vacuum pump I can get pretty hard but I hate wearing the constriction ring as it’s very uncomfortable after 15 to 20 minutes. Thanks, David
Hi, do you provide a pump to those who get the P shot with you?
Dr Brenner can you recommend a doctor in my area that would get me these same results? I don’t want to go to just anyone. I live in houston TX and I heard there was a doctor in dallas. Also heard there were doctors in Houston but which one would get me results like you? Pleas help. One last thing I had a liver transplant 5 years ago can I still do this?
Also, the Columbus Men’s In Columbus Ohio, specializes in Low T, ED, and the Priapus shot. I do about 1-2 priapus procedures a week.
How many shots did you receive? How long did it take to see these results?
How long did it take to see the two inch gain in length after you receive the p-shot and how many times did you receive the shot and if you received it more than once was it at one visit or separate visits?
Hey Thomas, I saw your reply on priapusshot.com when you mentioned your gains after the P-shot in 2016. Do you still have that gain or it’s gone? Do you do the procedure yearly or just that one in 2016?
Thanks.
Let me know.
Aziz
I am 48 and only have a curvature problem. No problem with an erection. Can the P shot help with my problem? And what are the possible side affects?
Yes, it can help.
It does not always work
Absolutely. depends on what “work” you want it to do. for erection, if you have vascular disease that’s upstream (near the aorta) this is NOT going to help. If you’re trying to grow your penis 2 or more inches. Even if you’re trying to grow your penis an inch, it fails about 40% of the time (seems to work best on those or are 5 or more inches when they start).
For Peyronie’s disease, it seems to be “working’ as in the man is please with a straighter penis around 80% of the time when he does the whole protocol.
Nothing works all the time and you are correct to point that out.
Could scarring on the underside be a cause in decrease blood supply? If so, I wonder if good results may be seen with this treatment.
Is there a recommended pump that you should use. Specifically can you use a hydro pump versus an air pump? It is much easier to do while showering but I want to use what is best. I just received the shot yesterday so I want to make sure I follow up appropriately. Thanks
Hello Dr. Runels and thanks for your reply to my comment above. My comment was less about PRP and more about the idea that the act of injecting the penis could cause scarring. Any reports of scarring from the injections themselves?
Also – have there been any reports of the Priapus shot either causing erectile dysfunction or worsening erectile dysfunction in people who already have it?
PRP treats scarring. We are using it to treat Peyronie’s disease (which results from scarring). So, scarring (if present) improves. And zero instances of causing scarring. Would be like suffocating while breathing oxygen.
So far so good! It has been one month today since I received 2 shots per side, none at the head. Been doing quite a bit of research, exercises, etc. over the years with minimal results. This is the first evasive procedure I have done up to this point. I have only done pumping, stretching, and exercises that have given me limited to temporary results. I say temporary as I noticed when I would stop, it seemed like I would get smaller. Excited by the results I am seeing and decided to leave a comment/update.
Started at 5.75 in length with 5.25 in girth. After one month I am at 6.25 in length and 5.8 in girth. Definetely firmer and stronger. Feels more pleasurable.
I do jelq warm-ups before shower. Wear water pump for 10 minutes right after while showering. Through-out the day I wear stretcher for a total of 2 hours or so. In the evening I use the air pump the doctor gave me for 10-15 minutes. I have noticed since the shot I am getting fuller and do not turtle afterwards.
I just read about supplements people are taking, my doctor did not say anything about it. Going to inquire.
I will check back in another month.
Would someone refer me to a competent doctor that does the PRP injections. I have had this done and didn’t get any good results from it.
PRP injections is NOT the same as the Priapus Shot® procedure. No procedure is 100% effective. But, people who just do “PRP” injections may be using inferior materials to prepare the PRP and an inferior method of injecting.
Are there any doctors in Oklahoma that have had success with the PRP injections? I had this done and didn’t have any success.
Dr. Jason Stansill at the New Life Medical Center in Tulsa.
I have performed P shots on my patients and everyone has been so pleasantly surprised! My patients are happy and recommending it to their friends! It is a natural treatment using the body’s ability to heal and repair itself and much easier for the patient than the O-shot. Virtually painless procedure with topical numbing cream.
Can you recommend me any good doctor in New York who does Priapus shot?
Thanks for your reply
So are there any doctors in Okla on the recommended list? I have ask this 3 times. Why can’t I get an answer?
I believe someone responded above
Dr. Jason Stansill at the New Life Medical Center in Tulsa.
Gary, If you have not found anyone in your search, I’m in Las Vegas. I do these practically everyday. Many of my patients fly in from all over the world e.g. London, Singapore, Fiji, Canada.. it’s an easy flight. I’ll take off
10% to help offset the travel expenses. Tom
What about peyronies disease.. Does Prp to penis heal the scar tissue from the first time doing the procedure? Also how many days to heal it.. Please i want results from ur Patients as i have peyronies disease for 15 years..
Thanks in advance
Please email me with more information please. Thank You
Can this shot work for a transman?
I am 28 years old and had a acute prostate infection last year.After having it treated I had gotten chronic prostatitis.This is effecting my sex drive and causing discomfort.I have been seeing a acupuncture once or twice a week to treat the problem.I also have a personal trainer and have lost 30 pounds.These things have helped but I am still having trouble.Would this shot make sense for me?
I had a prostate microwave proceedure a few years ago to help with urination, first I got retrograde ejaculation from the proceedure and since I have gone down hill with ED problems but even worse it has become virtually impossible to orgasm (loss of sensitivity). I have now recieved the priapus as well as EPAT treatments but never got shots in the head which I am going back for, will this help restore orgasm and could my problem be due to the TUMT as it relates to retrograde ? My Urologist say no way but I wonder. Next do you believe the PRP type treatments could restore/regenerate to help this kind of problem ?
Are the increases in size to length &/or girth while flaccid or while hard? And are the results permanent?
I am a prostate cancer survivor who had my prostate removed about 18 months ago. I could not get an erection after the surgery and about 6 months into it found the Priapus shot. I had the shot after a few months of research (8th month) and the results were immediate. I have been able to get great erections, multiple erections etc. since then. I have now had three shots over the last year and a half. The first one and the third one helped with my girth for sure, the second one didn’t. My question is (I’m looking to get more girth) is should I do it again? Will it help if there is more PRP shot into my penis? In more spots, etc. I have done the pumping each time, not crazy about pumping but it does help. Had my procedure with Dr. Eric Berger in NYC, he was great by the way, really knew his stuff and literally saved my sex life.
Hi Doc,
Could you please recommend any PRP physician who does P-Shot in Spain?. I haven’t found anyone yet.
Thanks
https://priapusshot.com/members/directory/
If this list is up to date, it looks like your closest option is London, Germany or Netherlands
I haven’t found any information at the link about a P-shot procedure in the Netherlands. There were two doctors listed, one whose website doesn’t exist anymore and the other who specializes in treating the skin.
I have a question, the injection is into the corpora penis like we inject Caverjet? or beneath the penis skin without injections into the body
I live in nc. I’m looking for the most knowledgeable dr. I have no ed issues at all.I am 5.75 in length and 5 in girth. I just want to gain some size. Dr runels you don’t recommend me doing it for this reason? Why? And what percentage of people gain size that do the p shot? Thanks
I am looking for a good dr. In charlotte nc. I am 5.75 length and 5 in girth. Dr. Runels you don’t recommend anyone doing it for size only? Why? And what is the percentage that gain size with the procedure? Thx.
Has anyone answered?
I had Stem cell procedure on my knees and it changed my life no pain for the last 4 years. My doctor Joseph Purita in Boca Raton extracted mesenchymal stem cells and combined them with the PRP and a few other things and had great results. Have you ever thought of adding stem cells such as mesenchymal to your procedure, and would it work?
How come there are no before and after pictures anywhere, no even here?
If some men saw an increase in size, then lets see pictures to prove it.
Yes, I had precisely that issue. Two of the injection sites developed hard nodules, which still have not fully resolved 6 months out. My doctor assured me such a thing was impossible. Fortunately, aside from the unpleasant feeling of two lumps on the side or my penis, they have not caused any other difficulties.
The Priapus Shot includes only PRP. Not Acell or Juvederm or other materials. PRP alone does not cause lumps. Other materials can.
I have the same issue with the lumps just behind the head of my penis and they are sore.
I’m highly anxious after reading into this. Just wondering if a person could receive the P-Shot on a monthly or quarterly basis for a more accelerated result. Has anyone received the P-Shot this frequently?
I had the procedure on May 13th. It’s been two weeks since. I have noticed no positive or negative impact from the shot. It’s just the same as usual. Didn’t do anything for me.
PRP starts to work at 3 weeks. Full effect is 3 months. Keep us and your physician posted.
I’ve been trying to think of ways to increase the effectiveness of the shot before having it. I don’t smoke and do a lot of exercise, I’m in good shape and age 32.
I’ve read that one of the biggest contributors to effective growth from the shot is presence of growth factors in the blood. Can anyone confirm my speculation that supplementation with HGH or peptide precursor such as TD500, will increase the growth factors in the blood (ie IGF-1) and make the P-shot more effective?
I had this procedure done by Dr. Amy Brenner, in Mason, Ohio in December of 2015. The results have been outstanding! It is truly hard to believe how thick I have become. Dr. Brenner & her team are true professionals. I would highly recommend this to any man seeking to add thickness & girth. The P-Shot works!!
Hello!
Will this help with a curve penis? Make it straight?
Here’s the full protocol…
—>>Dr. Runels’ 7-Step Peyronie’s Protocol
You’ll find plenty of research listed on that page…here’s a whole separate listing of research showing how PRP helps with scars (click).
Remember, there’s a wide variety of ideas about what “PRP” is and about how to inject PRP into the Penis. Only providers listed here (click) have agreed to use only those kit’s approved by the FDA to prepare PRP and to follow the guidelines/methods of injecting agreed upon by the Priapus Shot® provider group (includes physicians from multiple countries and multiple medical schools). Others using the name “Priapus Shot” are imposters.
Hi my name is Anthony and I’m interested in the post. But not for girth or length. I want to know if it effective for ed. I suffer with as my doctor said a clamping problem with my veins
I suffer from ED as well. Been taking cialis which helps somewhat. Nothing like I used to be when I was younger. I’m 44 and have high blood pressure & high cholesterol. Sometimes the cialis works & sometimes it just works ok. Plus it’s super expensive. I’m hoping the priapus shot will be a more permanent solution & help me not have to keep taking an extra pill on top of all my other medication. I’m curious how much this costs & how many times it needs to be done?
Just curious, is the shot given into a soft penis or an erect penis.
soft
Hi! What are the side effects with priapus shot?
Is it safe to do priapus shot after or 6months after doing penis surgery dealing with grafted fat to increase length and girth? To basically enhance effects and possible reduce any potential sideffects of grafted fat? I was thinking about doing surgery
Also is it possible to gain permanently gain increase length or even after a continuous amount of priapus shots?
I don’t mind being Guinea pig to increase size
how to get pripus shot in Belgium mol city
I’m not looking for increases in size, but would like stronger, longer lasting erections. I am 50 and it has become difficult for me to sustain erections for more than a few minutes, even though I exercise, eat well, don’t smoke and drink only an occasional drink. Is here any real evidence that the p-shot helps with this?
I had the prostatectomy in December 2012. Before the procedure I NEVER had any issues with getting or maintaining an erection. After the procedure, I couldn’t even get a partial even with the use of Viagra and/or Cialis. I gave it the standard 2 years and never had any success. The Trimix worked, but I had too much anxiety about sticking a needle in that area. (Additionally, I lost about an inch and a half of length.) As a result of this, I decided to have an implant. It has, at least, allowed us to do something. I am not completely happy with it for several reasons, but one is that I get pinched all of the time by the pump. What I am wondering is with the information I’ve provided, would the shot do me any good at all and if so, would I be able to have the implant removed and return to a more normal function? Thanks!
Hello Kenny
I am 37 and also had an implant unnecessarily because I was manipulated by a doctor who knew I had erections and only needed pills to keep them longer but he refused and pushed me into the mutilative horrendous device. I was so stupid by agreeing, I was healthy and my penis was perfect, I couldn’t regret it more!! Not only I lost significant size and girth along with my natural ability to get erectionsor even fake erections due to the awful pain. Also, I live in permanent pain and discomfort, i used to run 5-8 miles five times a week and now I can barely walk!! So after 4+ months of living in hell, I am having the implant removed in a couple of weeks and will have my first PRP two weeks after, most likely I will need more than one with a high frequency but the outcome is uncertain.
Can you please tell me if you decided to do it and what has been the outcome?
Thank you!!!
Hi,
I asked awhile ago if the Pripuis shot was for me.Since I had Prostatitis and Ed as a result.I had it done 5 and a half weeks ago.I had it done more to deal with Ed then to make it larger.I did smoke about 10 cigarettes the week prior to the injection.I have not smoked since having it done.My penis has become larger and works extremely well!I still have some discomfort although it has decreased dramatically.Since it would probably work even better now that it has been a longer period since I smoked.Would it be ok to do it again so soon after having it done the first time?
What do you recommend for a post shot pumping regimen? Can you pump too much?
Does this shot help with scaring on penis, tropical cream has damaged my penis and glan and its the same. Will the p shot improve the overall look of my penis?
Diagnosed with prostate cancer and had nerve sparing surgery. I get the sensation of an erection but the shaft doesn’t get hard. Advised not to use a pump due to urethra stricture. Can your services help?
I been using pills and never gain a pieces of hinches in my penis
Please help me to be a big men
Hi, I had the P-Shot done last week and I have a question. First off the procedure is not painful at all. You literally can’t feel a thing. When I got home, the numbness wore off and I had a really bad itch/burning on my scrotum. My scrotum had turned purple. I called the doctor and she proscribed me a steroid cream. I applied it for a few days and the itch/burn went away but the color did not. The purple color started to flake off a few days later and it has just left a bright red color that does not hurt to touch. My question is, is this at all normal? Has any one else experienced this? If so, does it last a long time? I appreciate any feedback I might get. Thank you
Hi .am trying to geg priapus shot.and i wabt to know how it work and the cost.
Abdellah,
The cost may range by provider and country however the P-shot usually ranges from $1500-$1900. If you visit my website, I explain how the P-shot works as well as how PRP works. If you have any further questions do not hesitate to reach out.
dear Dr.
unfortunately, your valuable links didn’t work
i need more information at
aim19806150@gmail.com
thannx
Yeah i want to know if peyronies disease payients you have really healed from the Prp – P-shot u did to them.. I am mild peyronies disease patient for 15 years and thats embarrassing in flaccid state..
Thanks in advance
Hello.. I’m 22 years old and want to get the Priapus shot in attempt to fix thinned skin that I have gotten from use of steroid creams.(hydrocortisone and clotrimazole).. I have had difficulty getting erections due to this and wonder if I’m a candidate at 22 years old.. what are the Side effects 3+ Years down the line if I don’t get another shot? Hey lease get back to me.. really considering it and have the money to due so. I did plenty of research, I just want to know what your thoughts are on this.
It doesn’t do anything…I wouldn’t recommend it.
My name is M. Torres, and I am 72 years old. For the last five years I had been suffering from Peyronie’s disease, also over 9 years ago I got a pacemaker due to atrial fibrillation and have been taking Coumadin to avoid complication with my heart. For the last 5 years primary physicians (PCP’s) have referred me to several urologists and no one has been able to find a solution to my problem. The have recommended medication that the insurance companies do not cover, and another one had recommended I use a pump that was painful. None of these recommendations resolved my problem. My Peyronie’s disease was diagnosed with a 40% upper curved with fibrous scar tissue in the upper part of the shaft of my penis that causes pain when I have an erection. I have been frustrated and depressed due not been able to have any sexual relation with wife.
One of the providers at my PCP’s office, Alexander Tirado, Physician Assistant recommended to me a treatment called the Priapus Shot or P-Shot a procedure that uses my own blood with my own growth factors to rejuvenate the penis. Alexander Tirado explained to me all the pros and cons of the procedure and since there were no side effects with the procedure, I decided to get the procedure done. On June 2, 2016 I got the procedure done. Alexander Tirado explained to me that I may have to receive several injections of the PRP if the curve in the shaft is not resolved with the first procedure.
I followed Alexander Tirado protocol by using the pump every day twice a day and was able to see changes in my penis the first week after the procedure. On June 23, I had a follow up with Alexander Tirado and he was able to measure and observe the complete resolution of the curve of my penis. I was noticing the changes but the confirmation that the Fibrosis was minimal and the erection was strait and without pain was a great news.
I am so happy with the procedure and cannot express my gratitude to Alexander Tirado for providing this procedure to me. I recommend to anyone who has a problem with Peyronie’s disease or erectile dysfunction to call Alexander Tirado at SunMed Health Center to get the Priapus shot, it works and is not a painful procedure. If you want a consultation with Alexander Tirado, you can call him at 305-944-1122. His office is located in North Miami Beach, FL.
what was the cost?
Find a provider and ask them. His doctor may charge different prices than the doctor in your area.
You will also need a medical grade penis pump which is available through your provider.
Holly Ridgley NP-BC
Atlanta, GA
http://www.yourbestsex.com
what was the cost and where does one get the shot?
Have had two p shot procedures, done by Dr Amy Brenner, in the last 9 months and can definitely feel and see the difference. I’m 56, very active and in good shape. I don’t smoke or drink in excess, but over the past few years getting and maintaining an erection was becoming more difficult and just wasn’t like it was when I was younger. Also, length and girth just wasn’t what it used to be. My wife suggested several months ago that she wanted to do the O shot and for me to do the P shot together. All I can say it was a very pleasant experience. Dr Brenner, and her staff were very professional and I never felt uncomfortable. My wife and I have found that excitement again and our sex life is amazing. I mean really amazing. And my penis is back like it was, maybe a little longer and thicker, when I was in my twenties.
My husband and I are very glad to read here of your success with the “P shot”. Is it the same as PRP? My husband developed Peyronie’s Disease about one year ago and has been researching PRP. We would like to know where you had your proceedure done and I’m interested to know what is the “O shot” your wife had
The O-Shot (TM) and P-shot (TM) involves using PRP injected into specific areas of the clitoris and vagina and penis, respectively. The O-shot (TM) and P-shot can only be performed by experienced physicians that have been trained by Dr. Charles Runels and are listed as a trusted and trained provider on the official o-shot or p-shot website since the technique that is used is specific to ensure quality and uniformity with our results. To find a trained provider visit “find a provider” on each of the sites.
If you are in the Northeast Florida region, I would be glad to assist you. You can contact me if you have any further questions.
Marisol Arcila MD
NuMoon Regenerative Medicine
Jacksonville, FL
Bob – I am located in a northern suburb of Cincinnati. I treat both men and women with PRP for the P shot and O shot respectively. You can find more about our practice …
http://www.dramybrenner.com and http://www.abmedispawellness.com
How many injections do you give? I am definitely paying you a visit soon!
Perhaps I should simply accept age and fate, forget sex and the enjoyment of the closeness that female relationship provides. My wife died 4 year ago. I am 80 years old, we enjoyed sex throughout our marriage. I am unable to have or hold an erection, I have the urge and desire and the companionship support. I have no need for more or thicker. I am very active, good health, not challenged physically or mentally. Should I just accept because of age and give up? Am I foolish to consider Priapus at my age?
You are not at all foolish!
I am Dr. Richard Gaines, Chief Medical Officer of HealthGAINS. I am trained and licensed to administer the Priapus shot and have helped hundreds of men enjoy the sex lives they deserve.
I believe that men should enjoy an active, healthy and enjoyable sex life as long as they would like! The P-shot can help you do just that. I have successfully treated men your age, and even older with the P-shot.
As long as you do not have any other conditions that would necessitate you refrain from sexual activity, you are never “too old” for the P-Shot.
Feel free to reach out if you have any further questions.
Hi Dr. Richard what is the cost of the P shot? and where are you located?
so can this increase size how much
I am 37, recently had a penile implant and I regret it. If I have it removed, will the shot help me get erections back? Will my tissues and vessels regenerate and work again?
Thanks
I had the P shot but got no results from it.. does Low T have an effect on results ?
Yes!! You need testosterone to maintain penis health.
Here’s the whole protocol….(click)<--
I want to know if insurance will cover the shot? Also if I had the prostate removed and a penile implant put in, can it be removed and the shot help with sexual function? Would like to be able to have a more normal sex life.
I am currently 7 3/4″ length and 5 1/2″ girth would you recommend the p shot to increase my size and girth?
I received the priapus shot a little over two weeks ago and i have already noticed changes in size and girth. My fiancé even noticed right away. I am only 26 years old so the function aspect i can’t really comment on but the additional size i can say works. The procedure was painless and very easy. I had my P-Shot done at Builtco by Allison Mackenzie. I highly recommend her for anyone looking to get this done in the Dallas Area.
Can you email me her information Quad Riel forests rocket mail.com
How much was the procedure?
Hello can you send me some contact info on the doctor that did you procedure in the dallas area?
Thanks
Mcsoker85@yahoo.com
Hello,
My name is Ali and I heard a lot about the Pshot. I would like to have this procedure done and I am wondering if there is any licensed doctor approved from your side in Romania? Also how much does it cost for the procedure?
Also is there a way I can contact via whatsapp or viber?
Heres my question.. if this platelet rich plasmas is essentially helping to heal the penis how come nothing is given to the prostate ?? If the prostate is unhealthy it could also be the cause of erectile dysfunction.. and just addressing the penis by its self only puts a band aid over the problem it doesnt heal it.
There is no perfect solution for all conditions. The provider of the shot will cover all aspects of your particular case through medical history and typical doctor-patient questions. If your issue is prostate related, they won’t bother even suggesting the shot, unless you were just curious if it would help at all.
I would like to know how p-shots work?
This website describes how it works. Did you not read it at all?
I like to get the p shot done but wondering on the price and how it work. Please give me info on billing.
You’ll have to call a doctor that provides it and ask them, as not all doctors charge the same amount. Also, the website tells you how it works, so if you actually read it, you will know.
Hello:
Are there any studies in humans that show that the injection of PRP into the penis is a safe (if not effective as well) procedure?
I have seen the Virag study, but in that one, HA was also injected and was done directly into the peyronie’s plaques. I am wondering if we have any data about injections into the corpora.
Please advise and thanks.
Does the priapus shot give you length and girth and if so how much in both?
I got the P-shot today and the whole procedure went really well. I had slight bruising from one of the shots but other than that everything went really smooth. I noticed already how different my penis looks. It was made very clear to me what to expect over the next 12 weeks and to manage my expectations. I am 56 and suffer from low testosterone, ED, and BPH so I already have 3 strikes so we’ll see what happens. I am 6.5 inches in length and 6 inches in girth so I’m not expecting much in the way of gains for either but if it happens…AWESOME! I am hoping for improved functionality. I have already pumped twice today and pumping is no joke so it will be a effort for me to maintain the schedule but after paying for this I own it.
Yes! In fact the P-shot is one of the only non-surgical male enhancement procedures that can both treat ED, and increase penis size. Men in my practice who have received the P-shot have reported increases in both length and girth of as much as 2 inches.
Hello Doctor, where can we see some documented photos showing penis size increase?
no way to win with that one…it’s why we don’t play the game.
if it’s a huge increase…1. some won’t believe it. 2. others may believe it but not obtain the same results, so that particular person will feel mislead.
Not so long ago, before & after photos were considered UNETHICAL by the American Medical Association. Somewhere long the way, those standards were relaxed. But, we still feel like big-promising before & afters could be misleading (even when the photos are true and not photo shopped).
If it’s that important that you have a bigger penis and that you have proof before you have the procedure done…I recommend that you NOT do the procedure. Please here me out…
We are seeing tremendous results for Peyronie’s and improvement in erectile dysfunction even in those with previous prostate surgery.
As for size, unfortunately, it still seems to work best for size increase for those who are already 5 or more inches long. Like muscles, it seems the more you have the easier it is to grow. So, it’s pretty common for us to see 5 go to 5.5 or 6,
or to see 6 go to 6.5-7,
or 7 go to 8
—but it’s heart breaking to see someone struggle to get 4 go to 4.5 or 5 with little success. Not that we don’t have failures with all sizes and success with all sizes but that’s the uncomfortable truth.
We now have multiple urologist and interventional radiologists and cell biologists in our group and we hope to make the stats better…but here’s where we are….
When we survey our patients, we still get about 85% happy with the outcome when it involves erection or Peyronie’s and about 60% happy when it comes to size.
The great thing about the procedure (when it works) is it’s THE thing that actually addresses the pathology (fixes the problem). For example, Viagra gives a harder erection, but does not actually grow new blood flow. We have rat studies (so far no men have allowed us to chop off their penis for study under the microscope) showing growth of new blood flow and new nerve tissue.
Hope this answers your question. There is one before and after photo I allowed that shows a change in size because it also involved Peyronie’s. You’ll see it here at the bottom of the page (click)
Notice–as you look at that– you’re thinking–“is that real?” and “did he cheat with the ruler?”
Bottom line is that the results vary and looking at a photo gives no indication of what you will see. I’ve seen guys easily go from 7 inches to a solid 8 inches with an extra 1.5 inches in girth–but showing you that photo really means nothing when it comes to what will happen with you.
I do recommend that our providers refund money if no results after the second shot…so no one feels taken advantage of. So, some of our providers will sometimes chose to not treat those who have expectations about growth that will be difficult to meet.
Hope this helps. Thank you very very much for your question!
Very best regards
I’m 4.5 to 4.75 in in length erect so, based on what you are saying, in is doubtful I will get increased length What about girth? Mine is really skinny – about 3.75 in in circumference erect. Can the priapus shot help that?
Does it help flacid size?
Could I get the website with the list of providers
All certified providers in every country can be found here (click)<--
If advertising the procedure and not listed there (no matter what country), they may not be understand our process, engaged with our patient registry, or keeping up with our latest protocols. The Priapus Shot ® procedure is a method that involves much more than just injecting the penis.
I stumbled onto this site looking for something else. Short version: Ive had the P shot and I’d like to give my short take on it. I had a priapism do to an over dose of a sleeping pill. It lasted for 6 hrs until the ER got it down. Because of it i had penis damage. I could only get about 90% erect. I paid $1000 for the shot. First of its not A shot, its multiple shots in the base of the penis. I forgot how many bc its been about 6 months but i think about 8. The topical numming cream didnt work. I felt every shot and died with each one. I took a daily dosage of cialis afterwards and used the pump twice a day religiously for 3 months. I noticed no difference. The shot, treatment and pills didnt do any thing for me. I was very excited to get the P shot but very let down with the results after spending $1000. Im looking into something different to get me back to a 100% erection. Im 44 yrs old, in very good shape, non smoker and a social drinker.
What a painful story. I’m very sorry to hear that you had this much happen because of a sleeping pill!!
I’m also so very sorry to hear that the procedure didn’t work for you. Results do vary. Severe damage (from priapism–as you had–or trauma–or long term diabetes) may not be repairable with the Priapus Shot® procedure or any other procedure other than a penile implant. Smeone with diabetes for many years with blood flow constriction all the way up to the aorta (not just in the penis) would not likely be helped by a procedure that only makes the penis more healthy. Best guide–if you have some function, the procedure will usually make things better. If there’s zero function even with Cialis–then the procedure is less likely to work.
Also, the pain threshold of people can vary. The needle is about the size of what’s used for trimix injections which thousands of men use without any numbing cream every time they have sex. Perhaps the damage to your penis made it more sensitive. Hard to know. It’s very unusual to have that much pain.
Also, most of our providers return all the money if there is zero benefit from the procedure (which is unusual for any group of physicians since every procedure can have those who benefit and those who do not). There’s still a need for penile implants in some people–and that may be the best option for you– but the Priapus Shot® procedure offers a way to make most people better without the risk of a surgical procedure.
I hope that you and your doctors find a solution to this very difficult problem at any age but especially at your young age.
It’s been a week since I got the P-shot. I have maintained the pumping schedule of twice a day for roughly 15-20 minutes once in the morning and once in the evening. I had not expected any gains in girth or width but I have definitely gained in girth. My wife noticed immediately. don’t know how long this will last but I’m enjoying it. But getting used to the pumping is definitely high adventure.
Has anyone ever reported or experience scarring or damage to the penis from having multiple injections into the penis during this procedure?
Kevin, if you see a certified provider listed here: https://priapusshot.com/members/directory/
This is a non issue. These medical professionals are trained in placement and technique so that there is no harm to the patient.
I would not trust my penis with someone that is not listed here: https://priapusshot.com/members/directory/
Good Afternoon, I have done laser and PRP to my face at one the clinics here in Cairo-Egypt.
I have a high sensitivity that makes me cum and ejaculate so fast in less than 1 or 2 min max during the first 4 sessions of making love. I do not make love on a regular base, i do it occassionally, the doctor has told me that PRP will treat the high sensitivity in your penis and can make you enjoy it for like 7 min , so iam afraid of two points. is the PRP will decrease my high penis sensitivity or not ? the other things iam worried about that it will increase my penis in length and girth….. what about the muscle at the base of the penis , can those muscle bear and support extra length and extra thickness, won’t it affect the erection after a while? i will have the P- shot tomorrow and he told me that it is going to be 3 shots with 15 day interval…. should i postpone it till i make sure nothing wrong will happen to me in the future? iam 44 year old , i do not smoke at all and i drink like once or twice every two years…
how was the PRP injection … how did it go?
Dr runnels,
, I have heard from undisclosed sources , that service providers on your list have been selling p shots but have not been using the FDA issued vials (with all of the “ingredients”)
Example, one service provider purchases 100 vials from you and sells 200 p shots to 200 clients , which means that the extra 100 supposed p shots were fake “fillers” where the provider intentionally and knowingly defrauded the client.
There is undercover operations currently looking at service providers on “your” list for this activity .
It is understood that the cost of these special vials is expensive to the doctors and therefore that is why they resell each shot for $1800 etc.
Their motif of course is money to increase their profit .
With that being said , is it the supplier who is selling these “fake filler” vials to the service providers ?
Please advise
The service providers will point the finger at the supplier (your company) and the supplier will point te finger at the service providers.
Now we will see who will scramble first to “tighten up” these fake filler vials to make them look more official and sealed like FDA authentic viles.
Please enlighten us, how do we know if we are getting a “real” p shot with all of the special ingredients and not a fake filler vial?
Hello Salvatore,
What an interesting question. There’s no need for “under cover” or “undisclosed sources.” It’s really very simple and very open. No one in the office or Charles Runels and none of his employees or family members make any commission from the supplies used to do the Priapus Shot® procedure.
Your question indicates that we need to do a better job of explaining so that patients are not taken advantage of.
The “vials” and the “ingredients” as you seem to describe them are NOT a part of the Priapus Shot® procedure. The Priapus Shot® procedure simply involves processing the patient’s own blood to extract the platelet-rich plasma and then injecting that PRP into the patient’s penis.
There are over 20 kits that are approved by the FDA for processing whole blood to extract PRP to go back into the body. Providers who do the procedure should be using one of these kits–some of the centrifuges for these kits cost more than many pay for their car. But regardless of the price of the kit, it’s the expertise in doing the procedure and understanding the medicine and followup methods and strategies that also give value to the procedure. When a doctor does a 10,000 brain surgery, he uses a $2 blade and a $3 suture…it’s the knowledge and expertise that gives the procedure value.
I am glad you asked a question to help understand how to be sure of your value and that you’re getting the “real thing,” …
1st make sure the provider is listed as one of our providers (directory)
Then while there getting the procedure–or when calling to inquire about the procedure–ask which FDA-approved PRP-prep kit they use (the FDA does not rule on what to do with blood or PRP since these are not drugs, but the FDA does approve devices that process blood). Some of our favorite kits are Regen, Eclipse, Magellan, TruPRP, Angel, Harvest, Emcyte, and Pure-Spin, & Selphyl. Some (but not all) of the kits not mentioned do not meet our standards even though the kits meet the standards of the FDA for preparing PRP. Dr. Runels makes ZERO commissions on any and all kits (turning down much money) so that the group can stay unbiased and recommend or decline methods based on results and safety.
The only thing that should be added to the PRP is either thrombin (again made from the patient’s own blood) or a few drops of Calcium Chloride (the same that’s in “Smart Water” which is in the blood anyway, but a few extra drops will activate the thrombin cascade. Some of the Regen kits come with a way to prepare the thrombin from your blood. Selphyl comes with the Calcium Chloride as part of the kit, the others do not include it but calcium chloride (CaCL) similar to sodium chloride (NaCL) is just another form of “salt” water and pharmaceutical, sterile sources of CaCl abound.
If anything else is added, that’s NOT part of our procedure and adds extra risks that we do not recommend. We do not think harvesting “stem cells” adds to the effectiveness of the procedure (though further research on this point needs to be done)–but does add to the expense. We think that adding an hyaluronic acid filler like Juvederm could be a good idea but could add risk and is not part of our official procedure. The same goes for ACell and whatever else people may want to mix with the PRP. We have thousands (over 8,000 research papers) showing the use of PRP in multiple tissue types with no history of granuloma formation or serious sequelae when used alone (PRP alone) but adding other materials could add benefit but could also add risk and is not part of our protocol.
So, when you say “vials” and “ingredients” if you refer to anything other than what’s part of processing the PRP then such “ingredients” are not part of the procedure.
We do not think the procedure works in all people. We do not think the procedure is completely without risk. There could be serious risk that are rare but which we have not yet encountered. We do think it’s much less risky than other alternatives that are commonly done (implants–infection, Viagra–stroke/heart attack, Collagenase–impotence, etc). But, all of this only if the provider is part of our group and following our methods. We still think there is a need for the alternatives (surgery and Viagra, etc). we simply see the Priapus Shot® procedure as a step to take for possible benefit before going to other alternatives.
In short, we’re not even sure what “vials” your talking about since the only thing that’s used in the procedure is centrifuge kits made to process blood–and Dr Runels refuses to accept commissions on any of the materials used in the procedure (and has turned down millions of dollars) just so that he and the Priapus Shot® provider group is beyond reproach.
So, Dr. Runels “sells” nothing but educational materials that help finance further research. All materials used by the physicians are bought from other sources and if you suspect something is not straight, you should report it here & have a discussion with the Dr under question.
Hope this answers your questions and if you have a particular provider that you’re concerned may be significantly altering the method or someone advertising the procedure who is not on our provider list, then please let us know (here).
We can’t be in every doctor’s office watching. We can’t promise good outcome or no side effects. We can set a standard of care and expect our providers to follow that standard and use the money they all contribute to the group to finance further research. Our providers are AMAZING people, smart, dedicated, and trying to care for people with a standard that exceeds the norm. Anything you know that’s hurting that standard within or outside the provider group should be reported immediately.
Thank you very very much for your question!
I just reached the two week mark with the p-shot. Acknowledging that its only been two weeks this is what I have experienced so far: definitely an increase in girth, no gain in length, slight decrease in erection firmness and sensitivity, and no improvement of my ED symptoms. As noted in an earlier post I have low testosterone and BPH so I am definitely swimming upstream hard for any improvements to my ED. I have pumped twice a day for 20 minutes and as I wrote in my last post pumping is no joke. I am currently 6 1/2 inches in length and 7 inches in girth so I have gained a inch in girth.
It’s been just over two weeks since I received the P-shot and so far I have definitely achieved increased girth but no increase in length which I had not expected due to having BPH and low testosterone. I was hoping for a decrease in my ED symptoms but so far have had no improvement. Also, I have not experienced firmer erections or an increase in sensation. I know it’s only been a little over two weeks so I have a ways to go. I am pumping twice a day for 20 minutes and so far have maintained the schedule but pumping is not fun. I am normally 6.5 inches erect and 6 inches in girth. Today I am 6.5 inches erect and 7 inches in girth. I am not disappointed. I will post again at the 3 week mark.
MFG, Hoping you are still seeing progress with your Priapus Shot® Just wanted to clarify. You are pumping twice a day for a total of 20 minutes each day? Or are you going 20 minutes each time for a total of 40 minutes each day? It is possible to over pump. The recommended pumping is for 10 minutes twice a day for a total of 20 minutes
My boyfriend got the P shot, and I got the O shot yesterday. He is terribly bruised. The office said this would go away in a week! We didn’t expect this, although the office said it was typical.
Is it safe for him to have sex while still bruised? I don’t even know if he has the desire, as it may be uncomfortable.
I had the p shot twice. I still ain’t got that real hard. Erection. What’s wrong.
What was their explanation
In February. 2011, I received a penile transplant. It has worked fine. I have but one complaint. Prior to the operation, I was well endowed (11″ x 6 3/4″) when erect. My measurement has greatly diminished by almost 2″ in length and 1″ girth. Can I be a candidate for your shot to restore old glory?
Hey guys
I like to get the p shot but I have a few questions before doing so. Can P shot help with harder erection and more firmer penile? I can barely get hard or keep a erection. Will it increase my girth? I would love to increase my girth a lot! And last do we have to pay in full or can we do payment option? Thanks
My penis is only a little below average in length, a little belie 5″ erect, but really skinny, under 4″ in circumference when erect. Can I expect to achieve an increase in girth? I know you said guys who have shorter penises do not experience much increase in length but I was wondering if this was true for small girth too. Also, can I expect the head (glans) to increase in size too? I would hate to have a penis in the end of normal girth but with a still tiny head head.
Well it’s been 30 days since I received the P-shot. I am now a solid 7 inches in girth and 6.75 inches in length. I have gained 1 inch in girth and 1/4 inch in length. As a 57 year old man with low testosterone and BPH I was only hoping for improved functionality so this has been AWESOME!!! I am still pumping for 20 minutes twice a day and it is uncomfortable. I have missed one day and pumped only once on 2 other days. In two weeks I have a 6 week check up with my doctor. I am just hoping my ED gets better. I take Viagra and I would really like to take less or be able to stop completely. We will see how this continues to progress.
To get optimum results, especially regarding an increase in size is it best to be in shape and physically fit and not overweight?
I have just reached the 5 week mark after getting the P-shot. I have gained 1 inch in girth and 1/4 inch in length. I am now 7 inch in girth and 6 3/4 inch in length. I am happy with these unexpected gains but I haven’t had any improvement in my ED symptoms. Viagra does work very well for me now. I have BPH and low teststosterone so any improvement I have I’m happy with. Next week I have my 6 week check up so we’ll see how it goes.
Could you pump more than twice a day, at a low pressure like -5 inHg? This is the day after I had the priapus, and I feel a lot more sensation than when I received the PRP yesterday. last night I could barely take -5 inHg. This morning(which is the day after the procedure) I was taking -9 inHg and I feel the need to pump a little more often. Would this counteract the procedure in a way that would place more stress than necessary? I am also following the RPD Protocol to the “letter T,” and although I feel loads better. I was skeptical at first like everyone, I drove 310 miles there and back just to get a consultation, and then I had the procedure. That night my member wasn’t really having it, but I pumped anyway, and the next morning(this morning) I woke up with “morning wood” for the first time in ages! I know it may be too soon to say this,but I am very pleased with the result thusfar. What a wonderful creation! and I had it in me all the time? Haha! Thanks for this wonderful discovery Dr. Runels. Also, many thanks for teaching and mentoring Dr. Hanson at the Men’s Clinic in South Charlotte. I’d appreciate any feedback on the above mentioned over the amount of pumping daily if you could. I’ll keep everyone posted every two weeks on the healing process. By th’by I am a 30 year old male. never smoked, never drank, and lead a relatively healthy lifestyle(aside from the occasional junk food now and again). Happy gains everyone!
Any updates?
I want to get the P shot to fix a slight pyronoes curve but can not find before and after pictures anyplace and not just one I prefer to see multiple to see multiple results if I can be emailed some great
You may want to take a look at this lecture (we do not send out before and afters…it works sometimes and sometimes the procedure does not work…a photo or one hundred photos do not predict if you’ll be one of the ones it helps)…
The following video may help understand why it helps…(click). Be sure and watch to the very end.
Notice the the use of an HA (hyaluronic acid) material to mix with the PRP may or may not be necessary. That method (adding the HA) simply activates the PRP and causes a more immediate release of growth factors…but could add some risk to the procedure. The Priapus Shot® providers use calcium chloride to activate the PRP (an electrolyte that does not add the risk of granuloma formation).
It is the PRP that provides the growth factors that recruit & activate pluripotent stem cell (already in the body) to remodel healthier tissue and dissolve scar and to downregulate and overactive immune system. The HA or calcium chloride simply act as and activator.
The PRP kit that includes the HA is not yet approved by the FDA in the US. But, we do have PRP kits that are approved by the FDA for preparing the PRP. The providers of the Priapus Shot® procedure should be using an FDA approved kit (the procedure is a PROCEDURE and is not governed by the FDA—which governs drugs and devices). If a doctor comments that the Priapus Shot® procedure is “not FDA approved” what they really just said is that that doctor either does not know what PRP is or does not know what the FDA does —or both
The Priapus Shot® providers also recommend the whole protocol (not just PRP). You can see the protocol here (click).
Using an ultrasound device during the procedure is necessary in a research setting to document the change in the thickness of the plaque but is not necessary to see results from the procedure (or even to inject the plaque which can usually be palpated).
Also, it’s worth noting that PRP is being used to TREAT scaring. You can see this lecture about treating keloid and this one about treating other scars.
Providers of the Priapus Shot® procedure can be found here (click)<-- Anyone not listed there may or may not be using a kit approved by the FDA for the preparation of PRP to go back into the body and may or may not understand our techniques. Anyone using the name “Priapus Shot®” who is not listed there–is also stealing intellectual property and pretending to be part of our provider group when they are not.
We do NOT recommend at this time that the procedure be done in combination with fat, stem cells, acell, or an hyaluronic acid unless the doctor is participating in a formal IRB approved study. Results can vary but our current registry indicates that when using the full protocol that the satisfaction rate of men suffering with Peyronie’s who undergo the Priapus Shot® procedure approaches 85%…varying with the degree of angle and the age of the deformity.
has the shot been used, or successful in treating people with premature ejaculation?
For an older man where premature ejaculation may be from loss of sensation…it might but we have not collected that data. Though we’ve not heard of it making premature ejaculation worse, we do not know what the effects are.
You can also receive the same information for free as the last lessons in this course…
I have come across conflicting information regarding longevity of the results. Some information states the results are permanent while other sources say the results lasts 15-18 months. If the growth factors that are released from the calcium promotes actual tissue and blood vessel growth by unipotent stem cells how is it that this growth be reversed? Also, does it promote nerve growth too? Is getting three shots normal procedure? And can growth possibly happen from each injection? Also does being overweight effect the results? Is it better to be in shape to get optimal results especially regarding testosterone and dht levels?Thanks
I received the P-shot 6 weeks ago and just had my six week check up with my Doctor and he was quite amazed but it seems I have gained 1 1/4 inches in girth and a 1/4 inch in length which now puts me at 7 1/4 inches in girth and 6 3/4 inches in length with erect. As a 57 year old man who suffers from low testosterone and BPH and ED I was only hoping for improved functionality from the P-shot but the increase in girth and length while AWESOME was not my primary concern. The P-shot has improved my ED symptom’s somewhat. I have a much stronger penis that definitely gets rock hard and keeping the erection has improved but not quite to where I wanted but any improvement is improvement over what I have. I am still pumping twice a day for 20 minutes and even though I’m not a fan of pumping I am grinding it out. Hopefully, over the next 6 weeks which leads up to the 12 week mark I get some additional improvement in functionality. My wife is loving the additional girth.
Please let me know if any luck I got 1 shot and o big diference so I started trt and gonna get a 2nd shot to see what happens
Need information on priapus shot. Will it help people who have had radical prostatectomy with nerve Speering.
I have just hit the 10 week mark after getting the P-shot. My results have been growth in penis erect length from 6.5 inches to a solid 7 inches! I have had growth in girth from 6 inches to 7.25 inches. My erection quality has also improved but not as much as I had hoped. I have low testosterone and BPH that has given me ED. I am taking less Viagra and maintaining my erections very well and recovering fairly quickly after a orgasm so I am very happy especially since I am a 57 year old man!
Hey MFG
How much pressure are you pumping?
What is your routine?
I am using a Elite electric pump. I pump first thing in the morning and late afternoon. I was pimping for 20 minutes but decreased to 10 minutes.
There are many who can tolerate 20 to 30 minutes twice a day. But, if erections seem to be getting worse, that’s usually a sign you should give things a break and back off on pressure, time of pumping or both. You can sometimes work back up the the longer time frame. Do all of this, of course, only under the supervision of your physician. Individual programs will vary.
Do you warm up the penis with a hot towel before pumping or not? What oil do you use?
I had prostate surgery In April of 2015 which left me impotent. I am 52 years old and was unable to have intercourse until May of 2016 when I received my first P shot. With in a few weeks I was able ( with the help of Viagra) to achieve and maintain an erection. Everything also got a little bigger than it had been:)
Dr. Tuttle at Columbus Wellness Medicine and her staff are amazing. I cannot thank her enough for giving me back this important part of my life. I have since taken a 2nd P shot in October and will comment on additional improvements as I see them.
I am going to post again . In April of 2015 I had prostate surgery that left me impotent. I am 52 years old and unable to have intercourse.This was until May of 2016 when I received the P shot. Within weeks I could ( with the help of Viagra) get and maintain an erection. Everything also got “a little bigger” :).
Dr. Tuttle and her staff at Columbus Wellness Medicine are amazing and I cannot be more thankful for them giving me back this important part of my life
I have since taken another shot in Early October and will post further improvements
Does this procedure offer permanent results?
We don’t know how long the positive results will last–but since the growth factors are stimulating new nerve growth as well as now growth of other tissues, the hope is that it is lasting. Many men see some waning of effects after about a year and choose to have a repeat. However, for some men the positive effects are much longer lasting.
Just got back from my consultation today. Got myself scheduled for a pshot this Thursday 11-10-2016. My current size is 6 inch length 4.75 girth. After reading and researching looking for any real results from individuals who have undergone the prochedure, and never found a solid verifiable source, I made my decision to show myself if it would work or not. Not sure if I can post up an actual cost so I’ll just say it’s over 1000 and under 2000. This particular DR said usually other DRs draw 60ml in blood for the shot and have you come back for a follow up 4-5 weeks later for another 60ml shot then another 3rd shot a few months down the road. For him he said he draws the full 180ml for a one time shot. That way you wouldn’t have to comeback and pay again for follow up shots which could start to get costly. I’ll still come back for follow up shots until the desired size I’m looking for is achieved. (That is if it actually works). I’m really looking forward to it and I’ll update with any progress. Oh by the way, when I do my daily penis pumping, I’m able to achieve a girth of 5.25-5.5 inch girth vs my non-pumped girth of 4.75. No gains in length from pumping. So my goal and what I’m wanting to get out of this whole ordeal is to achieve 5.5-6 girth from the shot so I can also pump to get larger gains as well. If I can get extra length, that’ll be a plus too.
Hello everyone
I have gotten my p shot 3 weeks hoping to improve my erection and the firm of my penis. So far all I can say is my firm of the penis is better but the Strength of it not. My sensitivity is back and a lot better before the procedure. As for increase of length and girth I have not seen any change. Yes I have seen a doctor from the list suggested from this website. Really wasn’t looking for much but I did want to see a increase in girth. I’m average in girth but I want at least a 1 1/2in increase girth. I’m very young in my 20s and don’t smoke or drink. I do my daily pump and don’t go over 5hg on the pump. I stay in between 3hg and 5hg for 10 minutes. I have followed all protocols and nothing has change. Yes I know it’s only been 3 weeks but I did expect to see a little change by now . I have had a talk with my doctor but they said wait little longer and call back in 2 weeks. I would love to hear back from Dr. Charles Runal pls.
The P-Shot® protocol for the pump is a pressure of 5-10 for 10-20 minutes twice a day (not 3-5).
See the previous comment about the time for response. Keep ups posted about your results and thank you for your trust. Do all of this, of course with the supervision of your doctor since details of your case cannot be known through a blog.
Most of our providers give money back if you see no results at all.
Hello everyone
I have receive my first p shot about 3 week ago and only have few things to say. I went to get the p shot to help improve my erection and firmness of my penis plus hopefully some girth gain. So far only thing has improve is my sensitivity. I’m doing my two pump sessions a day for 10-20 minutes at 3hg -5hg of pressure. I know it’s only been 3 weeks but i did expect some gains in girth. I don’t smoke or drink and don’t have diabetes . I’m very young in my early 20s with ED problem. Yes I have receive p shot from one of the doctors recommended from this website. I have talk to them about my progress and they told me to be patient and call back 2 weeks. I will really like to add some inches to my girth and hopefully I see improvements very soon. I would like to hear a feed back from Dr Charles Runel about my situation . Please leave a comment if I’m doing anything wrong.
This procedure is not like a drug that affects the function of existing tissue. For example, morphine does not grow new tissue, it alters the way the existing brain perceives pain.
The Priapus Shot®, on the other hand, causes the recruitment and activation of pluripotent stem cells. PRP used for orthopedic use has full effect at 6 MONTHS (new tissue needs time to grow). Growth takes time and in most soft tissue studies (wound healing, the face, the O-Shot®) the beginnings of effects START around 3 weeks with full effects at 12 weeks.
I had the P Shot February 1st 2016 and it took me a good 4-months to notice increase. I was expecting girth but got length instead. To me the best benefit came from sensitivity gains and spontaneous erections. Going for Round 2 in a couple of weeks.
I also had successful PMMA procedure in October (strictly for girth) and I am happy with those results as well. Not advocating this but it was something I researched and choose to do. Round 2 of P Shot should be very interesting with the PMMA I will continue to supplement, use a pump, eat clean and get my 3 miles of walking in per day. Doing ok for a 60 year old and the P Shot worked for me.
Photos? Why is there not 1 photo of before and after on your site?
Not 1? This leads me to question this procedure.
Photos used to be considered UNETHICAL for any physician to do. The reason…because whatever we show, some may do better or not as well as what we show. Most people wouldn’t believe our best photos. But, some would believe our best photos but then not get as significant results. We did post a few photos about the treatment of Peyronie’s. But, posting photos of the penis growing may mislead some people. Those who are 5 inches or more seem to grow the most. Seems to be a percentage..in other words, what’s there to start with seems to dictate who much absolute growth.
So if average is 0.5 to 1 inch on a 5 inch penis (after 1 to 3 shots) then the average may be 0.3 to 0.6 inches on a 3 inch erection. Does that make sense? I think we see this in the gym in that the man with thicker muscles naturally can usually make easier gains lifting weights but both the ectomorph and the mesomorph only see their maximum potential if they lift weights.
Okay everybody here’s my update, it’s been 4 weeks since my shot. First off, it hurt like hell with the needles. Second, the penis was very sore and I was unable to engage in any sexual activity for about a week, despite all the talk about being able to go home and have sexual intercourse. For those who said they pumped immediately after the shots are crazy, the regular morning erections were very painful when the penis was engorged with blood, and I was unable to start pumping my penis until about a week after the shots. I had very high hopes and really wanted this to work for me. But 4 weeks after….I’m disappointed in spending the money I did for it. I’ve always been a regular pumper, so I believe that the shots and pumping combined for individuals who said they saw results were just individuals who has never done a pumping session before and was mistaking the results of pumping with the results of the shot. I can gain .5 – 1.5 inches in girth just from my daily pumping alone. And if I stopped, the results would go back to normal obviously. With the shots I just received along with my daily pumping (I’m an experienced penis pumper with 15 years and counting), the results are exactly like it would have been if I didn’t get the shots at all. Results are exactly like the results I’ve been getting throughout the years of pumping .5 a 1.5 inches in girth (all temporary). So to say that these shots worked for some, I would say that it was only because they’ve never pumped a day in their life until after this procedure. I have an follow up appointment next month and I might even cancel it since it was a date I was expecting to probably get another shot. Save your money and just buy a pump and pump away. The results are what you would get from the shot plus pumping. Notice how they all tell you to pump and if you didn’t, they’ll say because you didn’t follow procedure and pump like they said. You’re really just paying over a thousand dollars for a sore penis and a pump that you can get for under 100 bucks. Like I said in my prior post, I’m 36, non smoker, healthy and workout 3-5 days a week, 5’5, penis 6inches with 4.75 girth, and after pumping sessions are 6 inches length (no changes) with 5.5 – 6 inches in girth. Results last for about 3-5 hours. Do yourself a favor and buy a pump, get some pumping sessions down to see what kind of results you would get 1st. Then if you’re still adamant in getting the shots, go get it, pump and see if the results are any different then the pumping sessions before the shots.
Sounds awful! I’m sorry you’re not happy.
Here’s a few things to note…
1.Very rare for people to have so much pain that they can’t have sex. I’ve done this thing to myself 8 or 9 times and don’t usually use numbing cream and can have sex after as can the people I treat. The needle that’s used is close to the same size of what’s used when men use a trimix injection (without numbing cream and before every sexual encounter). So, I’m wondering why you had so much pain. Did you have it from one of our providers? (list is here…click) I spend $20,000 per month (sometimes more) shutting down quacks who pretend to know how to do this procedure and hear lots of horror stories about what happens in some of the clinics where the doctor is not part of our group.
2. The procedure causes growth (not like Viagra or something that has a pharmaceutical effect and so works immediately). The growth actually corrects some of the etiological pathology that causes ED. The procedure STARTS to work (with the new tissue) in most men (if size is the goal) around the 3-4th week…so it’s just now time for you to begin to see results. Most men will have a harder and bigger penis the day of treatment but that’s a temporary effect of the plasma combined with the pump. The actual growth starts to appear at 3-4 weeks. When I do the O-Shot® (same idea in the vagina), I won’t even consider retreating until the 8th week so I can see the full effects.
Here’s a whole video about the time frame where I interview one of the urologists in our group (click to watch)<--
3. The procedure does NOT work for everyone for any of the indications but of all the reasons we use the shot, growth is the most unpredictable. It’s the same with hair…some people grow hair like crazy from PRP and some do not. Most people will treat someone twice for hair growth and if no results after the second treatment then they will stop. There’s lots of reasons why that may happen (no results)..hormones being out of whack, genetics, smoking kills the effects (it’s why plastic surgeons won’t do a facelift on someone who smokes..the same growth factors cause healing from surgery).
4. As an x ER doctor, I saw first hand that 1 in 5 people who go in the hospital with pneumonia still DIE even if you give them antibiotics…but 4 out of 5 are saved by the antibiotics–point being that your determination that the procedure does not work for anyone because it does not work for you if applied to other medical therapies would make almost everything we do in medicine without effect…we’d just need to shut down all the hospitals because NOTHING works for everyone.
5. On the other hand, I don’t blame you for being angry if you feel taken advantage of. I’d give it a full 12 weeks, and keep doing your pumping —think of it like a weight trainer that gets stuck and then adds anabolic steroids to his routine…he wouldn’t quit lifting weights and expect the steroids to do the trick, he’d train harder because the steroids would allow a better recovery and more growth in response to the weight training. That’s how you should think of the procedure.
6. Some of the men I’ve treated who have pumped for years have seen improvements in erectile function but not as much with the size (though many do). My theory is that perhaps they’ve already reached close to their max. Still, the effects on erectile function happen in the long time pumpers as much as in the men who are knew the whole routine.
7. Most of the Pripaus Shot® providers will give a refund if you don’t see results. But, they’ll want to give it a full 12 weeks before deciding the results. Only 4 weeks out is WAYYY to soon to make a determination. In the orthopedic literature, the full effect of PRP in the joints is 6 MONTHS to a YEAR. But with the soft tissue studies (scaring, and nasolabial folds, and what we see with the O-Shot® and the Vampire Facelift® and the Priapus Shot® is full effect at around 12 weeks.
Hope this helps! Don’t give up! And if this was done by someone not in our provider group, please let me know so I can shut him/her down. If it’s someone in our group, then let him/her know how you do…none of us want to take advantage of anyone.
What are the clinical trials that show this is evidence based
I have a great respect for the physicians and this is in no way a negative comment. It is my experience and my thoughts.
I got this P shot because I have ED. It has been a month but I see nothing has changed. I know you are to wait 3 months, but I sense it won’t improve in another 2 months. It made good sense to use your own blood to rejuvenate the cells in the area. However, I should have analyzed little further… When we get a vaccine or a flu shot, the liquid gets absorbed in the body ( it does not remain on your muscular area ( shoulder, thigh, wherever you got the shot). Same concept has to apply to these shots (5) you get for P shot. The injection diffuses to other parts of the body and not “concentrate” on the penile area.
Only consolation is the vacuum you get which may be the tool that is making people size larger ( not mine yet). You can get that in any adult store or online. The price for the visit and shot which took little over an hour was over $1700. I could get lot of non-brand pills for the amount.Again these are only my thoughts. I have a doctor in the family, so I am not criticizing inventor nor the physicians who provide this shot.
Do your research, but “diffusion” is the key word here for the shot.
It’s a good question. Platelet-Rich Fibrin Matrix (PRFM) prevents the diffusion. It’s the same thing that keeps the growth factors there when you are cut or scraped. You can see it…the yellow “goo” that’s around a scab when a child scrapes a knee. If there were no way to keep the growth factors in place, then no wound would heal.
The procedure does not work as a stand-alone treatment for everyone and does not help at all in some. Talk with your doctor about other therapies.
Most of our providers will return money if there is no response.
is there a doctor in charleston south carolina where i can get the p shot
Is the pumping protocol the thing that makes the Priapus shot propriety vs platelet rich plasma alone?
Its been 4 months since I had the P-shot and my results have been better than I imagined. As I have posted several times already on this site I am a 57 year old who has ED compounded by BPH and very low testosterone even with using the gel. I was 6.5 inches in length and 6 inches in girth when I received the shot and now I am 7 inches in length and 7.25 inches in girth. I was not looking for increases in length or girth but help with ED. I was very surprised, happily, that I did get the increase in both. My ED has improved somewhat with much better sensitivity and not always needing Viagra to get an erection. I am considering going for another shot but plan to make that decision at the 6 month mark in February 2017. I was pumping twice a day for 20 minutes but now I pump twice a day for only 10 minutes. I prefer to use the battery powered pump as opposed to a hand pump but the model I bought the Elite has broken three times. I am on my fourth pump motor right now. So I have been disappointed with that particular pump. If anyone has a recommendation for a better battery powered pump please let me know. Also, I think with this procedure you have to be very patient and follow the protocol. And my wife has been pleasantly surprised and happy with the gain in length and girth so that’s been a plus. Hopefully my ED symptoms will improve some more. If not I am happy with the results I have achieved.
I am a 67 yr. old and have been doing the injection therapy for ED with moderate success. My real issue is that I have lost nearly all sensitivity in my penis. I have to go so long to achieve climax, that it is painful for my wife, and often difficult for me to maintain an erection for that long. Will the Priapus shot substantially increase my sensitivity? Also, my local reference from your list says absolutely no refunds. This is a lot of money. I am really torn on doing this unless I have more encouragement that it will help me with my problem.
Hi Brad I have the same problem no sensitivity. I have been thinking of trying the Priapus shot. Did it help you much and what was the cost .
Bob here
Hi Robert,
The P-shot can help with sensitivity during erections. Results vary however may also depend on the baseline of your erections currently. Cost also will vary by region of the US but ranges from $1500-$1900 in most areas. You can find a directory of trained physicians at https://priapusshot.com/members/directory. If you have any other questions, you can visit my website at http://www.numoonprp.com or email me at numoonprp@gmail.com
Hi, I’m a 28 year old male who got the p shot yesterday. I had been using viagra/Cialis for years for performance enhancement but noticed a reduced efficacy after a few years. I believe this was due to some damage done to my penis through aggressive masterbation. I Gained a dent of sorts in my penis that was hard and I expected was early Peyronies however 3 doctors I visited could not detect it. My doctor that did the injection could detect something but was not sure it was Peyronies and injected prp right into the site.
Prior to the procedure I had been pumping to help try and stretch that area and it worked well at first however right before the procedure one pumping session caused the bend to worsen and I couldn’t get an erection all day. I can now get a decent erection again and have been pumping at 5inHG. My Dr. wrote 5-7 InHG 10 mins a day. Is this a good protocol? I’m nervous to go over 5inHG because that was the pressure that worsened the bend initially but the last two days of pumping I’ve been fine.
Thank you
Hi Brad,
The P-shot can help with sensitivity for many men as well as improved erection quality. In regards to providers and cost in your area, it may be best to personally call the provider you are interested in seeing and discuss your concerns with them. Good luck and if you have any further questions, do not hesitate to reach out to me at NuMoonPRP@gmail.com or visit my website at http://www.numoonprp.com
Hello, I had the priapus shot about 24 hours ago. Dr. Runel, have you heard of patients finding it difficult to have an erection after the procedure? This has happened to me and am hoping its normal and will return back to my normal ability and then better. Does the PRP thats injected get resorbed into the body or stay in the penis? Its hard for me to gauge the volume of the prp vs swelling.
As a follow up to this.. I only had difficulty for that day. 5 days into the treatment and I can definitely feel a postive change in my performance.
I couldn’t get hard at all during the first night (Lidocaine wearing off I think). And then throughout the first week I had some trouble getting fully hard. It went back to normal after about a week and now they are firmer than pre-procedure.
Joe Black: Immediately after there is so much volume in your penis you feel like a freaking horse. I think because it is SO BIG its hard to get it up. Once the volume and all those growth factors get absorbed into your penis it works like a machine (at least this was my experience). My erections have NEVER been so hard.
Feel like I could cut glass! Hope you are seeing the benifits I have seen from my Priapus procedure.
wheredid you get your shot?
Charlie I had prostrate removed 3-2001 no problem 9-2016 37treatments radation from waist down I was dead 12-2016 p shot 1200.00 4wieeks later I was a lot better with 100mg via. Good things happen.
Charlie,
That is fantastic! Please update us on your results at 12 weeks out. Excited to hear your results.
I had pshot done a week ago and have been pumping daily. Had some bruising, haven’t really noticed any effect yet. I can pump for 3 weeks, but then am traveling abroad and won’t be able to pump. Am I doomed if I stop after 3 weeks (I could possibly resume on week 6).
Pman,
Bruising is normal after any type of injection and should resolve after a few days. If you are not able to continue to use the pump for the remainder of the 3 weeks then resume when you return. There is no clear indicator that not using the pump for the latter 3 weeks will affect your results dramatically however ideally it is recommended to maintain pump use for 6 weeks. You do the best you can with the circumstances that you are given. You may possibly substitute the pump during that time with manual stimulation to achieve erections which is commonly what is done for men that undergo penile rehabilitation from surgeries etc. Good luck and update us on your results.
At 5 weeks the results are good. Erection quality is now very strong and penis has noticeably grown in size. My wife is pleased.
Demographics: 34, Caucasian, healthy and in shape, no erectile dysfunction and no Peyronie’s Disease
Flaccid size pre-procedure: varied at around 5″
Flaccid size six weeks post-procedure: 6″
Erect size pre-procedure: 7.75 x 5.5
Erect size six weeks post-procedure: 7.75 x 5.5
Goals for procedure: primarily sensitivity increase and mild size increase (1/2 an inch more of length and girth)
I decided to give this procedure a try in early January 2017. I’d seen mostly mixed reviews but wanted to experience it for myself. A doctor I have been seeing for over 12 years performed the procedure. The procedure itself was not difficult at all. The doctor extracted blood from my arm, and I was surprised at how much was taken out, but it was fine. Then he had me rub Lidocaine on my penis, wrap it in plastic wrap, and let it absorb for about an hour. I was completely numb and could not feel the needle at any point. He put two shots on each side of the shaft, one on the top of the head, and one in the tip along the underside of the head, and I believe one shot at the base. The whole thing took five minutes. I remained fairly numb for about six hours after the procedure, and had some mild bruising that lasted about a week.
Now onto the pumping. Having to use a pump was the primary concern for me about this procedure. I have never wanted to engage in pumping at all – seems dangerous and time consuming. When choosing the size of the cylinder, be sure to add about two inches to your erect length, because the pump is going to stretch your penis quite a bit. The cheaper pumps were around $80 but keep in mind they accommodate 8 inches maximum of pumped length. If you need any larger than that, the pump prices jump to the $200 range. So if you’re normally like 6.5 or more inches in length, you may need to buy one of the more expensive ones to accommodate for the temporary size increase from the suction. Choose wisely because these devices are expensive and non-returnable.
When I had gotten home, I really struggled with the pumping. I couldn’t get a tight seal, even with a gel insert to help seal it. I couldn’t use that because the pump kept sucking it up the cylinder. When I could get it sealed properly, I could’t tolerate the suction for more than 30 seconds at a time. How people do this daily for 20 minutes I’ll never know. It’s like a torture chamber for your penis. My doctor said I had to do it twice a day for 20 minutes for at least a week, but recommended one month. I did it for seven days, not terribly successfully as I describe in this paragraph. My aftercare instructions stated pumping would increase size but slow the increase in sensitivity gain, so I didn’t overdo it on pumping since I was mostly going for sensitivity.
It is supposed to take 12 weeks to achieve full results, but here is what I’ve noticed so far, six-weeks in:
1) My primary goal was an increase in penis sensitivity. I have noticed a small increase so far, but it’s hard to quantify. It’s certainly nothing dramatic.
2) So far, my penis has had zero increase in length or girth when erect. I am still hoping to achieve even a minimal increase in size, but I’m not counting on it.
3) One thing I can say with certainty is the size of my penis when flaccid is larger. I attribute this to the improvement of skin texture and elasticity that I’ve noticed since the procedure. It increased from about 5″ soft to 6″ soft with more girth as well. The interesting thing is it seems to remain consistent. Previously the flaccid size fluctuated considerably, whereas now it seems to always be the same size.
4) My erections do seem firmer. I did not have any erectile dysfunction prior to the procedure so I cannot say if it would aid with that.
My overall thoughts: If you have $1500 to spare and wanna give it a try, go for it. Again, these are only preliminary results for me. I would say that pumping is essential if you want to obtain an increase in size, but pumping was horrible for me and not worth it. Also, I am skeptical that this procedure itself increases size, because if you have to pump to grow bigger, that would suggest it’s really just the pumping procedure doing all the work. I appreciate the mild sensitivity increase, but it’s not an increase that justifies $1500. I will be 100% satisfied if there is a significant increase in sensitivity in the next six-weeks as a result of the procedure. I think you can expect to see results from this procedure, but from my experience adjust your expectations.
I will update with any improvement or lack thereof after the full 12 weeks.
HI Jeremy, try trimming Back your pubic hair that will give you a better seal. Use some type of lotion also. This is what I do when I pump and have no problem with sealing tube.
G
Hi Jeremy,
Dave here, I had to deal with prostate cancer when I was 53, I’m 59 now, and had to use a medical pump to achieve 5 erections a night for several months to keep the erectile tissues active after my surgury. I went out and bought the best for fear of losing erections all together. $600, was a big price tag to swallow, but I bought it. This unit is battery operated and works great, yes you do need to trim around the base of your penis to get a good seal. More lube is the best means of getting a tight seal. You shouldn’t be over pumping to the point of pain. If you’ve pumped too far, release the pressure valve and back off a little. Over time, you’ll be able to withstand more and more pressure. I had a hard time with it at first, but got better with practice. The prostate surgery did some nerve damage to me, so after 6 years, I still need to use my pump to achieve an erection. I’ve lost a lot of sensitivity over time. I’ve been waiting a long time to find a procedure like this in hopes of giving me some hope of regaining a somewhat normal sex life. I’ve used the Trimix injections, but there’s nothing a real buzz kill like sticking a needle into the side of your penis before having sex. I’ve used 5mg Viagra’s upped it to 10mg, to 20’s now I’m using 100’s with very little staying power. Thank you for the insightful information on P-Shots. I’m going to investigate further. OH by the way, after 6 years of pretty regular pumping, there hasn’t been an size increase in length or girth. Kinda disappointing to say the least.
Dave
Hi Jeremy Bob here I have been thinking of trying the shot . Thanks for the info.
No problem. I’ll update again after the full 12 weeks.
I am 72 and have been in good health and physically fit, I lost my prostate due to cancer 14 years ago. The effect was devastating due to serious erectile disfunction. This last year things became unbearable due to very low testosterone. I am getting hormone replacement therapy and things are improving but still poor. I can get a partial soft erection at best. Am I a good candidate for Priapus shot?
Bruce,
You may be a candidate for the P-shot. Although, nothing is 100% many men have had significant improvement in Erectile dysfunction with PRP and the P-shot. You would still need to maintain testosterone therapy to optimize overall sexual health. Also what I have noticed more so with my patients is that when partial erections or erections are significantly impaired that more than one injection is needed. Think of it as your baseline is not the same as someone who has good erections and wishing to maintain function and improve on that. Visit my website at http://www.NuMoonPRP.com for more information or you can email me directly with other questions at numoonprp@gmail.com
I’m having great success with these for penis enlargement. I’ve had 3 shots – each 4 months apart … followed by a daily pumping regime. To date, I’ve gained about half an inch in length (up to 6.25 inches) … and significant girth (close to 6 inches now). It’s the thickness that women seem to be really loving.
Did you gain length in flaccid state or erect state? I’m hoping for some flaccid gains since I’ve got retraction issues.
Who did your shot
mqaybe I need more than one shot, because I had no change..
Maybe, and it could be something else. Listen to the following information, then contact the physician who did your procedure…
Dr R-
Should pumping be limited since it can impact sensation. I am interested in knowing if the P shot for sensation and ED can be impeded by pumping.
Thanks.
I did listen, and don’t smoke, the doctor learned from you and your training videos? Not sure he has much experience at it? So I have no idea if it was done right, he says yes.. any recommendations or good doctors in Massachusetts ?
Looking for advice.. I’ve made an appointment to get the pshot next month but I’m wandering what things can help or hinder obtaining the best results. First of all, does being overweight have an adverse effect on optimal pshot results? I’m 6’1″ 256lbs so I am a bit overweight..would losing weight first help in getting optimal results? Also what things, if any, can I be doing to prepare for the shot? Things like drinking plenty of water and eating foods or taking any supplements that might help in increasing my red cell/ platelet count? Also any thoughts as to other supplements to use in conjunction with the pshot like an hgh releaser such as Genf20 or using dht cream? Thanks.
yes try to increase your red blood count with vit k, folic acid,b 12, zinc, vit d3, pycnogenal. no asprin or n saids 10 days prior and 10 days following. testosterone level of at least 800 for best results. i am also using thymosin 500 beta 3 peptide.
I currently use the bathmate penis pump. I am getting the pshot later in April and just wandering if the bathmate will suffice as my pump post procedure.
It’s a good pump–that’s for sure,,,and much better than not using a pump at all. HOWEVER….I prefer a pump where you can measure pressure. If you use a pump without a pressure gauge, then you really have no way of knowing what you’re doing. I’ve found that most people who start using a pump with a gauge and putting the pressure up to between -7 to -10 find that the vacuum at that pressure is greater and more effective than what they saw with the Bathmate®.
What pumps/brands/models are recommended? What pump do you recommend for your patients? Are there good manual pumps out there in the 100$ range?
LA pump cylinders work very well.
Just a warning to anyone wishing to order from LA pumps:
Currently there is someone listed on the internet as LA Pumps Australia. The site goes into detail regarding how Australia is the “home” for LA Pumps, and how they now have a “distribution center” in California.
This is a scam. I tried to order, and eventually was in contact with the actual owner from California. He explained to me that while initially there was a working relationship, it has been long discontinued. He further explained that if you want an LA pump you should use the one in California and avoid all association with the alleged Australian site.
You can get a great automatic electric pump on Amazon for $28. It’s fantastic. Use Vaseline around the rim and at the base of your penis for maximum suction.
Hello Dr., I hope you are doing well!
I want to know if the P-shot can restore erectile tissues after an implant removal. I was healthy before the destructive implant, i don’t know how did I agree to it when I didn’t need it but I had no idea what I was getting into and what it was for, it was not for me!
The criminal doctor WC from MHB lied and manipulated me because I only had a mild ed which was mostly psychological so he said that with the horrendous device I would not have to worry about anything. I had natural erections and my penis was perfectly healthy prior to the implant and now it’s destroyed, had I known about the p-shot before or the destructiveness of the horrendous device I would have never accepted it and I would be so happy now but unfortunately this is the situation now. He wanted to maximize his profits and never cared about me.
I didn’t deserve an unnecessary mutilatiion, I am only 37 years old and since the surgery live in permanent pain, I can’t walk or do anything and can’t even use it so thank God I have my removal surgery scheduled for April 19, at least it’s not infected… and now I’m desperately seeking a solution to undo/minimize the damage and all my hopes are on the PRP. Your input will be very helpful tu determine next steps and calendar
Thank you in advance
Hello Dr. Runels
Can you please share your insights/experience regarding a case like Paul’s. P-Shot effectiveness to regenerate tissue after implant removal.
Thanks.
Here is an update to my post from February 19, 2017, where I recount details from six weeks post-procedure. The following is an update to those results now at the full 12-weeks:
1) My primary goal was an increase in penis sensitivity. At 12 weeks, there has been only a minimal sensitivity increase. It’s hard to quantify, but I would say maybe 10%, which I attribute to the improvement in skin texture. The increase is so minimal that it may be better accounted for by placebo effect.
2) My secondary goal was just a small increase in erect size, maybe half an inch of length and girth (pre-procedure size was 7.75 x 5.5). At 12 weeks, my erect size is exactly the same as it was pre-procedure.
3) At 12 weeks, my soft size increased minimally (from about 5″ to about 6″ post-procedure), which I attribute to improved skin texture. This was not a procedure goal.
4) At 12 weeks, my erections are the same as they were pre-procedure. Erection improvement was not a procedure goal.
Overall, the only results I saw from this procedure was improvement in skin quality, slightly and only mildly increasing sensitivity. That’s it. The post-procedure recovery documentation provided by my doctor stated that pumping for 1-3 months provides size increase, but that it would decrease the results for sensitivity (see my previous post for my issues with that). Because my primary goal was sensitivity, I only pumped for one week, which was the minimum my doctor recommended. My guess is that the size increases people are reporting are obtained purely from pumping, not this procedure, in which case, just buy a pump and save yourself $1500, since a consistent pumping regimen has already been proven to increase penis size. Not having pumped significantly, I would have expected more of a sensitivity increase, but it did not occur. I had minimal expectations prior to this procedure, and overall I would say it was a waste of money.
I’m grateful for your honesty. When a procedure is new like this, the text book is the patient until we have more data. The usual progression for a new procedure is 20 years before it’s widely accepted. The first heart cath was done in the 1940’s (and the procedure was not widely accepted until the 1970’s).
I have a couple of comments and suggestions after reading your comments. First, I agree that if the main goal is sensitivity, then you are right to not use the pump…which seems to hinder the growth of the nerve tissue (though this is observational and not backed up by a formal study). The downside to not using the pump in that undergoing the Priapus Shot® procedure and not using the pump is like taking anabolic steroids and expecting to develop your best physique without lifting weights; for best muscle development, it takes both…weight lifting and a good hormonal support and if you want to be a professional NFL foot ball player, you’ll probably need to do both. The men I know who played in the NFL told me that there are only 2 kinds of NFL players–those who use anabolic steroids and those who lie about it. But, they also work out like warriors and lift weights to a point that would be beyond the discipline of most men.
So that you did the shot and did not use the pump, would make it less likely that you would see growth.
On the other hand, the fact that you DID see an improvement in sensitivity at 12 weeks that you find difficult to quantify says that you DID see some benefit. Also, it’s been only 12 weeks (which is a short time to grow nerve tissue…which is VERY slow growing). The people I treated for loss of sensation often have 2 and 3 shots over a period of 6 months to a year before they feel like things are back to normal.
In the orthopedic literature, the full effect of using PRP on bones and joints is 6 months to a YEAR! So, it’s way to early to give up hope after only 1 procedure and only 12 weeks.
The fact that you saw any improvement at all qualifies as a near miracle considering there is nothing else out there that grows new nerve.
So, if you want full sensation back, I’d say don’t give up but give it more time and maybe have another Priapus Shot® or two. There’s no downside to waiting another few weeks or even months before you have another procedure.
IMPORTANT: Part of the formula also involves the cause of your loss of sensation. If it’s from an injury in the back or spinal cord or the brain (back injury, or stroke, or herniated disc) or from diabetes that’s affected nerves leading to the penis or nutritional problems (like B vitamin deficiencies), then improving the nerves of the penis will not help you regain sensation. The P-Shot® does regrow new nerve and we have animal studies and studies in humans showing that PRP does grow new nerve tissue (some of them modeling prostate surgery and damage to the nerves of the penis (click)—but the P-Shot® canNOT regrow nerve in an area other than where the shot is given (in the penis).
So, if the reason for the loss of sensation with you is somewhere other than the penis, then I’d stop getting P-Shots® and look for other therapies. But, if the etiology is within the penis, then I’d consider seeing how things are going in another month or 2 and then have another procedure.
I’m very grateful for your comments and I hope that this helps you decide on the next steps to take.
Hi.
I just received the pshot and I wanted to know what is the amount of prp typically injected? Is there a standard protocol for amount injected? I’m just curious since I didn’t see anything noticeable post procedure as if nothing was injected.
You should receive at least 10 ml of PRP and should follow the procedure immediately with the pump for 10 minutes to retain the PRP until it turns into platelet-rich fibrin matrix (PRFM). Perhaps, the pump is not needed post procedure in every case, depending on your situation as determined by your physician and you—but you should always receive at least 10 ml. Also, the provider should be listed here (click)…if not, then the person may not understand how we are preparing the PRP, may not be using a device that’s approved for preparing PRP for re-injection back into the body, & may not understand how we are injecting the PRP. The Priapus Shot® name is protected by US Patent & Trademark law and is intended to refer only to physicians who have been trained and understand our methods. Any provider who uses that name who is not listed here (click) may be an amazing physician…but he/she is NOT ethical because they are pretending to be part of a group that he/she is NOT a part of. So BEWARE of anyone advertising our procedure who is not listed here (click).
Oh I see. They don’t offer pshot in my city so I had to drive about an hour to get the shot. I did pump when I drove back home but it was a bit over an hour after the procedure.
Hi
I did go to a facility that was on the list of providers of the pshot. I had a brief consultation and then had the procedure done. The doctor performing the shot stated that the use of a pump was highly recommended but she didn’t actually require the use of one and the facility didn’t even provide a pump. She certainly didn’t tell me that I had to use a pump immediately after the procedure. After I drove home about an hour or so later, I did use my bathmate pump for about 5 minutes. I was still numb from the lidocaine so I didn’t want to pump too long or too hard. Based on your response regarding PRFM, I’m just worried that the procedure didn’t follow the appropriate protocol and that it will be ineffective.
Hello,
I have a question that has not been asked to my knowledge.
You mentioned that smoking negatively impacts P shot success. Does medically once a week vaping cannibis have the same effects?
Thank you.
I am 34, and have trouble maintaining a hard erection. Long enough or hard for intercourse. I have my appointment on Tuesday for the shot. The problem is not in getting turned on or libido but maintaining my erection. Will the shot really help? Be honest and truthful. My urologist is also having me take 20mg Viagra?
M.P982, I have had the Priapus Shot and have had really awesome benifits. Also… Not sure if this will help you but I deal with this sometimes too. I will be thrusting and in the throws when i feel things slipping away… What I have seen work for me is to flex to exhaustion. Pecs or calves depending on position. Gets blood flowing and makes you feel primal. I always finish now that I found this trick. Hope you see the same. You should get the Pshot too!
Hi there i am just wondering if this treatment will help with male lichen sclerosus on glands and forskin. Its a very depressing disease.
Absolutely! Problem with treating lichen in men surgically (which usually occurs on the foreskin) is that it can recur at other places on the penis after the surgery. Here’s where you can see before and afters in women with lichen. Here’s where to see the pathology microscopically before and after (click)<--.
Of course NOTHING works 100% of the time. But, we are seeing absolutely amazing results with the the treatment of lichen with the O-Shot® procedure in women and the Priapus Shot® procedure in men who suffer with lichen sclerosus.
Thank you doctor very much for the reply and links.Those before and after pics are an amazing improvement,its like its been cured.After using clobetasol propionate for a few years which did help halt the disease and kind of improve appearance,i still have a loss of sensitivity,glans are a pale colour than they use to be, slight fusing inside tip of meatus .and weaker erections. I will definately make consultation with one of your providers in Sydney .I will happy if i get any improvement at all. Thanks for the hope yours sincerely Roy
Let us know how you do.
I had the priapus shot and I truly regret it.My penis feels rubbery.My erections are less hard now.I think the pumping did the damage.i did the pumping at the level the Dr recommend.Will my erections ever feel normal again?Is there anything I can do? I am truly in fear and very depressed.
You are correct that sometime over use of the pump can cause these sensations. Almost always temporary (like over training with weights). Always better to under-train and work up. Good news is that the PRP in the Priapus Shot® should help recovery to a place better than when you started; just like the way you may feel weaker than normally after a hard workout of your muscles, but then you recover to a stronger state.
1. Be sure to let your physician know (since nothing takes the place of that). And..
2. Read and listen to everything on the following page (click)<--
There are also many good forums on line about penis pumps with good tips about protocols that work.
Keep us posted with your progress.
Dr Runels … What pumping regime do you specifically recommend? Thanks. Warren
I had the shot about 8weeks ago. What is the best method to gain girth? I can say I believe I have gained about .5 inch in length and about .25 in girth. I follow the regime suggested. I would like at least .25 more in girth
MattMan33: when you pump are you filling the tube from side to side? If you are, you probably will not get any more girth and may want to get a larger tube. I’m no doctor, but it makes sence that the tube is restricting your growth. I am only interested in length and keep using a smaller tube so that it can physically only go longer and not thicker. I have gained and extra 1.5 inches at length and pump occasionally to keep it up.
Hi Dr. I’m 32 yrs old and started having erection issues around Jan I thought it was physiological but the oral meds didn’t work viag cialis etc i have a Dr that prescribe me trimix it worked the 1st couple of times then it stopped working i do t know if i used it to much and messed myself up but I’m on my 3rd different kind now I’m using quad mix and that’s not working I’m using 45cc of quad mix ill only get a chubby not a full erection at all I’m scared my penis is dead forever i was a 2 time a day sex machine an this kinda happened over night can the p shot restore the penis back to normal so I can have erections with out meds? Even tho the meds don’t work either I’m scared and confused I’d never wish this on my worst enemy please help me
Hi Walter, I have been a regular user of trimix for many years and then having absolutely great results with it. I can understand how it would have stopped working for you. Did you try different spots on your penis for injection.? I have found that changing sides and different points makes a difference. if you inject in the wrong spot sometimes nothing happens.
Don’t expect 2 inches … that’s largely a “wives tale.” 1/4 to 1/2 inch length gain (with pumping) is more realistic. But expect a more noticeable impact on girth. Pumped length may expand more, but the 1/4 to 1/2 refers to actual erection length change.
Dr Runels. I have had three of the pshots for the curve in my penis , this was performed by the Raleigh clinic for men in NC they advertise the pshots for my condition with online videos so since they were close to me I scheduled my appointment for consultation and was told by the manager it would take 3 shots and my penis will be straight,well not the case and now I don’t think they had any training from your team because they didn’t do anything like the procedure discussed for your pshot and I just so worried now because i have severe Ed.would you be so kind to check and see if they are license with your group,I really feel that I was scammed by them and not sure what I need to do please try to help me.i can’t find them on you list of doctors.
No procedure is perfect, but anyone not on the following list is an imposter who may be doing an inferior procedure or even causing harm. At the very least, they are breaking the law by pretending to have studied the training materials of our group and to being a part of our provider group when they are not.
Here is the list …
https://priapusshot.com/members/directory
If you do not see your provider on that list please provide a link to their advertisement or a photograph of their advertisement and our lawyers will contact them. You may also have legal recourse to discuss with your own attorney.
Here is our contact information…
email<--
I would like to know if prp shot can help me with penis 30 degrees curvature as a result of peyronie’s disease. I do have erections and sensitivity.
to clarify, PRP shot and Priapus Shot® are not equals. With the Priapus Shot® we are seeing wonderful results in treating Peyronie’s. More info on this can be found here: https://priapusshot.com/peyronies/
PRP shot is not the same protocol and may not be safe. Be sure to see a certified provider found here: https://priapusshot.com/members/directory
What is the difference between the PRP shot and the Priapus shot? I thought the Priapus shot was injections of PRP.
Can you clarify what you’ve said above?
The way some physicians prepare PRP is not safe and does not use FDA approved devices (non-FDA approved devices are cheaper but less effective, for example some physicians will just use the lab equipment that was made to analyze blood, not devices that were made to prepare PRP to go back into the body.
The way the PRP is injected varies tremendously and can affect the results and how much it hurts. The providers in the Priapus Shot® provider group have agreed to follow a particular protocol that is constantly being re-evaluated by our members which include internists, urologists, interventional radiologists, and endocrinologists, and age-management/gerontologists.
PRP simply implies anyone’s definition of what they intend to inject into your penis (there is no consensus). The Priapus Shot® procedure implies a method that includes how the PRP is prepared, the anesthesia, the pre- and post- procedure instructions, who we treat and who we don’t treat. And we are constantly evaluating the whole method to see how to make things better.
The Dr. advertising “PRP” is like the person advertising “beef” without telling you if you’re about to get a rib eye steak or a cheap hamburger that’s 1/2 soy and 1/2 beef. PRP simply indicates a general idea of what the ingredients may be. The Priapus Shot® procedure is only legally used by our providers to indicate a method of preparing and using the material. Nothing guarantees healing, but having some quality controls increases the chances of success.
After the getting the shot, I plan to be off work a few days. Would it improve the results if I pumped more than twice a day? Maybe every two to four hours at lower pressures?
over pumping can be counterproductive. Stick with what your certified provider has recommended.
Question about insurance.
I have blue cross shield as well as tricare
Raleigh Clinic for men stated that they dont accept insurance but insurance MIGHT pay as reimbursement.
Any thoughts on this or other issues positive or negative about insurance coverage?
Hello Dr. Runels
I have got two Pshot and had no results. But I can say my sensitivity have improved. I did the procedure to fix my ED problem. Recently was diagnosed with Low Testosterone and should of have that tested before the Pshot. I was wondering was it that I had Low Testosterone that the procedure didn’t work? Plus I’m on my early 20s and also wanted a increase in Girth size.
Hello all! I am a certified provider of the Primps Shot procedure. The name of my practice is Jarvis Family Medical Services located at 8134 New LaGrange Road Suite 100, Louisville, Ky. 40222. Office (502) 822-3659. Website: http://www.jarvisfamilymedicalservices.com. We have next day appointments.
Just had my first treatment of the Priapus Procedure (Peyronie’s) at the indianapolis mens clinic and at the least was very impressed with both the professional staff and the procedure itself. So far, so good with no swelling or pain at all. Will continue the journey for 6 weeks and return for the second treatment and see what happens. Good luck to all and if you do have an issue, get it looked at by a professional.
I am about to have the P-shot procedure, and have a couple of questions.
My purpose is the possible treatment of erectile dysfunction.
– I have some damage possibly due to type 2 diabetes, although my A1C is now near optimal after diet and exercise.
– I have been undergoing testosterone replacement therapy, and after my first month have gone from clinically low (near 200) to 1400. My free test was 39 for my follow-up.
– My erections are weak, or when on occasion stronger, unsustainable. I had great results with Cialis, but took myself off Cialis during the first month of test replacement therapy, for the sake of minimizing drug input, and to see how my body reacted.
– I suspect venous leakage, although it’s possible vascular disease is involved. Given that during my time without Cialis and the reintroduction of testosterone to my system there were spontaneous erections (sometimes quite firm and lasting, other times less so), I’m more inclined toward venous leakage. That is, however, an uninformed opinion.
My questions:
– Since I am about to undergo the first P-shot, should I take Cialis prior to receiving the shot? Will the increased blood flow help facilitate guiding the PRP toward the areas I hope to address? Or will this make no difference?
– Since ED via suspected venous leakage is my primary goal at this point, will having the injection sites lower on my penile shaft, perhaps near the base, make any difference in how the rejuvenation factors (if any) are distributed? Target the site, as it were?
I am looking at this as an ongoing process, and even if this treatment “works” for me, plan to have at least two more P-shots in order to help facilitate healing of the tissues. I feel it would be unfair of me to get one and write it off as a failure, given the state of my penis currently. I wouldn’t quit the gym after two months if results weren’t as great as I’d initially hoped.
the normal PRP procedure is 5 injections 4 on the shaft and one on the head of the penis. If you are are suffering from lack of sensitivity can you get more that one shot to the head of the penis?
How long does the p shot last
Hello, I had the p shot 3months ago and very happy with the results would my results get better with a booster shot? And how would the results be with exercises along with the recommended pumping?
Thanks!
I have found 1 every 3 months works well for me. Kind of expensive – but I love the extra girth. I pump about every other day – about 10 min a session.
So odd question im taking an anabolic steriod called equipose and it increase the bodys red bloodcell count more than any other steriod. Will me having a very high redblood cell count increase my benefits in the p shot?
Hi, I got a P-Shot today. Can one wear a mild stretching device for a few minutes instead of using a vacuum pump? I have considerable swelling and vacuum pump may add to it.
Hi, I have a few qestions I hope someone may be able to answer:
1) Is there any risk of the needle hitting and damaging nerves, like the cavernous nerve or dorsal nerve, in the penile shaft?
2) How close to “problem sites” does the injction need to be in order to be effective?
3) Do you need to use a vacum pump if you only want to addess ED issues and not penile size?
4) Does PRP treatment truly regenerate tissues like nerves and blood vessels or does it just give you a temporary boost in potency?
5) Does the PRP treatment have the ability to regenerate tissue that might have been damaged for a long time (many years)?
Thank you
Hi,
Is there any risk that the needle may hit and damage any vital nerves in the penis, like the cavernous or dorsal nerve?
After you have the shot how long should you ideally pump for each day?
I’m anxious to hear the answer to this question
DR Runels
Is there any contra indications for patient’s with autoimmune disorders such as those with c-anca vasculitis .
Here is my situation. I received the p shot from a provider listed on this web site about 9 months ago. I have seen absolutely no improvement in erections and no gain in size. The provider told me not to use the pump for 3 days due to soreness and swelling. Most other posts on this site says to pump immediately after the injection. My question is could this be why I have seen no improvement?
Hi Doctor, question, could the BathMate be used as a pump? Can we expect permanent growth from PRP and pumping? Thank you!
I am exploring the combination of GainsWave treatments with the Priapus shot. After 6 GainsWave sessions I followed with a Priapus shot. I can tell you that the combination is impressive, far more of an immediate result than with the Priapus shot alone (I have had others prior). I consider the Priapus shot a type of “tune up” that can be considered now and then, but I now firmly (no pun intended) think combining the two protocols, if you can, will provide the optimal result. If in NYC, you can’t go wrong with Dr. Liakeas on 57th for the P-Shot. Great needle work and demeanor. I am not knocking the P-Shot alone, just that this combo seems to be an impressive way to go.
I just had the P-shot and the doctor did not use the pump immediately after the injections and said she had heard that you should wait for 7 days after the procedure to start using it. Is this correct?
From one of our providers? You should use it starting the day you have the procedure. Perhaps your case was something different. Just be sure anyone who does the Priapus Shot it is listed on our provider list… otherwise there’s a good chance they will tell you something that may not be effective…
https://priapusshot.com/members/directory
Yes, it was from one of the providers listed. It was done in Brentwood, TN. She said she had heard from another provider that the newest recommendation was to wait 7 days.
Will waiting 24 hours to pump negativity affect the procedure?
I’ve thought about gettting this shot but if you read all the comments on this site they are all about the issues every guy is having, questions about the procedure and some very limited not so positive reviews. Out of all the reviews I read one positive review, makes me really hesitant to even consider this further. Is there anyone with any positive reviews? OMG, if this really works someone needs to post.
I can tell you this. I have had the shot (about 4 over the past 3 years)_ and I swear by this. I had prostate cancer and the surgery and Im like and 18 year old now. It really worked for me, thats all I can say.
Dr Charles
What is the recommended pumping procedure for the best results? I am getting ready to take the second round of p shot and want to make sure to get the best results possible.
When you have zero function of the dorsal nerve endings penis / sensacion, can the priapus shot do anything to regrow ?
I had the shot one week ago. I’m 61 years old, married, but no sex with spouse as she has refused me for over 5 years. I masturbate 4 to 5 times a week. I had the shot to increase sensitivity and hopefully size. Before shot was 3.5 inches erect with about 4.75 inches girth. Have been pumping 2X per day. Girth now about 5 inches with no increase in errct length. No noticeable change in sensitivity. Will update progress in two weeks.
Hi can you tell me if the P shot works, for someone with primary hypogonadism in both testis please.I have kept both testis and are in the right place and i am on HRT treatment.
Are the results permanent (growth,length,girth,healing tissue,new blood vessels etc) after the first shot would they stay for ever or have to go again and again
Dr Runels,
Background:
53 year old male
HRT for 3 years
HRT was not helping w ED. Made things worse.
Discovered aromatase was issue w E2 getting to 60-80
Taking Anastrozole to control E2
Better but still sporadic regarding ED
PDE5 alternatives quit working a couple of years ago
Sleep apnea for 10 years plus just now getting proper treatment
AHI around 5 with mouthpiece (CPAP unable to use)
What are odds P shot helps w ED?
D
Dr. Runnels was wondering if I pumped the day of the procedure will I make my results from the p-shot diminished?
Thank you G.
I have taken the P shot a few years ago with one of your providers in Florida hoping for size gain. However I got zero results, therefore I was researching the reason.
And now before I go ahead and try it again, I have the following questions:
1- I have read some of your comments that it is advised to take some supplements before and maybe after the procedure. DO I need to take ( CoQ10, Vitamin E, Vitamin C, B-complex, Collagenases & Cialis/ Trimix) before? if yes for how long? and will the physician prescribe that for me?
2- I read on one of your comments, that PRP can be mixed sometimes with Hyaluronic Acid ( which is used as filler for enlargement by some doctors), do your providers mix that? if yes, can the dosage be increased for more results?
3- Can the injection be mixed with collagen as well?
4- Some doctors who perform enlargement using injection, they do inject below the lower part of the hidden penis part, to help achieve more length, are you and your providers doing that already? if not, can this be done? as they claim it helps.
5- Is the use of DHT ( Dihydrotestosterone ) cream or supplement before or after the procedure help for better results?
Thanks
71 y/o overweight but in otherwise good health BMI=35, taking valsartan/HCTZ 320/25 QD and vitamins. Doing kegels regularly. Mild ED and failure to maintain to orgasm during sex. No problem with self stimulation. Would p-shot help and is improvement possible without the pump regimen?
why are their nocomments from patients with peyronies on here very frustrating for those of us who have it and are considfering this prosedger
Have peyronies and getting a p shot this Thursday
Well how did it go? I have the same condition!
I m considering this procedure. How has it gone for you so far?
How did it go ?
Have you gotten any results? I have peyronies too..
It didnt help me with peyronies i was relly hoping it would!
@Anonymous… You should add Shockwave therapy to the treatment you’re undergoing. Peyronie’s can be difficult with a one time P-shot. It’s a stubborn condition that needs a multi-faceted attack. It’s like hair loss.. vitamins alone or PRP alone or Rogaine alone will never cut it. I utilize a Priapus Shot (high platelet concentration) then 6 Shockwave treatments over 2 weeks, then an additional priapus shot at the end. Although not the least expensive procedure we do, there can be nothing more satisfying helping someone overcome this condition. I’ve had several success stories rather quickly with this protocol. We’ve had Shockwave for several months now. Regards Tom
I can’t agree with this strongly enough. I had mild Peyronies after prostate surgery at Stanford in 2015. My doctor in Austin has been combining P-shots with Gainswave (6 treatments with both so far) – plus daily pumping. Curvature is gone, and my erections are better than before surgery (length, girth and sensitivity). Went from 6.25″ before surgery, to 5.75″ after surgery, to 6.75″ (and much thicker) now. Its like getting a new “sexual life.”
How long did it last. I had p-shot on its own and te results were great but only lasted like 8-10 weeks
Usually, the full effect is not until 8 to 10 weeks. This is an unusual response. I would go back to whoever did the procedure and discuss it with them. Platelet-rich plasma triggers cell growth, with the full effect between 12 and sometimes 18 weeks. If something was fading at the time it was really supposed to start working, there’s some unknown factor that your physician should think about.
I just completed this procedure a little Expensive but Will Worth it if you have the money to Spend
If you live in or near Austin Texas you defiantly need to go see Dr. Emily Porter in Leander at WrinkleFree MD Med Spa & Wellness Clinic. I would like to share my experiences with you about Dr. Porter and her staff and the p-shot. I am 66 years old and thought my life enjoying a woman was over. A friend of mine recomended Dr, Porter and Well Med to me as a possible solution to my ED issue. Little did i know the amount of care and continued help i would receive. Dr. Porter and her staff are the best i have ever encountered and her professionalism is second to none. The procedure was painless and the results so far have been awesome. However that pales in comparison to her personal help in answering the multitude of questions i had. She has answered every one of my emails (and there were a lot) in a timely and with great compassion providing me with the information i needed to become a functioning male again. I can’t thank her or her staff enough for this help. I HIGHLY endorse and recommend the procedure and her to anyone that needs help with an ED issue. It is an experience well worth the time and money. If you are in a similar situation or just want to be better call now and schedule a consultation. They are trully life changers.
James Griffith
What was the cost of the P-shot?
Pricing is pretty standard across the country by all physicians listed on this site. Some include pump, some don’t. All should have a money back guarantee. I charge $1500 and include the pump.
Did Dr Porter increase size as well??
I had peyronie’s and cured it using acetyl l carnitine, it works.
Just had my second shot. The first one added firmness and about 1/8 in length and 1/4 in girth. I’ve ed for about 30 years off and on. I highly recommend it. I use in conjunction with viagra and pumping.
Did you gain any sensation or was that not a problem before?
That sounds like a great result! Have you tried daily Cialis? Lots of men get great results with that, and there’s more spontaneity. Also getting great results from low intensity shockwave therapy, i.e. GAINSWave.
It has been 3 weeks since I got my second rounds of shots. My first was about a year ago with absolutely no gain in size or performance. I have been pumping 3 times a day for three weeks and have gained approximately 1/2 in length and 1/2 in girth. I hope this is permanent. I will keep everyone posted as time goes on.
What was your size before?
Is it worth the effort and cost
I’ve had 7 Gains Wave treatments and the P shot in conjunction with the GW treatments. I’ve pumped 1-2 times a day for 3 months. I’ve had no results whatsoever. My slightly inflated size dissipated and I’m right back to where I was before everything. Huge waste of money.
tragic. it does happen, and honestly, I cannot figure out why. I estimate that only around 60% of the people we treat see 1/2 to 1 1/2 inches of size increase in girth and length. Unfortunately, it also seems that growth takes place more easily in those who are already larger. For example, it’s pretty easy to get 5 to 5.5 or 6, & to get 6 to 7, or 7 to 8–but it’s very difficult to get 3 to 4, or 4 in length to grow to 5.
As for things going back to the way they were–that’s also true. It’s really not fair, but anyone can workout like crazy to get an extra 5 pounds of lean muscle and extra strength, and then when you quit working out, IT GOES AWAY FASTER THAN IT TOOK TO GET IT! The only exception is in a young man who’s growing anyway, he will keep some of the strength after college football even though he doesn’t weights with his new after college job.
The same with the P-Shot®–in that some of the changes may be permanent, but without continued attention, gains in size and erection quality will go away. At the extreme we can do P-Shots until we are blue in the face but if the man is smoking and not exercising…this is not a magic shot that makes up for that.
What we can promise (as P-Shot® providers) is that if your provider determines that you’re a candidate, that we can give you the best chance of your best penis, and then on-going attention to overall health of the body (nutrition, aerobics, mental attitude, hormones, and perhaps periodic P-Shots) help you maintain that.
Nothing is permanent. In 100 years, every penis (attached to every person reading this blog today) is dirt. But in the meantime, doing a P-Shot® periodically together with everything else on this list (click), will give you your best penis.
I had similar results, they should tell you its only effective in 60% of guys..
David,
That is unfortunate. I offer both GAINSWave and the P-Shot (and am a trainer of both procedures). We have about 85-90% efficacy but again there’s the 10-15% it doesn’t work for. Patient selection is everything, as is patient compliance. For example, if you have diabetic neuropathy or are on dialysis, probably neither procedure will help much at all so I wouldn’t take your money. If you are a good candidate, it’s important to have realistic expectations. I tell men undergoing combination therapy (meaning they have moderate to severe ED to qualify), that they can expect some improvement, but not a cure. For example, if Viagara doesn’t work for them, after therapy it does work. Or if they need 100 mg, now they need 50 mg. If they’re on a low dose, now they can go off it or use it only sporadically. I have had many men reporting nocturnal erections and increased sensation, and men that couldn’t even masturbate be able to achieve that. Those same men aren’t suddenly porn stars, but they’re better off than they were. And they have to do their part to exercise, maintain a healthy weight, cease tobacco use, and minimize alcohol intake as well as get maintenance treatments every 6-12 months. I am sorry things didn’t work for you despite your compliance and I wish you the best of luck.
-Emily Porter, MD
@Greg… Careful with pumping “too much.” usually 2x/day, separated by at least 1 hour should suffice. Also, if your pump has a gauge, do not go solely by that. the gauges can go off zero rather quickly with even the slightest bang. always go by how you feel. if it hurts, back off. trim the hair as well to get better seal to the skin. Regards
What was your starting size?
Doc, has there been consideration of using trimix or similar immediately post pump, post injections? Seems to me it may help maximize keeping the PRP within the CC?
Just diagnosed with BXO, and I am interested, as steriods help but I don’t seem to be able to tamper them down. Is the treatment the same for ED and BXO. I suffer from both. But I am most interested in treatment for BXO. Do all doctors that perform this procedure have knowledge of BXO?
I received my first P shot for BXO. I have noticed some improvement in first two weeks but wondering when inflammation will go away. Also, how long should I wait for second round of shots?
I had the p shot a year ago and never noticed any growth ? I did pump for a few weeks after , so I think each individual has different response to it from what I read.
Pete,
BXO is a chronic inflammatory condition that has no cure. The goal is to help suppress it. I have seen it so severe that I did an emergency procedure called a dorsal slit when I worked as an ER doctor because the man couldn’t urinate due to the urethral meatus (pee hole) getting too tiny. It’s like a botched circumcision and not fun for either one of us. I would recommend a 2nd P-Shot within 3-6 months of the first one, i.e. now, and then repeat until you see no more improvement. You may repeat every 12-18 months, or when you see things start to come out of remission. I treated a woman with lichen sclerosus (very similar to BXO) with an O-Shot over a year ago and she had complete remission and has not repeated the procedure yet. Also, if you use any steroid creams or antiflammatories in the immediate post-injection period and for a couple months after, you may not get as good of an outcome, so consider that when you repeat.
Best of luck.
Emily Porter, MD
Dr. Porter when you get the P-shot and your penis grows a inch or 2 and after let’s say 8 to 12 months when it starts wearing off do you lose that 1 or 2 inch’s of penis growth ??
Anthony,
It depends, really. I’ve found that people who continue to pump daily or at least several times a week, what Dr. Runels refers to as “penis yoga,” tend to not lose the changes in size as quickly. In an ideal world, you’d do a maintenance P-Shot every 12 months or so, and it would never be an issue. The pump is, honestly, the most uncomfortable part of the whole process, but most men figure it out about a week in and then grow to love it…no pun intended.
-Dr. P
Dr. Porter,
I have had 4 shots over the last nine months, but the redness always returns after a short time. To my knowledge my provider does not use calcium chloride mixed with the PRP. Could this be the reason? I have had to return to creams to try and control the redness. Other symptoms include some tingling. Other symptoms I had (burning, general irritation) are improved. Is it Ok to have the redness if other more unbearable symptoms have gone away.
Is one of the creams you are using tacrilomus (protopic)? I achieved 2 years of remission with six months of daily applicatiin of topical tacrilomus. When it did finally return I decided to have PRP injections (not just the P shot but also PRP injected into the dermis of the shaft and glans). Initiial results have been very good. My dermatologist has tolde that tacrilomus is not contraindicated with PRP (topical steroids should not be used in combination with PRP). So, I am applying tacrilomus to the affected areas and will have several more PRP injections over the coming half year. Of course talk to your doctor about this all. I was worried aboutblkng term use of an immunomodulator and the tacrilomus black box label, but my doctor said that in over the last 10 years topical tac has been proven safe. And I know it worked for me very well once already. I’m hoping the combination, along with diet and exercise, can banish BXO forever from my life.
Yes, all of our providers understand how to treat BXO. You may also want to look at the research done by our gynecologists who treat lichen in women… http://oshot.info/research. Here’s where to find the closest provider of the P-Shot® … https://priapusshot.com/members/directory
Dr. Runels, I received the first shot and some improvement was noted. But inflammation is still present after two weeks. How long can I expected to see improvement? Also, I am taking a second shot, how long should I wait to take the next shot?
Dr my wife is a long time sufferer of Lichen . After 27 years of so called traditional treatment we have opted to try stem cell combined with PRP. The result was dramatic . We travel to Los Angeles for her second treatment at the end of the month . Much of her fused tissues have released and at this point maintenance is critical . Any thoughts on any other treatments on the horizon ?
PRP alone works well for lichen sclerosus in men (BXO) (without the stem cells)..,click<--
Got the P shot this week with Dr Falcone in Philly. She is awesome. I have a strange thing going on where I have what I would describe as a circular dent in the center of my shaft that has been making getting an erection challenging, possibly peryoines). She focused on the area that was problematic with her injections.
I was numb for 3 hours and went to bed. Woke up with massive erection.
Im now 3 days post op and have been using the pump. The injections have made getting an ereckton easier in the area that was the problem. She did a great job focusing on the problem area and It seems to be easier to get an erection and seems like it’s working as planned. I’ll update when I can. Considering another injection in 2.5 weeks in the area that could use more.
I’m already 7 inches erect so not looking for growth, I do notice more girth immediately.
MF
I am a 40 year old fit male with no ED issues, but wanted to try the P shot and perhaps have my wife do the O shot as a way to enhance our intimacy. I am confused if a penis pump is necessary and what is the benefit or risk of not using it.
@Anonymous…. think of the pump as if it were a personal, isolated gym exercise device. 10 minutes in the morning while brushing you teeth. and at night with your waterpik… Gotta make it a routine. 😉 Do that for 6 weeks. In conjunction with high concentration PRP, the pump will help with regeneration of erectile tissue – nerve tissue and help create new blood vessels. Confidence will increase and that’s half the battle. Regards… Tom Pulice, PA-C
Have you both tried bio identical hormone therapy? That works amazing for me (43 yr old woman). I had just about no sex drive at all and with the testosterone pellets I want to have an orgasm 2-4 times a day.
Can someone help me, o recently got the shot but I did not get a pump because they were out, it’s been 3 days since I got it, will not getting a pump reduce the chances of seeing size increase?
Im in my mid 20s and I’ve been Type 1 Diabetic since 12 y/o. I’ve put on pounds over the last five years and therefore my health isn’t A1. I’ve noticed I’ve lost length,girth and I ejaculate prematurely now. It’s a pretty sensitive subject and I’m searching for help. Will the P shot help me?
Try dapoxatine for the premature ejaculation. It changed my life
Dr.
I have vascular/nerve injury to my glans/shaft that happened when wearing a cock ring too long (cutting circulation off). Would the P-Shot help in my scenario?
Very possibly. Nothing is a sure thing, but we see improvement most of the time. Here’s the research to back up the ideas (studies showing how PRP helps generate new nerve tissue)…click<--
A couple of tips…
1. I don’t have the research to prove this yet, but my observation is that if your main goal is to regain sensation from the Priapus Shot® procedure, you should not use the pump. I think it could interfere with the new nerve growth. If the main goal is improved erectile function, then you can use the pump with effectiveness under the direction of your doctor (being careful to not over pump in duration or negative pressure).
2. Unfortunately, the growing number of people who are unethically offering our Priapus Shot® procedure has become shocking. The reason for our name, “Priapus Shot®” procedure, is to make it easier for you to find those providers who have agreed to follow our tested protocols and to use only those kits to prepare the PRP that have been approved by the FDA for preparation of PRP for injection back into the body. We are collecting survey data and we are constantly modifying techniques based on feed back of our providers and teachers of the procedure. If your provider of the Priapus Shot® is not listed here, you may not be receiving the best quality PRP or the most intelligently designed methods. You may have an amazing provider, but if he/she is using the name “Priapus Shot®” and is not listed here (click), then that person is duping you into thinking he/she is one of us when it’s only a trick.
Hi doc! What about clamping a.k.a cock ring instead of pumping after procedure, it creates a dramatic pressure from inside of cc’s you can feel the strech if kegeling with thight clamp on …I think this is powerful to gain girth… I had a shot and I find way fatter and less fluid up with that clamper…I don t know if u kneww what is
Question I’m 29 been diabetic for 9 years and have lost my ability to gain a hard enough erection for intercourse. Viagra doesn’t work for me would you recommend the pshot. Testosterone level is normal also.
I had the procedure done by certified provider in 2016. Ifollowed all post op protocols, I did take ibuprofen two days before procedure which I informed the provider of.
I had zero positive results (was looking for improvement in function not size) there was no mention by provider of refund, which I understand this was an elective procedure. Of the injections all but the last one were painless, the final one was very uncomfortable .
Since the procedure I have been treated for low testosterone, would it he reasonable to attribute my lack of results to hormonal issues? I would like to try this procedure again (albeit with a different provider) but if it is going to yield zero results again than I am inclined to consider alternatives. I am late 30”s active, no other co-morbidities. I also was told by another certified provider that without normalized hormone levels not to expect much in way of results in wish I would have heeded their advice and treated the testosterone issue first.
My doc mentioned I would see little to no success if the t levels are low. Hopefully Dr Runnels can chime in and let us know how this correlates to PRP injections.
I have been lookin into getting this done. I don’t have any problems. Just another man wanting a bigger shaft. Right now I’m 6.5length and 6.0girth. Maybe don’t need it but would like to rock a pornstar piece lol. Maybe this is for all the wrong reasons. I was in a car wreck years ago. And the meds I take kill any desire and make it impossible to ejaculate. I would have to time sex in between doses so I would get off. I have since started taking sustanon 250. It’s 4 diff types of testosterone. Yes it is anabolic. But I could take my pain medicine as prescribed and f$@k and finish 3 times a day. I had my hormone levels checked before this and it has lowered my testosterone so I could’ve easily had my dr do it for me but why pay 1800 a month when I can do it for less. I do in moderation. Anyway. After I get this done I will post a review. Thank u.
J,
I tell patients this. The Priapus Shot is like upgrading your car from a 2003 Chevy to a 2018 BMW. However, without any gas in the car, it will only sit in the driveway. Aim for a testosterone level of 900-1100 at 4 months post-labs. That will give you the best result. Then repeat the P-Shot and watch the magic happen. And be diligent with the pump twice a day for 8 weeks.
I had the shot in March 2017. I pumped the night before procedure. Would I have any less of benefits from the shot if I did not pump prior. Please advise. Will be getting second round of shots sometime this year and dont want to make it less effective. Thank you
In theory the penis pump is required as it lays the groundwork, so to speak, to allow the capillaries space to grow. You are pumping to elongate the tissue, not simply because you cannot get an erection. I had no problems getting an erection and sought the P shot to enhance performance, but I still had to use the pump. I had two shots. The first round I did not use the pump and basically had no response. The second time I used the pump and had a better result, including being harder and having more sensation. I’m already large, but the procedure did add fullness without increasing length, which is fine.
Yes, it’s real, and largely based on research we did with the O-Shot® procedure for lichen sclerosus in women (click to read that research)<-- These investigators also observed the side effect of improved erection quality. Nothing works 100% of the time, but we are seeing and the research is showing this to be a help in the majority of men who have been suffering for years.
My experience with the P shot is that the procedures don’t follow the process under this (Casebono) study. The P shot I got, the provider did not add anything to the PRP like in the study. Also in the LS study currently being administered by Dr Goldstein they add calcium chloride to accelerate the healing. Is that study complete? If the same results are expected then the process should be identical in my mind. The P shot has helped but been a little underwhelming. I have heard that amnion is added for better results in some LS cases.
Ok. I had the p-shot two weeks ago from another Dr. in Seattle. I also doing the gainswave and have been pumping once per day. No lie, my penis is noticeably longer and girth is significant. My wife and I had sex yesterday afternoon and was quickly erect, when she saw my erection her face lite up! She said with a big smile, “look at that, it’s huge”, porn star grade! She talked about it for the rest of the day. Anyhow, it was very strong solid erection that lasted the entire session and she was on top for a long time 4xO’s. I was a skeptic but this is the real deal. Would do it again in a second. Happy couple 🙂
I am in Seattle also and am interested in the procedure. Who did you see?
what was your penis size prior to the p-shot and how much did you gain?
Who was your doctor in Seattle? Thanks
How many Gainswave did you do before getting the P-Shot? Also, how long did you wait to get the P-shot after your last Gainswave treatment?
Just got my P shot and the doctor said to pump every other day for 20 minutes. I’ve read in a couple places that if you’re looking for sensitivity the pumping could be bad, so if I’m not looking for an increase in size but sensitivity should I pump or not?
I’m 50, relatively healthy, but have had moderate to semi-serious ED issues for the last several years. Cialis does help but I wasn’t real happy even when on 20mg Cialis.
I got the pshot two weeks ago and the first week was amazing. I have followed the pumping routine for the most part and was pleasantly surprised how healthy my penis looked and felt, morning erections like I had in my teens and 20’s, and a very positive reaction to Cialis. Only needed a half a pill to get a more solid erection. Ejaculation also improved.
The second week the overall appearance has slipped back to normal a bit, but still better than before.But I’m being patient as the doc said give it 8-10 weeks to make a final determination on its success. He also mentioned, in his practice, the following estimates: 20% are happy after one shot; 40% are happy after two, and 80% are happy after three shots. He didn’t quantify “happy”, but for me I was looking for increased performance primarily, any size increase would just be a bonus .
I do have low T and he did mention for best results T levels needed to be at least normal. I don’t understand the correlation between low T and the effectiveness of PRP so if Dr Runnels can maybe explain that part I would appreciate it.
My plan is get get testosterone pellets, have an appt today, and in one month to six weeks get another pshot.
So in short, if you have the resources to pay for the shot and need some additional help in that area I think it’s worth the risk. I will try to keep the board updated on my results.
I had my 6th GainsWave treatment along with my first PShot 2 weeks ago, tomorrow. There was some girth size increase for the first few days but that disappeared quickly. I’ve been pumping every day for two weeks. Unfortunately, I’ve had no positive results from either treatment. Several thousand dollars later and I’m still in the same situation I was before I did anything. I was told only about 70% of men have positive results. I guess I fall into the 30% group. I had a prostatectomy 8 years ago, the nerves were spared but I haven’t had an erection with any degree of firmness in all this time. I’ve tried Viagra, Cialis, Trimix injections, vacuum pumping and now the Gainswave treatments and lastly, the P shot. It was my last hope. Glad to hear the shot is working for so many guys, just wish I was one of them.
David
I feel for you my husband had the same surgery , we haven’t had sex in ten years. I pray you find something that helps. I think my husband has given up. Don’t give up something will work, I pray.
Are the results permanent and how long do you have to take the shots and use the pump?
My own experience with the combination of Gainswave and P Shot is that the results are ASTONSIHING at the time of treatment and for a short period thereafter. My erectile and sexual performance were unbelievable for a 46-y.o. man. Sadly, the results don’t seem to last for more than a few weeks after treatment. Exactly 3 months out from my sixth of six treatments, I turned in a completely flaccid performance with a girl who came over to visit. Moreover, the morning and midnight erections have disappeared despite my still pumping 2x a day and trying to maintain a healthy diet. I promptly called my practitioner with the alarming news and he has asked me to come in for a battery of blood tests. I will keep this forum posted.
South,
I am a trainer for both GAINSWave and the P-Shot and am glad to hear you had good results. Did your physician talk to you about the importance of a maintenance GW treatment every 3-4 months? It sounds like you are doing other things right. Check your testosterone and keep pumping.
-Emily Porter, MD
had the P shot 10 days ago for curvature and ED. Results so far have been very good as I now have hard erections and more sensation. I have been pumping once per day for 10 minutes.
I have a question. Does the blood platelet count have an impact on the success of the shot.
Gary,
Your blood platelet count does not impact your results. All the FDA approved kits spin platelets down and concentrate them. As long as you got the full dose of PRP, you should have the same outcome.
Emily Porter, M.D.
Received my first round of shots on march 5 2018 for early ed in bath NY I’m in my mid 30’s took a few weeks to see any difference. Almost at the size I was in my 20’s as I’m a bit larger there and put on few extra pounds in the last 6 years since we have had the kids. Erections I use the word lightly as still can’t get full erection are easier to get and maintain I believe a lot has to do with the pumping associated with this so far pleased but hopeing soon to have the fullness I once had.
Hi there. I am 20 suffering from e.d . i have overmasterbated a lot since a young age . and now i struggle to get an erection . Also when i het an erection it does not last for long. Will the p shot help repair any damage i may have done to my penis while over masturbating. Also if i have ed can i still increase my penis size with the p shot as well as treating ED . please reply asap doctor
Hi John,
Did you get any positive results
I really need help. My penis size has been an issue since I was born. I’m old now and my sex life sucks. My penis is only 2 to 3 inches flascid. When erect it barley gets to 4.5 inches. I have tried everything to get growth. I have given up. Will this procedure even help me to get a bigger penis? The girth is a joke also it’s only 1inch think to 1.5. I’m ashamed to even tell people but I really want help. So needing help with this I have to tell the truth. Will these shots even help me to grow at least an inch more? If I could get to 6 inches erect that would be good enough for me. Please help, I know some people will laugh but put yourself in my place and you wouldn’t laugh
In the same boat have you found anything that works
What was the procedure protocol? How many shots and was there any shock wave therapy performed in addition to the P Shot?
I am a 46 yo gay man. As far back as my early 20’s, I have always had issues with getting, keeping an erection , and loss of sensitivity for ejaculation. I hurt my lower back significantly during high school, so there may be some nerve involvement. But I feel a lot of it is performance anxiety since I can sit by myself with porn and masterbate with no problems. For sex, I have used Viagra, Lexiva, Cialis…but all give me horrendous headaches and vision problems. Tri-mix has worked the best with my erections, but it takes forever to ejaculate.
I have been considering the P shot. But because of cost, I want to know if it would be effective in my situation.
I have a possibly unique question. I am at the early stages of MtF transition. I want everything that the hormones provide, except for the diminishing affects on the male genitalia. Is the Priapus shot effective in stopping the shrinking and functionality, or will the hormones quickly nullify its effects?
I received the Pshot from Dr. Jeanne Eyde at the Grand Pearl Spa in Grand Rapids MI four weeks ago.
I am a 43 yo male with no issues or size concerns. My current girlfriend and I decided to get the Pshot and Oshot together to see what it might do for our sex life. From the day we received our shots everything has been spiced up. Some of this initial increase in sexual activity, I attribute to the twice a day pumping. A couple of weeks in we both notice a minor increase in length and a more notable increase in girth. My orgasms are definitely more intense than before and I seem to last longer and be harder during sex.
The procedure didn’t hurt and Dr. Eyde was amazing with the plethora of information she gave me prior to the procedure.
EVERY COUPLE SHOULD DO THIS!!
I love treating couples!
Cheers,
Emily Porter, MD
I had a Prostatectomy 8 years ago. DaVinci Robotic surgery. Nerves were spared. Erections have never been firm since. I had 7 Gains Wave treatments which unfortunately showed no improvement whatsoever over a two month period. I also had a P Shot. I had some increase in girth, but it only lasted about 3 days before getting absorbed into my body. I’m right back to square one. Erections are hard to achieve and to maintain. Sensation did not improve despite being told things would improve. It’s been 4 months. I pumped twice a day for 3 months in hopes of something happening, but nothings happened.
I am 59 years old and I had my P shot done 3 days ago for moderate ED, unable to maintain an erection and a lack of sensitivity. I also have low Testosterone, which is maintained by injections.
I shopped around and found a facility in Wilmington, NC that offered the procedure. It was completed by two Nurse Practitioners that worked as a team, explaining every part of the procedure as it was happening.
Relatively pain free, although some pressure could be felt. I pumped immediately after and have been pumping twice a day as instructed. So far, I couldn’t be more pleased with the results. I was able to achieve an erection, maintain it and orgasm without the help of any medication. My wife was happy. I was also able to masturbate to an orgasm on the same day, without losing my erection or taking forever to get it done. The sensation seems to be coming back strong!.
I am a firm believer in this procedure and will certainly repeat as needed.
I do hope to find a Gainswave provider close to me as I believe this would further enhance the P shot.
4 weeks in and I have good and not so good news. My erections are much better and I do have more girth. As far as sensation goes, the early results have faded a little, probably because of the daily pumping. I understand that as I pump, I am causing “micro” damage to my penis, which allows the platelets to do their majic. Hopefully after two more weeks of pumping, everything will heal up and I will regain sensation. If not, I’ll get another shot and ease off on the pumping.
I will return to Wilmington to receive my second shop if needed, but I did find a provider in my home town that offers PRP shots and also Gainswave treatements. I think I’ll save my money and get both done.
About 8 weeks since my first shot. My erections are still much better, but sensation is pretty much the same as it was before my shot, maybe a little worse. I will be starting my Gainswave treatments sometime around the second week of August and the second PRP treatment after the second Gainswave. I will travel to Head to Toe Med Spa in Wilmington for the second round of shots, as they did the first one.
Since my goal is not penis enlargement, but regaining sensitivity, I will not be pumping as much or as intense as the first six weeks, According to the Doc doing the shockwave treatment, I will still need to pump.
Started my Gainswave treatments and had my second round of PRP shots after the third Gainswave treatment, two days ago. The gainswave really enhanced my erections.
Not too sure about the PRP. It was done by a different provider that is on the provider list.
I assumed that I would need to pump immediately after the PRP treatment, but the doc said no. He just staed that I needed to get a few erections a day. I thought the initial pumping allowed the prp to go to work. My first round felt completely different than this shot.I really hope that I didn’t waste my money. This is getting expensive…
Sounds like whoever did your P-Shot® was not up to date with our protocols (didn’t know what he/she’s doing). Some of the Gainswave people are also providers of the P-Shot®. Some of the Gainswave providers are NOT P-Shot® providers. If the person doing your Gainswave is NOT on our P-Shot® provider list, there’s a very good chance, that you are either getting PRP that’s inferior, or getting advice that’s out of date (we update our protocols as the research changes), or that the procedure is not being done properly. Yes, it DOES help if you use the pump immediately after the procedure (gives the PRP time to turn into platelet-rich fibrin matrix) and other benefits. I’m very sorry you were mislead, but the procedure may still work. Here’s a list of our P-Shot® providers, if you get a Gainswave, or any other form of shockwave treatment (Big D Wave), I’d recommend you make sure the provider is on our list (click). No procedure works perfectly, but there’s definitely a synergy and doing both on the same visit–done properly–and followed by a pump used properly (Pressure, time, frequency), and the rest (click) gives the best chances of success.
I really appreciate your response. Both providers i saw are on your provider list. I still don’t think the second doc I saw was familiar with the PRP procedure. During my first set of shots, the plasma was spun down in the same room I was in, and immediately injected after mixing it. During the second round, the plasma was spun down in a different room and then injected after what seems like a long time. As I stated earlier, no pumping after the shots. Quite a difference in the feeling of my penis after the second round. Felt no difference at all. No follow up call from the doc as I was told to expect. My erections are still pretty good. Sensation is terrible, whether having sex or masturbation.
Needless to say, I’m pretty disappointed. I should have returned to my original provider instead of letting this guy talk me into letting him do both the Gainswave and the PRP. It’s a lot of money to waste.
Is there a difference between the Gainswave and other shock wave therapies (ETSW) or Accoustic Wave Therapy (AWT)? After 3 consultations, I was told they’re basically the same thing with the same amount of vibrations, etc.
I had the P-Shot about 5 weeks ago. I followed the Dr.’s instructions for the penis pump. My penis has grown almost 1 1/2 inches in length and 1 inch in girth. I didn’t see much growth for the first two weeks. Most of my growth occurred during weeks 3 and 4. I don’t know if it will grow more during weeks 5 and 6. I will see what happens at the end of week 6!
I’m doing the shot this Friday on June 15th. Not sure if I’ll get any growth. I heard you had to have at least 5 to 6 inches before the shot while your flaccid. If your under that you may not see any growth. I’m hoping for the best. I’ll let everyone know my out come.
Has anyone ever had the first 2 P shots not work but then had a 3rd P shot and it DID work?
I had the shot on Friday and today is Thursday almost a week later and I have gotten longer and thicker. No kidding I can’t belive this worked so fast. I know she said to keep pumping for 30 days I’m hoping to at least gain 1 1/2” inches in lenth and at least 1” in girth by then. I will repeat this shot again when I need to. Was worth the money.
Did you the shot in combination with the Gainswave or just the P-Shot?
Can I use the P SHOT for PE? How many can I get?
Here’s a better solution for that…
click<--
I did the shot on Friday and today is Wednesday. I have noticed that my penis is a little longer and a lot thicker. I have more girth than I use to have. They said to give it 30 days to see real results, but I’m already noticing some differences. I’ll post again in 30 days
Did you do any Gainswave sessions before getting the P-Shot?
Hi runels ! First of all compliments !what about clamping a.k.a cock ring after prp instead of pumping? It put a dramatic pressure on ccs but from inside!!…not creating a negative pressure like pumping does
Hi dr Runels , first of all congrats … it ‘ s a good idea to implement clamping insted of pumping after the procedure ?
I had done pe for years and i find the clamper a.k.a cock ring is more capable to expand tunica from inner pressure .
Thanks for time
Did not do anything for me. Don’t waste your money
Ask your physician to give you a refund or repeat the procedure at no charge. Most of us will.
What is the best email to reach you , I live in Houston I am interested in an appointment for Peyronie’s
I received 8ml as opposed to the standard 10ml. I got the shot from a listed provider. Should I be concerned?
If you live near or in Austin Texas i want to recommend you visit Dr. I want to share my experience with you about Dr. Emily Porter and her staff and the p-shot. I am 66 years old and thought my life enjoying a woman was over. A friend of mine recomended Dr, Porter and Well Med to me as a possible solution. Little did i know the amount of care and continued help i would receive. Dr. Porter and her staff are the best i have ever encountered and her professionalism is second to none. The procedure was painless and the results so far have been awesome. However that pales in comparison to her personal help in answering the multitude of questions i had. She has answered every one of my emails (and there were a lot) timely and with great compassion providing me with the information i needed to become a functioning male again. I can’t thank her or her staff enough for this help. I HIGHLY endorse and recommend the procedure and her to anyone that needs help with ED. It is an experience well worth the time and money. If you are in a similar situation or just want to be better call now and schedule a consultation. They are trully life changers.
James Griffith
I am a very fit 28 year old. I was hoping that it would help me with tissue damage sustained while using a traction device. I have had two of them done, six weeks apart, it did not help. Nor were there any size increases.
Make sure it’s from one of our providers and that you follow the whole protocol (even though this says “peyronies” it would help with tissue repair in general) but without the pump–when trying to re-estabilish sensation, that is best–then if it does not work, request a refund. Our top providers stand behind their work.
How many months does this shot last
Most men get results lasting 12-24 months and then repeat the procedure.
Very fit 28 year old. Have done the shot twice to heal soft tissue damage. Nothing has changed.
Mike, are you “Joe” from 2 comments above, who also says he is a fit 28 y.o. with tissue damage from a traction device? Could you please elaborate? Was this something prescribed for Peyronie’s or did you purchase it for length? Do you have nerve damage from overuse? (Common and why traction devices are rarely used). Finally, if you have absolutely no change, it’s okay to ask for a refund, Most of us will do it, but we expect patients to be honest.
Doe the P-shot supposed to look red in color, as mine did, i thought it was more of an amber color, maybe not a strong prp? not seeing a lot of benefit yet..
Hi, Dr. Runels!
I had the Priapus Shot last Oct 1 from one of your listed providers in North Carolina. I’m disappointed because there hasn’t been noticeable improvement in nine months. It’s not worse, either, it’s just doesn’t seem to be better. No money-back guarantee, of course.
I was hoping for sensitivity improvement first and functional improvement second. I used the pump for two weeks, but then discontinued it when I read on this board that it might interfere from improvements in sensitivity.
I’m a 61-year-old male suffering from these conditions for 25 years. My hormones are lowish, but stable and supplementation doesn’t help. I don’t have diabetes or heart disease.
Dr. Runels, is there something else I should do now? Was there something I overlooked?
Thanks for this discussion board.
For mature men who want to continue to enjoy sex, I’ll share the results of the P-Shot first. The P-Shot restored my ability to have and maintain firm erections, delay orgasm as desired, experience more intense orgasms, and recover quickly. I have the experience of a 50 year old who’s able to perform like I was 20 again. Dr. Amy Brenner really listened to me and suggested a full treatment plan. What she has done for me has restored my confidence and has changed my life.
Now for the details. Starting in my mid- to late 40s, I was able to get an erection, but it wasn’t as firm as it was when I was younger and sometimes I could not maintain that erection through intercourse. These symptoms became increasingly worse. It was frustrating, disheartening and concerning. I started to avoid initiating sex for fear of what would happen. What’s more, my wife began to question herself. At that point I knew I needed to see a doctor.
I started to do my research and found Dr. Amy Brenner’s description of the P-Shot – which is Platelet Rich Plasma therapy applied to damaged or degenerating tissue in the penis. I had had PRP therapy to repair a tear in one of my joints and it worked wonderfully. Her description of the P-Shot made perfect sense, and I knew it could work for me again.
The P-Shot is actually a couple of injections on each side of and one at the head of the penis. The lidocaine cream numbs you significantly. The needles are truly very fine or thin. You do feel the pin pricks themselves, and they are the most uncomfortable part of the procedure. The gain in performance and confidence are well worth a few brief moments of pain.
I’ve had two P-Shots now, and Dr. Brenner suggested hormone therapy (testosterone pellet insertion based on lab results) as well as daily and as needed doses of Tadalafil. The combination of all three have produced amazing results, far beyond my hopes or expectations. My erections are more firm now than I can ever remember. Stamina is restored, and I can delay orgasm as much as I (or my wife) needs. I can recover in a short period of time and I have the confidence I can perform anytime.
The whole treatment plan combined is remarkable. I would recommend Dr. Brenner for any of your sexual health needs.
Congrats! This sounds like a huge success!
Cheers,
Emily Porter. MD
Disabled Vet here. The VA only believes in pumps and viagra. They have pretty much stopped treating me for my ED issues. I have been reviewing everything I can on the prp shot. Here in Phoenix AZ I checked on price and it’s like 2500 per shot. I’m 100 % unemployable through the VA so my funds are limited. Anyone know where I can get it cheaper???
eodkeith,
First, thank you so much for your service and bravery. I’m sorry you are having issues with ED and that the VA isn’t helping out much. Generic Viagra has come down quite a bit in price to around $4-5/pill for 50 mg. Unfortunately, insurance doesn’t yet pay for the Priapus Shot. The minimum price for the Priapus Shot is $1900; $2500 seems a bit high so you could call around. A few things you can do: 1. See if the pump is included and if it is, offer to provide your own pump and see if you can save $100-300 doing that. Any pump that can get you fully erect and keep it there for 10 min will work 2. Ask if they do any pro bono work. Many of us will. 3. See if you can find a trainer in your area and ask to be a model. I train in Austin, TX and do about one class a month. Sometimes I do not have enough models from the trainees and pull in outside people.
Best of luck,
Emily Porter, M.D.
What is the maximum length and girth gains you can achieve after getting the p-shot? Also if you add the shockwave treatments?
While the Priapus Shot can sometimes lead to a modest, say 1/2-1 in gain in girth, and perhaps a similar gain length, it is definitely not a guarantee and not the main goal of the treatment nor a promise any of the physicians doing the treatment should promise, but rather a pleasant side effect. Shockwave therapy does not affect size at all; it breaks apart existing penile vascular plaques and helps the body grow new blood vessels over a period of months. It can also help stimulate nerve growth leading to increased sensitivity.
-Emily Porter, M.D
Austin, TX
Will using Trimix after getting a P shot interfere with the results? Or Viagra and Cialis for that matter? If so, how long should one abstain from it.
Brian,
Using Trimix, Viagra or Cialis will not interfere with your P-Shot results and in fact, can only help matters, but may not be necessary with proper use of the pump twice a day for 10 min. The pump serves two purposes: immediately, it helps the PRP convert to the more active PRFM and keeps it local in the penis rather than circulating throughout the body. Second, it helps strengthen the penis akin to penis yoga. More erections beget more erections. If you have Peyronie’s the pump plus daily Cialis after a Priapus Shot by a certified physician can also help break apart plaques and straighten things. You should use the pump for 6-8 weeks, and can use it longer. Medications to avoid after a P-Shot that might interfere include anything that decreases inflammation such as NSAIDs (Motrin, Aleve, aspirin, etc.), steroids such as prednisone, and other medications treating autoimmune diseases such as Crohn’s disease, rheumatoid arthritis, psoriasis, etc. Be sure to discuss your current medications with your physician prior to getting your shot.
Best wishes,
Emily Porter, M.D.
Austin, TX
How long should you pump after the procedure?
Dwyane,
Pump protocol is:
10 min immediately after the procedure and then 10 min twice a day for 6-8 weeks. You can pump back to back with a 5 min break between sessions. If your pump has a gauge, a pressure of about 7mm Hg and no more than 10 mm Hg should suffice. Penis should feel very engorged but not be painful per se. You CAN overpump so follow the protocol.
Emily Porter, M.D.
Austin, TX
The provided pump is very tight in diameter. Will this cause any harm?
Dwyane,
Is your pump a single cylinder all-in-one pump or does it have a detachable cylinder? If the latter, those come in various sizes and you can order another one. Specifically, Dr. Joel Kaplan sells pumps and is who many of us order from. The cylinder should not be so tight as to cut off circulation and your penis should not be touching all sides of the cylinder when fully erect. You should be able to remove the cylinder/pump easily when erect. Be sure to use a water-based lubricant when using the pump and do not pump more than 10 min twice a day at a pressure of no higher than 7-10 mm Hg if your pump has a gauge.
-Emily Porter, MD
Austin, TX
Thanks for very much Dr Porter. With the pump I have I completely fill it up and touch all sides. Very uncomfortable. So I will contact Dr Kaplan per your advice.
Thank you very much Dr Porter. I will contact Dr Kaplan. I completely fill the pump I was provided and touch all sides. Very uncomfortable. I will get a new one. How long should I pump after my treatment? Does it male a difference if I combine the P Shot plus Gainswave treatments? Any difference if I get the P Shot plus Stem cells? Your posts are very helpful to all of us!
You should pump at least 6-8 weeks after the Priapus Shot, twice a day for 10 min at a pressure of 7-10 mm Hg or until penis is fuller than it would be with just a normal physiologic erection. It should feel full but never HURT. The pump strengthens the muscles that line the arteries and veins of the penis. This does a couple things. It helps strengthen the blood vesels so they can pump and hold blood better once it’s in there so it doesn’t leak out. Pumps also help increase the nutrient (nitric oxide) to the penis. This is the goal of drugs like Viagra and Cialis. The goal of the pump is to help enhance the results of the procedure, but it’s also to strengthen the penis more long-term. Think of it as penis yoga. I recommend my patients make 10 min of pumping part of their daily routine to keep the muscles strong because if you don’t use it, you lose it. There is some thought that using the pump at least a few times a week is the secret to maintaining any increase in girth that results from the procedure.
It is great to pump after GAINSWave treatments as well as if stem cells were used.
Pump tips/tricks:
1. Shave/trim hair for best seal
Pump tips/tricks:
1. Shave/trim hair for best seal.
2. Water-based lubricant and make sure you get to the glans (head) so it doesn’t stick to the inside of the pump.
3. Stand up or sit on the edge of the bed and let gravity help keep your testicles low so they’re less likely to get sucked up in the pump.
4. Aim the penis down toward the floor.
5. Use the pinky of your non-dominant hand to create a barrier across your scrotum and hold the cylinder with that hand.
6. Pull the cylinder towards your spine. It will need to press against the fat pad there in order to create a seal.
7. IT SHOULD NOT HURT!!! It might feel uncomfortable/engorged/intense, especially due to the suction on that fat pad.
8. DO NOT OVERDO IT!!!!! You can actually cause harm but using the pump more than 20 min per day (okay to do 2 separate 10 min sessions but take a 5 min break between them). Aim for a pressure of 5-7 mm Hg if pump has a gauge. Do not go about 10 mm Hg.
Lots of good info on http://www.drjoelkaplan.com
hey Dr. Porter, I’m considering doing the PRP shots. Do you have any pictures documenting size gains? Im 7×5. what’s a realistic size I can expect after 3 treatments? will they go away after 6 months if I stop pumping?
If you are a South Florida patient, avoid Dr Chenven in Broward County. Really, $250 for a consultation? If a Dr. won’t do the consultation and instead attempt to pawn you off on a staff member, or sales person, , avoid that practice. If the Dr. wants to charge you for a consultation, avoid them as well. Stated on the phone they don’t disclose price over the phone and that I needed to see the Dr directly and then when I arrived (45 min drive there) then told me it’s $250 to meet with the Dr. I walked out. Dr’s have seen me and consulted for free. Any Dr should explain why you should use them.
Jay,
I’m sorry this happened to you. I don’t know pricing in South Forida, but whether or not a physician charges for a consult often varies greatly by the type of practice they have, the region and what is customary there. I can only speak for my practice and we try our best to qualify prospective patients over the phone to make sure we can likely meet their expectations. If they desire a consultation with me, I do charge (less than you paid), but I also spend 30 min with them. If they decide to do the treatment, I apply the consultation fee towards the procedure. I’ve found that this prevents massive numbers of cancellations and therefore allows me to treat more patients without months of waiting. I’d perhaps look for another practice.
-Emily Porter, M.D. Austin, TX
I am 51. Overweight, latent autoimmune diabetes, Multiple sclerosis, neuropathy.
I have a very small penis in length, and have not had anything resembling an erection in ten years.
ED pills have had zero effect.
I once tried 60mg of Cialis and had no erection and horrible backache to show for it.
Is the shot and/or shock therapy worth trying, or am I too far gone?
Jim,
I would recommend a trial of Trimix in a physician’s office. It is a combination of drugs that cause blood to flow into the penis if the blood vessels are able to fill. Tiny amount in an insulin needle. Think of it as Viagara in a needle. The physician can go up in dose. In my experience, if I am able to give a man an erection with Trimix, he is someone who may benefit from the Priapus Shot and shockwave therapy. In the meantime, I teach him how to do Trimix at home. If the man has zero response from Trimix, the arterial disease is very severe. In your case, you have the double whammy of MS causing both nerve damage and diabetes causing nerve damage and arterial damage. My suggestions to you:
1. Keep your hemoglobin A1C below 6.
2. Walk as much as your MS allows; ideally 21 miles/week.
3. 10 mg Cialis daily, then 100 mg Viagra as needed 1 hour prior to intercourse.
4. Eval by a physician who is comfortable with Priapus Shot, shockwave therapy, and Trimix. If Trimix works, I’d start shockwave and do 2 Priapus Shots. If no response from Trimix, I’d consult with a urologist for possible placement of a penile pump.
Hope that helps.
-Emily Porter, M.D.
Austin, TX
I just got the P-shot but they used embryonic fluid. So far much increase in girth. I pump 2 times a day for 10 minutes. Not sure yet on length but erections and flaccid state are impressive. Wife notices. I also had a laser treatment after the shot. I do recommend it. You won’t be a new porn star but your confidence will increase and your partner will enjoy the new you. I will update later as time goes on.
RCV,
I’m glad to hear you are having a good experience so far. Was your provider a member of our group? (https://priapusshot.com/members/directory/). Did they use a product called Amnion? Also, did you have a laser treatment or something called extracorporeal shockwave therapy (i.e. GAINSWave or similar)? How long after the Priapus Shot did they do that? I ask because it is more beneficial to do any sort of shockwave or other treatments BEFORE the Priapus Shot. Any kind of treatments in the next 3 weeks or so may disrupt the integrity of the platelets once they from the Platelet Rich Fibrin Matrin (PRFM). This may adversely affect your results. You should also avoid smoking as well as systemic steroids such as prednisone and NSAIDs (ibuprofen, Aleve, aspirin) for 6-8 weeks after your procedure for optimal results.
I look forward to hearing your progress. Most people really start to notice a big change around 2 months in.
-Emily Porter, M.D.
Austin, TX
“Any kind of treatments in the next 3 weeks or so may disrupt the integrity of the platelets once they from the Platelet Rich Fibrin Matrin (PRFM)” What kind of treatments do you mean?
Does insurance companies pay for the p shot
Unfortunately they do not at this time. They also do not pay for the O-Shot. Both work wonderfully, and all certified providers offering the procedures should refund your money if they don’t make you well. I usually do a second shot at 3 months if no improvement. Most men prefer that over the refund because 1) they have experienced the procedure and know there is very little discomfort and 2) they want to be well.
Emily Porter, MD
Austin, TX
Hi Emily I’m from South Africa is there a doctor that does P Shot here perhaps
You can contact Dr Karan Singh Address – 94 Charlotte Maxeke Street (old Beatrice Street), Durban Medical Centre, 12th floor, suite no 1204.
Contact number: 0659786966
Hope that helps.
Can you send me info? Jsnplante@gmail.com
What do you charge for the second shot?
William,
If they’re a good candidate, I do one shot and they don’t notice any improvement, I repeat it for free. I keep my word, but I expect them to be honest as well. So far, so good. If they repeat 6 or 12 months down the line, I’ll sometimes discount $300 because they already have the pump, I’ll throw in some goodies (specialty compounded sildenafil and tadafil/oxytocin troches or a GAINSWave treatment), or I cut their wife a deal on an O-Shot.
-Emily Porter, M.D.
Austin, TX
drporter@austinlovedoctor.com
Can you combine the Trimix with Viagra??
I recently received the P Shot with Dr. Emily Porter, and the results have been more than I expected. While I was prepared to see results over a couple weeks or months, I actually saw in increase in erection size and sensitivity in under a week. I did not tell me wife about the procedure, but she definitely noticed something was different. She not only commented on how I felt, she has initiated sex more in the last three weeks than she has in the last ten years. While I didn’t actually have ED before the procedure, I knew I wanted to feel more like my younger self. The results already have been more than worth it! I cannot recommend this procedure or Dr. Porter high enough.
I had the priapus shot about a week ago and have been using my pump as directed. I was wondering if I can use a tight cock ring in my penis for sex so soon after the procedure or would that be harmful to my penis. Thank you
Mr. Dirksen,
A cock ring won’t interfere with the results. Keep pumping and enjoy!
I am 37 from uk and decided to try the p shot. I can 90% of the time get an erection but a lot of the time struggle to maintain it and it is never rock hard. Last year I had hyaluronic acid for girth which left me with a few small lumps on right side of penis and also caused a slight bend. The doc went through everything and said he recomends that to do it correctly I needed to have the fibrin and prp. He put numbing cream on and did two tubes of blood one for fibrin and one prp then injected quite a few places but only muscle. The first one or two injections I felt a stinging sensation and then the rest was ok. For the rest of the day my penis was numb and quite bruised. Next day I had a few drinks with wife and couldn’t wait to try it. Still had a lot of bruising but no pain. I couldn’t get a full erection at and was very disappointed. Day 2 I decided to start my pumping and pumped for about 10 min. My penis actually looks like it’s hanging a good inch lower than before. I decided to try it again with wife and wow. I got a erection like normal and started having sex but as soon as I was in my wife my penis was so hard she even said what is going on with me lol. I have never had an erection this good in my whole life and she kept saying how hard and fuller my penis was which made me feel amazing. Its day 3 and I will carry on pumping daily and just hope this lasts and wasn’t just a one off thing 😀
I had the P Shot 6 weeks ago with extracorporeal shockwave therapy immediately after the procedure and twice a week for several additional weeks. My concern is that I am not seeing any growth with regard to length or girth. My errections may be slightly improved but I wonder if the shockwave therapy has hindered my progress.
Dr Emily Porter advised above that “……it is more beneficial to do any sort of shockwave or other treatments BEFORE the Priapus Shot. Any kind of treatments in the next 3 weeks or so may disrupt the integrity of the platelets once they from the Platelet Rich Fibrin Matrin (PRFM). This may adversely affect your results.”
I have been following the protocol as advised. Do you think a second round of the P Shot procedure would produce better results without any additional shockwave therapy?
Chris,
In theory, what I said is true, and that’s the GAINSWave protocol as well as how Dr. Runels has trained his teachers. However, we know one thing for certain; we don’t know everything and everything is always changing. Just 2 weeks ago, we had another weekly journal club meeting where a prominent urologist in our group said he was doing the Priapus Shot first, waiting 2-3 days until the PRFM was set up, and then beginning shockwave with excellent results. I never guarantee any change in length or girth. If it happens, it is an added bonus, and using the pump is a huge part of it. If it’s been a full 8-12 weeks, I’d go back to your physician. If you were my patient and had no change, I’d offer to repeat the Priapus Shot for free. Most of us will.
Good luck,
Emily Porter, M.D.
Austin, TX
I have had 6 gainswave treatments. Can’t say I noticed improvement with ED. Still need to use PDE’s which I hate. Considering doing the P shot. How long after the P shot should I wait before continuing the rest of my gainswave treatments? My goal is to not need pde’s anymore. Also, would I likely see gains in size with 1 shot? I am 6 1/2” ave girth.
A lot of my treatment plans vary based on the severity of the ED. A standardized way to measure that is the IIEF-5, also called the Sexual Health Inventory for Men (SHIM). http://rohbaltimore.com/SHIM.pdf
Goals of both GAINSWave and Priapus Shot are to decrease dose of drugs like Levitra, Cialis and Viagra, optimistically by half if a high dose or to discontinue them completely. If you fall into the moderate to severe ED, in order to get your best outcome I recommend optimizing testosterone to 900-1100 via a steady stream of bioidentical hormone pellets, 1-2 Priapus Shots space 8-12 weeks apart. GAINSWave can also help significantly and can be a good monthly maintenance treatment. If I’m doing a combination therapy, I usually do the GAINSWave first, then P-Shot (can be same day), wait 6-8 weeks after P-Shot to resume GAINSWave.
The change is size is not really dose-dependent but rather luck of the draw and compliance with pump use. 30-40% of men get an increase in girth. When Dr. Runels first injected his own penis, he only did so bilaterally near the base. He noticed that the girth increased, but disproportionately in that area so he taught us to inject more distally as well.
I hope this helps.
-Emily Porter, MD
Austin, TX
drporter@austinlovedoctor.com
Does the pshot make length bigger, and how many times must i do treatment to to be permanently happy with results
Laz, We unfortunately don’t see much change with length with the procedure. While 1/4-1/2 inch increase in girth is a nice benefit for many patients, it’s also not a guarantee. I personally have not had a single man who did not notice a change for the better in the quality of his erections/orgasm after this procedure. One man wasn’t sure, so I repeated at no charge and he’s quite happy now.
I would like to know will my insurance company cover the cost for this procedure due to the fact that my ed is a result of my diabetes
I am so sorry to hear this. Diabetes is such an unforgiving disease and I hate it and what it does to people, even those who “play by the rules.” I’ve experienced it personally. Unfortunately, insurance companies do not cover this procedure no matter the cause. I know it’s expensive when compared to an office co-pay, but instead, compare it to the cost of a new transmission. Most people value their sexuality at least that month, and if your doctor thinks you’re a good candidate and get good results and you don’t, most of us will refund your money or repeat the procedure. It’s the ethical thing to do.
I received the Pshot Dec 6th from a very reputable Dr in Canada. My ED has been psychological for many years and recently started on an SSRI which killed my sex drive and made ED worse. Age 38, fit, non smoker, decent size: 7.25/5. Happy with length wouldn’t mind a decent girth increase.
Pain was manageable. I worst part was the numbing shots. Overall nothing to worry about unless you have a phobia.
My only concern is that everyone on here says that the minimum PRP injection is 8-10ml. While the dr definitely took 2 5ml vials, there was only about 60% amber PRP. The dr said I gave a good sample, normally he only gets 5cc of PRP but I gave 6. So when we talk about minimum injection amounts, do we mean total blood drawn or actual PRP? If the latter then I worry I was not injected with enough.
Pumped for 10 mins immediately after injections. Felt really floppy for the day. Pump for 10 mins 2 times per day since. I haven’t measured myself but I do notice a bit of girth increase at the base while flacid. My erection quality while masturbating seems to be a bit softer, orgasms feel the same. Sensitivity the same.
Will update in the coming weeks. But I can’t help but feel I received a lower dose than the minimum.
It sounds like you may have been ripped off. Many people erroneously think they know what our licensed providers do and use our name (Priapus Shot®) without being licensed by the Cellular Medicine Association.There should be at least 10ml of prepared PRP injected into your Penis.
If the provider (the person holding the needle) is not listed on the following website (even if someone else in the office is listed), then the person doing the procedure is not licensed by the Cellular Medicine Association to do the procedure…
Furthermore, I believe the dr is actually a national trainer of the procedure for other drs. When I asked about the amount he said the only time he’s taken 3 vials of blood was for someone with a 12” penis which was simply too large to become erect
Paul,
I am so sorry you were not given the best care possible. I too am a national trainer. The procedure is to inject 10 mL into the penis. If I get 11 or 12, you get 11 or 12. But never less than 10 mL. Different tubes/kits yield different vials but many are 12 mL whole blood that produce 5-6 mL PRP. That can be less depending on the man’s hematocrit (especially if on testosterone). I did a procedure today on a man on testosterone. We drew 2 vials and when we spun them down they only yielded 8 mL of PRP. It took an extra 7 minutes to draw one more vial of blood. I didn’t want to cheat the patient and give a substandard procedure, he ended up with 12 mL.
Please write the name of the physician who treated you here. If you don’t feel comfortable doing that, you can email me at drporter@austinlovedoctor.com and I will communicate it with Dr. Runels and he will address it. We all make a promise not to keep someone’s money if we don’t help them or at least to repeat it at no charge. Hopefully we can clear things up and get you well. If you want to visit Austin, I’d be honored to repeat it for you at no charge.
-Emily Porter, M.D.
Austin, TX
drporter@austinlovedoctor.com
I recently had the p-shot. The primary goals were to improve sensitivity (improve delayed ejaculation) and improve ED (lessen use of cialis).
I am 59 years old and in very good health and do not use any psych meds. I Am on weekly testosterone therapy, with optimal blood levels.
With these goals in mind, what is the recommendation for use of the pump?
And what is the recommendation for repeat procedures?
Thank you
Jefferson,
You should pump at least 6-8 weeks after the Priapus Shot, twice a day for 10 min at a pressure of 7-10 mm Hg or until your penis is fuller than it would be with just a normal physiologic erection. It should feel full but never HURT. The pump strengthens the muscles that line the arteries and veins of the penis. This does a couple things. It helps strengthen the blood vesels so they can pump and hold blood better once it’s in there so it doesn’t leak out. Pumps also help increase the nutrient (nitric oxide) to the penis. This is the goal of drugs like Viagra and Cialis. The goal of the pump is to help enhance the results of the procedure, but it’s also to strengthen the penis more long-term. Think of it as penis yoga. I recommend my patients make 10 min of pumping part of their daily routine to keep the muscles strong because if you don’t use it, you lose it. There is some thought that using the pump at least a few times a week is the secret to maintaining any increase in girth that results from the procedure.
Pump tips/tricks:
1. Shave/trim hair for best seal.
2. Water-based lubricant and make sure you get to the glans (head) so it doesn’t stick to the inside of the pump.
3. Stand up or sit on the edge of the bed and let gravity help keep your testicles low so they’re less likely to get sucked up in the pump.
4. Aim the penis down toward the floor.
5. Use the pinky of your non-dominant hand to create a barrier across your scrotum and hold the cylinder with that hand.
6. Pull the cylinder towards your spine. It will need to press against the fat pad there in order to create a seal.
7. IT SHOULD NOT HURT!!! It might feel uncomfortable/engorged/intense, especially due to the suction on that fat pad.
8. DO NOT OVERDO IT!!!!! You can actually cause harm by using the pump more than 20 min per day (okay to do 2 separate 10 min sessions but take a 5 min break between them). Aim for a pressure of 5-7 mm Hg if pump has a gauge. Do not go above 10 mm Hg.
Lots of good info on http://www.drjoelkaplan.com
Keep testosterone 900-1100 at a steady state.
Repeat procedure every 12-18 months for best results.
Emily Porter, M.D.
Austin, TX
drporter@austinlovedoctor.com
Yes! There are 4 actually. Cape Town, Umhlanga Rocks, and Durban. You can find them here. https://priapusshot.com/members/directory/ and chose South Africa as the country.
I am from Dallas, a 60 year old male, in decent but not perfect health. I had heard / read about Dr. Porter in Austin (actually in Leander a northwest suburb which is closer than going into Austin) so I went to her for the Priapus Shot.
Dr. Porter (at Wrinklefree Medspa) was excellent. So friendly, informative and helpful. I don’t like needles(typical male) but nothing about this was painful. The numbing cream and pain block shots made it so that I didn’t feel any of the PRP injections. I was surprised it was over so quick.
That was about 2-3 months ago. I pump everyday. The results are pretty amazing. I didn’t measure (in fact – where do you measure the length?). I notice that my girth is larger. My erections are rock hard – feels like a steel pipe now. I can begin and finish intercourse very erect and hard. It seems like it is more sensitive now – to my own touch or from my wife. I also have very hard firm erections during the night. 1 to 3 times a night I wake up with an erection so hard that it almost hurts.
My orgasms (from masturbation or intercourse) are more explosive.
Questions – 1. where do you measure to track results? 2. Is it normal to have these night time erections? 3. I notice with intercourse I climax way quicker than I hoped – in about 1 to 2 min. Any suggestions?
Thanks, and I am looking forward to see how the changes are or is at 4 months out.
Jason,
I’m sorry my comments to you a few months ago did not get posted. There must have been a glitch. I’m thrilled that you are happy with your results. I do want to answer your questions though because they are important.
1. You can measure length using a piece of string from the base of the penis to the most distal part when it’s fully erect. Then lay that out on a ruler and that’s your length.
2. Girth–same thing. We usually measure at the base, middle and glans (head).
3. Nighttime erections are normal, awesome, and not to be wasted. Wake your wife up!! Just be sure you’re meeting her needs so she’s not cranky in the morning,
4. Some men can have an issue with premature ejaculation after the Priapus Shot. It usually goes back to normal after your body adapts to the new sensations. If you’re really struggling, however, try some of these tricks. https://priapusshot.com/category/premature-ejaculation/
Can’t wait to see you again! You know where to find me!
-Dr. P
Have any of the licensed providers here in the states tried contacting Dr. Sharath, whose research Dr. Runels has highlighted in at least one conference as well as here on this site? I’ve emailed Dr. Sharath at every email address I could find and could never get any reply. Have any of you in the US tried to utilize his variations on the standard technique? The study quoted indicates such a large patient sample and the claimed results are so extraordinary. It seems strange to me that no one seems to have attempted to replicate and, I’m sorry if this sounds rude, validate his claims?
Do u have p shot available in south Africa
Saeed. See my post above, There are several in South Africa.
How long should it take for the patient to see any difference in erection quality after their initial P shot?
Rob,
This varies greatly. Some men get improvement the first day because of the extra volume in the penis and use of the pump. That platelet rich plasma (PRP) hangs out around 3 days, then it turns into something call PRFM (Platelet-Rich Fibrin Matrix) which usually lasts around 3 weeks while it recruits stem cells. That process can take 8-12 weeks. I don’t consider the procedure a failure until a patient has waited 12 weeks and has been compliant with twice daily pumping. If absolutely no improvement, I repeat it at that time at no charge or offer a refund.
-Emily Porter, M.D.
Austin, TX
drporter@austinlovedoctor.com
How long does it take to see the effects after the first injection?
This varies greatly. Some men get improvement the first day because of the extra volume in the penis and use of the pump. That platelet rich plasma (PRP) hangs out around 3 days, then it turns into something call PRFM (Platelet-Rich Fibrin Matrix) which usually lasts around 3 weeks while it recruits stem cells. That process can take 8-12 weeks. I’d say the average response is around 4-6 weeks. I don’t consider the procedure a failure until a patient has waited 12 weeks and has been compliant with twice daily pumping. If absolutely no improvement, I repeat it at that time at no charge or offer a refund.
-Emily Porter, M.D.
Austin, TX
drporter@austinlovedoctor.com
I have no issues. I’m 50 next month. always open to improving. should I do the pshot? what will it do for someone with no ed issues? also if I do it I want the best dr to perform it. so who from the list is best? any suggestions? I’m from nc. thank you.
Todd,
For most men, even without ED issues, the Priapus Shot will enhance their erection quality and improve orgasm/ejaculation. My husband was my first model at age 39. No heath issues, normal testosterone, no meds, no ED. I wanted a truly unbiased opinion so I could discuss the procedure with men ethically and know it wasn’t all just hype. His experience was that his erections were harder (like those of his 20s), he said he got erections thinking about me doing dishes (instead of me topless), and his orgasms were stronger. He had about a half inch increase in girth. I knew he wasn’t bullshitting me when he asked me for another one a year later.
We use this same technology on women. We can inject PRP behind the nipples to increase sensitivity if lost due to implants, breastfeeding, or aging. We can inject it inside a woman near the G-Spot to help enhance blood flow and nerve endings, increase lubrication and reduce stress urinary incontinence as well as treat some nasty conditions such as lichen sclerosus. Finally, the second part of the O-Shot involves injecting the clitoris which enhances sensitivity and blood flow. I’ve had 5 in 3 years and I’m not yet 40. 🙂
Try it. Find someone who will refund you if you get no improvement.
You’re most welcome to visit me in Austin. I need an hour of your time. In North Carolina I’d recommend Dr. Hunter Hansen in Charlotte. http://thecarolinamensclinic.com/
Good luck!!!
-Emily Porter, MD
Austin, TX
drporter@austinlovedoctor.com
My name is Dale. Real name! I had the P shot about 3 months ago. Ill just say this. I will not be asking for my money back!! I will be saving for the next round?? My wife had the O shot at the same time. I laughed the other day when she said we needed to start saving to put the P and O shots in our budget!! More on my experience after I say this.
My heart goes out to so many of you as I read these posts. Especially those of you that seem to have little hope of obtaining an erection. Here is the reality. Sex is a vital part of our life experience. Its fun. It feels good. It is the ultimate form of intimacy with our spouses. Another reality. A man cannot have intercourse without first having an erection! I am so grateful Dr. Porter and others have the passion and the technology to help.
I was more like Todd. Just a bit older. I am 64. Good health. No ED issues. My wife and I were having great sex regularly. My wife is considerable younger than I am. Reality is even though things are great for me at 64 things aren’t like they were when I was 20’s to 40’s!! My wife and I often had fun talks of what it would be like sexually if we had known each other when we were younger. We determined we would never have seen the light of day!!
I decided it would be fun and rewarding to see what was out there that might set the clock back a bit. I found Gainswave and did that about a year ago with some benefit. Then I started investigating PRP and the P shot. I read every testimonial and watched every video. One name kept coming up and the compassion with which she wrote was so impressive. So genuine. So real. And here is what did it for me. Dr. Porter guaranteed her work. Her only objective was result. She trusts her customers to be honest. Who does that!! I emailed her. SHE CALLED ME ON MY CELL PHONE! She shared with me her passion to treat couples and asked if my wife would like to join me. I was hooked. Todd here is my point. The practitioner does matter. I drove 3 hours to Dr. Porter when I had doctors just minutes from my home who would administer the procedure. I think who you choose for treatment can be just as important as the procedure itself. And Todd, these therapies are not chump change. If I am writing this kind of check I want to make sure I have the best chance of success. I was convinced that was, for my hard earned dollar, Dr. Porter. I was not disappointed.
After my P shot (it was painless) I started noticing subtle differences in a couple of weeks. I had more frequent erections during the night and they were full and firm and long lasting. Dr. Porter says that is the time to wake the wife up and not waste the erection and I did just that a few times!! As time went on i noticed more and more sensitivity. For older guys it can be more work to climax. I found that I was climaxing more easily and that my climax would last longer and more was more intense. Amazing. Here is the part that has really been nice. In the younger days just a thought would result in an erection. That is not the case when you get older. In my experience. I cant say a thought gives me an erection now, but I can tell you i feel the beginnings of the “urge” and that alone is a benefit I hoped for but did not expect. I don’ want to get too graphic but you all know the “H” word. Well; I seem to be “H” all the time now and that is a really cool feeling!!
I now WANT sex almost everyday. I have had times when it is twice a day. My wife (thank goodness) feels the same way and the O shot has been amazing on her end.
I have been long. I hope this post is beneficial to someone. Either to get the erection they have lost, use less medicine to get there, or just ramp up what is already a good thing. Dr. Porter has my number and I told her I would be happy to share my experience if you would like to call.
Dale
Hi Dr. Porter.
Do you have a suggestion of a specific provider in the Dallas area for the p-shot and GAINSWave therapy?
Thanks
While no one from Dallas seems to dominate the market, Dr. Pat Sharratt is one of the certified trainers and also offers shockwave therapy. He’d be my choice. I do have many patients who drive from Dallas. Often they get the shockwave locally out of convenience and then come to me for the P-Shot. I had one from Abilene today with the same story.
Emily Porter, M.D.
Austin, TX
drporter@austinlovedoctor.com
Hello I am considering this procedure, but I am a little bit afraid because I have heard that calcium chloride is mixed into the prp to activate it and then injected. Calcium chloride is known to cause necrosis…I only have one penis like most men and this really freaks me out. Can someone advise about this? Am I overreacting about the risks, how much of this cacl2 is considered safe?Thanks
Robert,
Excellent question and means you’ve been doing your research! We use about 0.5 mL of calcium chloride to activate the PRP and cause a more complete release of growth factors. That is 1/10 of a teaspoon, and it’s mixed into the PRP. Doctors safely inject 10mL CaCl Calcium chloride (or gluconate) into the veins all the time during cardiac arrests and overdoses of certain cardiac medications. Necrosis is extremely rare usually due to injecting large amounts of pure calcium into a very small vein. I would not worry here. However, if this concerns you, we can also activate the PRP using hyaluronic acid such as a dermal filler like Juvederm. In Europe the PRP gel kits come with HA but those aren’t out in the U.S. (yet). Regen Labs is working on it.
Emily Porter, M.D.
Austin, TX
drporter@austinlovedoctor.com
64 y.o. male. Diabetes Type 2. I heard about the shockwave therapy from an ad on the radio. Turns out they were about 90 mins away in good traffic, so I looked for something closer. Found a clinic about 10 mins away. Dr. was very nice. She suggested that I get 6 shockwave treatments and 2 P shots. After 4 treatments and 1 Pshot, I notice absolutely nothing. It was mentioned here that the Pshot should be 10ml injected. I am familiar with needles and looking back, it did not look like it was that much injected into me. This Dr. specializes in skin issues and in fact the word “skin” is part of the clinic name. I’m spending a lot of money $500 each shock treatment, and $1500 each injection total of about $6,000. I checked the Dr’s name on the Cellular Medicine Association, and her name was not there. Now her office contacted me and cancelled my latest appt. stating that their shockwave machine is down for repair and won’t be available for a couple weeks.
I went into this blindly, trusting that there were measures in place with regard to consumer protection. How do I know that the machine was working properly in the first place? How do I know that the person doing the shockwave therapy is properly trained? Shouldn’t there be a certificate I should be looking for? The “Gainswave” logo is in her ad, but to my recollection, I have not seen that logo anywhere in her office. I looked at the shockwave machine and there is no brand name on it anywhere. I’m at a loss as to what to do. They will call me to reschedule my next appt. Should I even go back? How can I find out more about the Dr.? Thanks.
If the name is not on the directory, and they use the name “Priapus Shot®” ===they are breaking the law! It’s that simple. I would be similar to claiming to be part of the Mayo Clinic but not actually be part of the clinic. Please report this “poser” to support@cellularmedicineassociation.org so others are not deceived. No method is perfect, and results vary with any medical procedure–but our method has been tried and tested and improved for over 9 years and anyone pretending to be part of our group (the Priapus Shot® provider group…a division of the Cellular Medicine Association) who is not listed on our directory is breaking the law and deceiving patients. There could be legal options open to you as well for their deception. I have no idea what was done for you, so cannot comment on the procedure.
Ken,
I am so angry for you. And you have every right to be angry. Both Priapus Shot® and GAINSWave® are registered marks for a reason–they come with a guarantee that the person doing the treatment has been trained and is following a proven results-driven protocol. If you go to Starbucks, you expect a certain flavor of coffee that is hot and would be angry with a cold cup of Folgers. But this is people’s HEALTH!! I live in Texas and we have a huge problem right now with laypeople practicing medicine without a license. I am a certified training center for both the Priapus Shot® and GAINSWave®. I paid a good deal of money for the training and I also pay a licensing fee to both the Cellular Medicine Association and GAINSWave® and so it angers me, too, because it is unethical and unlawful. And it puts patients at risk. You should be getting 10 mL PRP in a legit Priapus Shot® and GAINSWave® also has a few approved devices and we adhere to certain settings (energy and number of pulses).
Here is my advice:
1. Report to Dr. Runels. Part of our licensing fees goes to his attorney.
2. Look on gainswave.com and if she’s not on there, report her there as well. Email me at drporter@austinlovedoctor.com and I’ll steer you in the right direction with them. I know the team well.
3. Report her to your state medical board.
4. Ask for the full refund, even on the treatments you already received.
5. If they refuse a refund, file a dispute with your credit card company.
6. Seek legal counsel or go to small claims court if you don’t get your money back.
7. Absolutely do not go back there. You deserve better and they don’t sound trustworthy.
If you’re anywhere near Austin, I’d love to make sure you get the experience you deserve. I’m so sorry this happened to you.
-Emily Porter, M.D.
Austin, TX
drporter@austinlovedoctor.com
What is considered the minimum number of pulses on a Gainswave treatment?
Hi Dr Porter,
Are you familiar with any of the providers of the p-shot and Gainswave therapy solutions in the Dallas area?
Thanks
I get tons of patients from Dallas. Short drive to a fabulous city in Austin. The Dallas docs are not super active on our weekly calls and I don’t know if there’s one person there who really dominates the market. I’d choose Pat Sharratt at Hormone Therapy Dallas because he is one of the certified teachers.
Emily Porter, M.D.
Austin, TX
drporter@austinlovedoctor.com
Many of the providers in my area don’t have the money back policy or the option for the 2nd treatment free of charge in case the patient doesn’t get well. What can I do?
Only use providers who offer money back and who are on the directory…
directory of licensed providers<---
Are the results permanent if you do maintenance pumping?
JP,
In short, no, because you are still aging. If we inject PRP into a scar or tissue defect, that result can be permanent because the etiology is no longer there. You age regardless. However, I DO recommend maintenance pumping, and here’s why. The pump strengthens the muscles that line the arteries and veins of the penis. This does a couple things. It helps strengthen the blood vesels so they can pump and hold blood better once it’s in there so it doesn’t leak out. Pumps also help increase the nutrient (nitric oxide) to the penis. This is the goal of drugs like Viagra and Cialis. The goal of the pump is to help enhance the results of the procedure, but it’s also to strengthen the penis more long-term. Think of it as penis yoga. I recommend my patients make 10 min of pumping part of their daily routine to keep the muscles strong because if you don’t use it, you lose it. There is some thought that using the pump at least a few times a week is the secret to maintaining any increase in girth that results from the procedure. What we DO know is that men who do not provide their penises with the appropriate nutrients they need (nitric oxide) will actually LOSE LENGTH OVER TIME and have PERMANENT SHRINKAGE. This is because cells that are not nourished and have suffered poor blood flow will actually start to fibrose (become scar tissue) and that causes the penis to shrink. Scarred cells can’t expand, and in order to have a satisfactory erection, the tissue in the penis needs to be spongy and stretchy and elastic so it can fill with blood, and the cells need to be strong so they can trap the blood long enough for a man to get the outcome he desires.
Hope that helps.
-Emily Porter, MD
Austin, TX
drporter@austinlovedoctor.com
Just took p shot today I’m gonna track everything ill be in touch
Hi. I’m a 50 year old healthy male who has had zero problems getting and maintaining an erection. One day about a year and a half ago, something happened and I was unable to keep an erection. Ok no big deal, was able to eventually make it work but ever since then, the thought is in my mind and it has worked sporadically. Sometimes I’m good for a few weeks, then it suddenly creeps back into my head that it may not work, and of course it doesn’t. I’m now at a point where it scares the hell out of me to initiate sex. The desire is definitely still there, I’ve had testosterone levels checked (500+), I’ve taken Cialis and Viagra which work sometimes but not 100%. This issue affects NYU self confidence and is literally ruining my life.
Can a Priapus Shot help when it is likely psychosomatic? Thanks.
Jim,
Great question And I’m sure a difficult one to ask. Thank you for your bravery. We need to make you confident so that your big brain doesn’t get in the way of your little brain.
First things first:
1. Optimize your testosterone to 900-1100, ideally with bioidentical pellets. We can polish the car all day long, but if there’s no gas in the tank we’ll be stuck in the driveway.
2. Get a Priapus Shot. You sound like a great candidate and are very likely to have a great outcome, especially if you are compliant with the pump.
3. If 1 & 2 don’t resolve things, consider seeing a sex therapist to help you work through the fear you’re having. I’d recommend psychotherapy and hold off on any antidepressants even if your mood worsens because many of them destroy libido and can cause ED.
4. If this is with a single partner, tell her/him how you feel and what’s going on. You may be embarrassed at first, but they are likely to understand and telling them your fears will improve the situation and take the pressure off.
5. If you are not attached to one partner, great. Find several. Hump freely. Get a couple good experiences under your belt so that you can focus on that and put the past in the past and leave it there!!!
Hope that helps.
-Emily Porter, MD
Austin, TX
drporter@austinlovedoctor.com
If one is considering 6 Wave Therapy (ETSW) treatments and the P-Shot, what is the safest protocol delivering the best results? After two consultations (MD and the other a Physician), I was recommended different timelines and protocols for the combination treatment. For instance, the physician insisted 6 (ETSW) treatments (2) per week for three weeks followed the P-Shot no less than 5-6 weeks after the last ETSW treatment. On the hand, the MD suggested 6 (ETSW) treatments (1) per week over the course of six weeks followed by the P-Shot 1 week after the last ETSW treatment. There does not seem to be a general consensus about the combination ot the two treatments.
Eric,
I am a certified trainer for both GAINSWave® and the Priapus Shot® , and here is what I was taught.
If you were going to have 6 ESWT treatments and 1 Priapus Shot, I would do 1-3 treatments per week but try to complete them all in 4 weeks. Then, on the last ESWT treatment, I do the Priapus Shot the same day. There is some thought that the combination of both the inflammation from the shockwave combined with the PRP could be synergy. I don’t personally do ESWT for 6 weeks after a Priapus Shot because I don’t want to damage platelets or disrupt the platelet rich fibrin matrix. Dr. Runels hosts a weekly journal club for the members of the Cellular Medicine and about a month ago, the guest physician said he does the Priapus Shot first, then the ESWTs in the weeks afterward and gets great results. The answer? No one quite knows because this is still so new. What I do know is that if I treat you and you don’t get a good result, I would repeat your treatment at no cost or give you your money back. I’d demand the same of whoever treated you. Either order is SAFE; it’s a matter of efficacy and the jury’s still out.
-Emily Porter, MD
Austin, TX
drporter@austinlovedoctor.com
40 years old in good health. I had my shot three weeks ago. My main goals were quality of erections and a moderate increase in size. I have been pumping faithfully twice a day since I received the shot. I am starting to lose confidence as I am not seeing much improvement. I know the documentation says it starts working in the third week. From what I’ve read, pumping is the key. Did anyone try more than twice a day? Are there any other things I might try?
JP,
Don’t give up! It’s still very early. Give it the full 12 weeks and keep pumping twice a day. 10 minutes twice a day with no more than 10 mm Hg pressure. More can actually be harmful and cause nerve damage.
Also try:
1. Testosterone 900-1100.
2. Walk 3 miles/day
3. Ask for your money back or for them to repeat the procedure free of charge at 12 weeks if you don’t notice any chance.
Emily Porter, MD
Austin, TX
drporter@austinlovedoctor.com
How much pressure should I use with a vacuum pump after the p shot? I’ve heard ranges from 5 mmhg to 15 10 minutes twice a day
Mike,
Pump pressure of 5-7 mm Hg, with max of 10 mm Hg twice a day for 6-8 weeks, then at least weekly thereafter just for maintenance You can do back-to-back sessions with the 5-min break in between.
Emily Porter, MD
Austin, TX
drporter@austinlovedoctor.com
Can you tell me what the cost of the P shot is since it’s not covered by Insurance please.
Thank you
Anthony,
Any certified provider should be charging $1800 or higher. It depends on location and experience.
-Emily Porter, MD
Austin, TX
drporter@austinlovedoctor.com
How old do you to be to get the “p shot”
I will treat any man over 18, but most of my clients range from mid-30s to early 70s.
Hi, I got hit really hard with a frisbee about 11 years ago on my penis and ever since then I have had difficultly getting much pleasure from my penis and there are some erection problems stemming from this as well. I was wondering if the P-shot might help with nerve damage and or possible tissue damage.
George Town,
Yikes! That sounds painful. Do you have painful erections or a bend in your penis at all? If you came to me, I would try to help you. I think it probably will. Here’s a study showing how it helps repair a nerve in the arm. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5852429/
If it didn’t work, I wouldn’t keep your money. Find someone who thinks like I do and you have nothing to lose.
Emily Porter, MD
Austin, TX
drporter@austinlovedoctor.com
About 7 years ago I used a penis pump for a few months but I believe that it caused permanent nerve damage after using it for a long period of time once. The pump reduced the amount of oxygen to the penis (and nerve) I think killing that area. I stopped using the pump immediately.
Since that incident the sensitivity has become worse over the years. I would say a 2 out of 10 (prior to pump incident). I can barely feel much on front side of penis head, back side is more sensitive. Can the P Shot help with feeling/sensitivity? I’m 35 and have no ED problems or health issues. Non drinker or smoker.
Brian,
It unfortunately sounds like you may have done just that. The P-Shot can likely help some of your damaged tissue. In normal tissue, it often increases sensitivity. We inject PRP behind the nipples to increase sensitivity, There are some studies showing regrowth of nerve after trauma. I had a graft done to my gums last year and the dentist soaked it in PRP. I’d make sure there aren’t any issues, get the P Shot and get retrained on the pump so that you don’t overdo it.
Emily Porter, MD
Austin, TX
drporter@austinlovedoctor.com
I’m in San Antonio Tx and wanted to do the P shot, do you have any recommendations or can I come to you. I am overweight but my results aren’t what they use to be anymore. Can you help.
Mr. Noble,
Come to me! I’m just up the road in Austin. I’d be honored to help you and if can’t/don’t, I won’t keep your money. You can call my office at (512) 943-6945 to schedule. I need about an hour of your time for paperwork, blood draw, numbing, procedure and pumping. I usually include a testosterone lab at no charge to make sure we don’t have the odds stacked against us.
Emily Porter, MD
Austin, TX
drporter@austinlovedoctor.com
I am looking forward to the P-Shot, I am 55 with a decently large size, but I used to be longer. Girth is very good but I have mild ED and PE issues, plus I would love to have back the lost size. I have an HSA/HRA which requires no prior authorization and I will use that for payment.
My Question: Is there anything I can do now to prepare for the P-Shot for maximum results? I do not smoke and am not diabetic, but could stand to lose a few pounds. I’d also like a measuring guide, because if I can restore my lost size it will be Fantastic! TIA,
ROB
Rob,
You sound like an excellent candidate for a Priapus Shot. It is true that men’s penises do shrink with time if they are deprived of nutrients. This is due to fibrosis or scarring of the tissue and is difficult to reverse. If the penis is deprived of vital nutrients including nitric oxide (what Viagra tries to increase), the tissue can degenerate and the penis doesn’t expand as much during an erection. Using a vacuum erection device (penis pump) can help with this somewhat, but it’s definitely ideal to use one a few times a week before there is damage to prevent issues by keeping the muscles inside the penis and its blood supply strong.
Second, regarding size, you mentioned you “could stand to loose a few pounds.” If you carry any weight in the suprapubic fat pad (the area over the pubic bone where hair grows), it can make the penis look smaller than it really is because the penis gets “sucked up” into that fat pad. Weight loss certainly won’t hurt, but if the area is prominent, you’d be better served by liposuction and/or male pubic lift which should be done by a board certified plastic surgeon. Depending on where the fat is, I have also seen it reduced nonsurgically with CoolSculpting.
Third, in preparation for your Priapus Shot, I would continue to avoid tobacco as its toxins impair blood flow to the penis. Walking 21-25 miles a week does wonders for the body and the penis. Dr. Runels discusses that here: https://priapusshot.com/category/podcast/ Ideally, you would avoid NSAID medications such as Motrin, Aleve, and aspirin as well as any corticosteriods like prednisone for a week before the procedure as they decrease the immune response. If possible, I also advise avoiding for 4-6 weeks afterward.
Lastly, measuring. The norm for length would be to measure the erect penis from the base of the shaft to the glans. For girth, it would at the base and the glans (one is often wider than the other). An easy way to do this is with a piece of string which you then lay out on a ruler. Some pumps also have marks along the cylinder and I have some clients who mark theirs with a Sharpie marker. While a change in girth/length is not guaranteed with the Priapus Shot, at least half of my patients have a noticeable change in one or the other or both.
Hope that helps!
Emily Porter, M.D.
Austin, TX
drporter@austinlovedoctor.com
What color should the P-shot be? I have heard amber on here but mine was a pinkish-purple color.
The color of the PRP depends on the type of system used and is really just an indicator of the number or red blood cells mixed into the plasma. Most of the gel kits (Selphyl, Regen, Eclipse, EmCyte, etc)–where your blood is drawn into tubes with a special gel to separate out the plasma–they most often produce more of an amber-colored PRP. The double spin centrifuges, where blood is drawn into a big (usually 60 mL syringe) and then processed through a centrifuge that pushes it into a smaller syringe, they produce PRP or various colors depending on what volume you tell it to make. The first syringe produced is usually the clearest and most yellow. Subsequent syringes are more orange/red. There’s no evidence that any color/kit is better than any other, or that a certain concentration of platelets yields better results. Focus on that–the results–and if you don’t get any improvement at all, ask for them to repeat the procedure at no charge. Anyone in our group should do that.
Emily Porter, M.D.
Austin, TX
drporter@austinlovedoctor.com
Mine was pinkish-purple color as well. Did I get ripped off? Can someone answer what the color should be and what did I and the original poster receive? For me, I used someone from the directory of approved providers.
Can someone answer please.
Matt,
The color of the PRP depends on the type of kit used. If your injector is using a “gel kit,” the color is usually a yellow/orange color. If they are using a double spin centrifuge, it may be yellow/orange but also can be a more reddish color. What matters more is 1) Using someone from the directory and 2) Getting results. If you don’t notice an improvement, let that person know. If they don’t repeat the procedure for free or give you a refund, post here. Everybody listed on the site should be willing to make things right for you.
Emily Porter, M.D.
Austin, TX
drporter@austinlovedoctor.com
does this shot cause a slight deformity or will your shape remain the same
Stuart,
It’s funny you ask that. The reason why we inject in various locations across the penis is because when Dr. Runels did the first on (on himself), he only injected a few inches down his penis. He used the pump and over time he noticed the girth was thicker in the area injected, so he modified the protocol to inject in more locations. So, in short, your penis shape won’t change from this procedure. That being said, if you have an existing deformity, there are some physicians who are able to even things out with PRP and occasionally some dermal filler like Juvederm.
Emily Porter, M.D.
Austin, TX
drporter@austinlovedoctor.com
Hi and sorry if i keep posting. Im finding that I have not seen my replies or comments here at all. I am 28 6ft 2 200 lbs healthy non smoker. I got the shot in hopes gaining an inch or so and just overall better sex (who wouldn’t) I located a Dr. (J EMERY) who provided a pshot in my area from the directory. I got the pshot on 4.19 and have not noticed a thing in the 3 days I know I need to be patient but I have read people have seen immediate results. I am currently also on testosterone therapy (pellets)
I use the pump every day since and Im curious If i am just a lost cause in this or I should be more patient. Maybe the reviews of people seeing immediate results is throwing me off. Im 5.5 when erect and hoping to get a little more. Just looking for some feedback and hoping for the best after paying for this Thanks!
Jim,
While perhaps 40% of men will get a lasting increase in girth of perhaps 1/4 to 1/2 in from both the P-Shot and the 6-8 weeks of daily pump use. That takes 3ish months to occur. Any immediate change in size is due to the 10 mL of PRP injected into the penis the day of the procedure. Whether that causes a noticeable change in girth depends on the length of the penis. Obviously a shorter penis will have a more noticeable change from the volume than a longer one. The PRP is absorbed into the tissues and forms a matrix from which it recruits stem cells. Lasting changes in girth, while not guaranteed, wouldn’t occur until 2-3 months from the procedure. Daily pump use also makes the arteries more elastic and the muscle walls stronger so your penis can hold more blood. For best results, I’d recommend using the pump 10 min twice a day for 8 weeks, then once a day maybe 3 times a week (or daily) indefinitely for sustained results. Think of it as penis yoga where you’re keeping the muscles strong. If your pump has a gauge, 7-10 mm Hg, no more. If you stack sessions, take a 5 min break between. More is not better and can cause damage. This is a marathon, not a sprint. Think long-term here.
Happy pumping!
-Emily Porter, M.D.
Austin, TX
drporter@austinlovedoctor.com
Why isn’t there picture evidence of this? Yes you can say there was a study done by s doctor in India with 1224 patients but can you even call that a real scientific study, if you can it’s the weakest study I’ve ever seen. No standard in the amount of PRP injected, only blood drawn, no before measurements, no standard deviation in results, no age, BMI, etc data.
Is this just a money grabber?
I felt a difference after the P shot but I am concerned as I had severe muscle pain and took an Advil about 9 days after. My penis doesn’t feel the same like it did after the shot. Should I be concerned?
Aaron,
No need to be concerned. A dose of Advil shouldn’t affect results. It’s the daily use of NSAIDs and steroids that may make PRP less effective. Your penis probably doesn’t feel the same after the Advil because the liquid PRP has formed something called PRFM (platelet-rich fibrin matrix) which happens as soon as 3 days and the pump helps keep the PRP local in the penis. Hang tight. If you don’t notice an improvement after 12 weeks ask them to make it right. Pumping is critical to good outcomes.
Best,
Emily Porter, M.D.
Austin, TX
drporter@austinlovedoctor.com
http://www.austinlovedoctor.com
Looking for some positive motivation. Just had the procedure done on friday 4.19.19
No results so far.
On testosterone therapy as well.
5.5 when erect hoping to get to 6 plus.
Healthy dont smoke eat clean
Provider i had procedure from was from this website..
People have explained they experienced immediate growth in girth
As of now i have no clue what is different from procedure.
I pump every day 15 minutes..
Am i doomed? When will i notice a change?? I know its 3 days but some people said they have had immediate results following the procedure
While perhaps 40% of men will get a lasting increase in girth of perhaps 1/4 to 1/2 in from both the P-Shot and the 6-8 weeks of daily pump use. That takes 3ish months to occur. Any immediate change in size is due to the 10 mL of PRP injected into the penis the day of the procedure. Whether that causes a noticeable change in girth depends on the length of the penis. Obviously a shorter penis will have a more noticeable change from the volume than a longer one as there is less space to fill. The PRP is absorbed into the tissues and forms a matrix from which it recruits stem cells. Lasting changes in girth, while not guaranteed, wouldn’t occur until 2-3 months from the procedure. Daily pump use also makes the arteries more elastic and the muscle walls stronger so your penis can hold more blood. For best results, I’d recommend using the pump 10 min twice a day for 8 weeks, then once a day maybe 3 times a week (or daily) indefinitely for sustained results. Think of it as penis yoga where you’re keeping the muscles strong. If your pump has a gauge, 7-10 mm Hg, no more. If you stack sessions, take a 5 min break between. More is not better and can cause damage. This is a marathon, not a sprint. Think long-term here.
Happy pumping!
-Emily Porter, M.D.
Austin, TX
drporter@austinlovedoctor.com
So id it possible that you could gain more than 2 inches??
Jumon,
While not impossible, I’ve not seen it. Again, maybe 40% of men will have an increase in girth. I never guarantee that. I also never promise an increase in length. While I’ve seen it, it’s not the norm. The average increase in girth is 1/4 to 1/2 inches. 2 inches is asking for a miracle. And while they happen, they’re rare. My question to you is: Why do you think you need 2 more inches? The average erection is 5.1-5.6 inches long and 4.33 inches in girth. Interestingly, only 45% of men are happy with their penis size while 85% of their female partners are, and most women think girth matters more than length. The average aroused vagina is only 3.78 inches long and 1.47 inches wide. Those porn stars with 8 inch dicks? THAT’S WHY THEY’RE PORN STARS. I have seen men who’ve had enlargement surgery, both with cutting the suspensory ligament for increased length and fat transfers to increase girth. Guess what? They’re not happy, and only about 30% of men who undergo penis enlargement surgery are happy. And guess who IS happy? The 10% of women who only have sex with people who have NO PENIS. Bottom line: Stop obsessing about your penis size and own what you’ve got now. Take that energy into making sure you’ve got the best fingers and tongue for 3 counties and put them to work!!!! Start by learning about the clitoris and the hood that covers it. Ask her what she likes. Wash the dishes. Tell her she’s smart and beautiful. Those things will get you way farther with any woman I’ve ever met than an extra 2 inches.
Just my 2 cents.
Emily Porter, M.D.
Austin, TX
http://www.austinlovedoctor.com
drporter@austinlovedoctor.com
Cause i might need more than 2 inch gains
I had my P-shot 2.5 weeks ago. Erections are firmer and girth has increased. I still have a bruise at the base of my penis. Size of a quarter. The bruise looks like a burn and it feels like a burn when touched. Think of a rug burn. Swelling in the area is minor but the burning sensation causes discomfort when pumping or when it rubs against my pants. Is there something I can do to accelerate the healing? Is this burning sensation on the bruise normal?
Milton,
Is this is a friction burn from the pump? Are you using lube? Any history of herpes lesions or other sexually transmitted infections? I’m guessing the former is the most likely. I’d be sure to keep an occlusive ointment on it all the time such as Aquaphor. Use lube when pumping and it doesn’t have to be aggressive. If you were my patient I would want to see the lesion in question to give you the best advice. If yours doesn’t have one, many of the pumps make silicone sleeves that help cushion the base of the penis. I like to take care of my people, so I’d recommend you call the office that did the procedure and have someone look at it, or at a minimum, send an email with a photo. Finally, if the skin is comprised, I’d even consider taking a break from pumping for a day or two. While this is not ideal, you also don’t want to end up with a scar at the base of you penis that affects its ability to grow and stretch into an erection.
Emily Porter, M.D.
Austin, TX
http://www.austinlovedoctor.com
I would like to know what color the p-shot should be as well. Like the previous posts, mine was pinkish-purple. Other doctors say it should be yellow. Can someone clarify please?
What did I receive with pinkish purple p-shot? Did I get ripped off?
Matt,
The color of the PRP depends on the type of kit used. If your injector is using a “gel kit,” the color is usually a yellow/orange color. If they are using a double spin centrifuge, it may be yellow/orange but also can be a more reddish color. What matters more is 1) Using someone from the directory and 2) Getting results. If you don’t notice an improvement, let that person know. If they don’t repeat the procedure for free or give you a refund, post here. Everybody listed on the site should be willing to make things right for you.
Emily Porter, M.D.
Austin, TX
drporter@austinlovedoctor.com
Is PRP will cure premature ejaculation
How much does the procedure usually cost?
Is PRP cure the Premature Ejaculation as well.
Dr. P
Can you recommend someone in the El Paso area. Saw a Dr from the list and kind of left me with a salesman pitch feeling. I’d love any recommendations or referrals for someone local that is a good administer if the P shot.
Coming to Austin is also.an option to see you😉
I take 5mg of tadalafil every day. But should I stop it for pshot?
Win, I believe you emailed me. No need to stop Cialis (tadalafil). I would recommend holding NSAID drugs (aspirin, ibuprofen, naprosyn) a week before and at least a week after. They increase bruising and decrease the inflammatory response we are looking to achieve.
Emily Porter, MD
Austin, TX
drporter@austinlovedoctor.com
Hello
When I pump which is better to be flacced or full erection ?
Your treatment provider should be able to instruct you on proper use of the pump, or vacuum erection device – VED, as well as the correct size. Use a water-based lubricant. Starting flaccid or erect is not really important. You should have a vacuum gauge which shows the pressure in the pump. You want enough vacuum for a firm erection, but never above 10 in Hg and never more than a sensation of gentle stretch.
IMPORTANT: Using the pump at too strong a setting could cause permanent damage. If you’re feeling pain, immediately release the pressure.
If you start flaccid, make sure to allow time between increasing the vacuum so that the penis can adjust to the pressure. We usually recommend using the pump twice a day, for about 10 minutes each session. Hope that helps.
Patrick Yam MD
PRPclinic.ca
Dr Porter – is it only NSAID drugs that should be avoided? What about supplements that reduce inflammation – are these ok to continue or should they be restricted as well? Thanks.
Hi
After the P shot and using the penis pump as instructed , can I also use a penis extender without affecting the work of the p shot?
yes, with your physicians oversight.
I would say just take Maca, Mucuna Pruriens, horny goat weed and cut alcohol (stop smoking if you do) and you will have no ED. In fact you have a rock. All natural products which are good for your body and mind.
Not true. I take all these herbs and don’t smoke, don’t drink, don’t do drugs and work out a lot and still have ED.
Those “supplements” might work for you, but they don’t work for everyone, including me.
Not at all. just change one thing at a time. then 8 weeks after the P-Shot, if things work well, you will be able to cut your dose in 1/2 or keep same dose with better results.
Win..I take 20mg of the same twice a week and my Dr advised me to continue taking as normal before and after my Pshot for what its worth.
How much inHG should I use for the pump? How long? My dr said 1 daily 10 min at 5-7inHg, but I have read twice daily for 10 min from patients of other doctors after they had the shot. I think I have lost some girth and length due to not getting spontaneous erections as often and I would like it back. Also, is it ok to take Benadryl post procedure will this inhibit the action of the p-shot? Please advise.
William, anywhere from 5-10 mm Hg 10 min twice a day is good. If back-to-back, take 5-10 min break between. Any more than that can be damaging and not helpful. You should have an erection as hard or harder as your normal but it should not hurt. If not getting normal and frequent erections, you may certainly have lost length and girth. You can learn more about it here. http://www.austinlovedoctor.com/podcast/004-Shrinking-Penis
As for the Benadryl, that is fine. I would avoid daily steroids such as prednisone as well as NSAIDs (ibuprofen, naprosyn, aspirin).
Emily Porter, MD
Austin, TX
drporter@austinlovedoctor.com
Hi:
Dave in SC. I had the P-shot on Dec 9, 2021. So far, nothing happened or changed and there was no improvement. Still have ED. T-levels are fine, in otherwise good health, don’t smoke, don’t do drugs or drink alcohol. Called the P-shot doctor (who also does stem cell therapy) and he has offered to give me a 2nd P-shot procedure at no additional charge since the first one did not
work. Anyone think a second P-shot may work? In this case, is more better? Wanting professional opinions, if possible.
The P shot is great. I got it done and I certainly have seen increased size in my erect penis. Erections have been better but still not 100% maxed out. I still feel as if I have slight ED but it isn’t bad at all. I do want the girth alot more bigger. I was wondering if I can get multiple injections done. Maybe after 3 or 4 injections I should see an increase in girth.
Mr. Khatta,
You can get multiple injections done but it is not required. I never promise an increase in girth although about 40% of men do have that result. If your ED has improved, there is no guarantee that a 3rd or even 4th injection will increase girth. It is not selective healing like that. It’s kind of like losing weight–you can’t choose where the pounds come off. Sometimes it’s the face, other times the waistline, others the legs. The PRP will most certainly help with blood and nerve vessel growth but it’s not a procedure to “grow a penis.” I would hate for you to be disappointed. Your lover may care less about your penis size than you think s/he does.
Emily Porter, M.D.
Austin, TX
drporter@austinlovedoctor.com
Hello Dr Porter:
Back in December, I had the P-shot. Going on 3 months later, I have not experienced any positive effect from the
procedure. Still have ED, still can’t get it up, even though I have used the penis pump as directed each day.
I am contemplating going back for a second P-shot. In your opinion, do you think this might work? I am 73, in
good health, good T-levels. The only part of me that does not work is the penile erectile function….everything
else is fine. Thoughts or comments?
You can get multiple injections, yes.
So I just got my shot and the lumps look crazy is that normal
Taylor,
It is not uncommon to have some swelling or bruising after injection or when starting the pump. I’ve ever had anyone with a resultant “lumpy penis” after the PRP gets absorbed and any possible swelling subsides in a few days. Things should settle down for sure.
Emily Porter, MD
Austin, TX
drporter@austinlovedoctor.com
No. That is not normal. Where did you get your procedure done?
Why isn’t there any placebo controlled testing conducted for the p-shot? What I am reading is anecdotal reports from people who have had the procedure. I believe I’ve read something like 20% to 60% improvement. That’s a wide range
unlike a drug where you can make a fake/placebo pill. drawing blood and then making something that looks like blood in a syringe and does nothing is thought by most researchers to be impossible. For example, jetting just plain saline into tissue disrupts it and is not nothing (which a placebo must be).
Not every therapy lends its self to placebo studies. For example, there are no placebo studies of birth control pills–yet we have much research showing that they work and we have a good understanding of the failure and the complication rate.
Procedures (this is a procedure, not a drug) are also difficult to do placebo studies on. There are no placebo studies of cholecystectomy, or physical therapy, or sex counseling. But, you can still do research that is strong even when researching a therapy for which there is no placebo by doing comparison studies.
For example, if you look at Dr. Virag’s study, he compares the Priapus Shot® for Peyronie’s with using an FDA approved collagenase (Xiaflex) and shows the Priapus Shot® works better with less risk.
Every doctor and patient must read the research and reach their own conclusion. It usually takes at least 20 years for a new therapy or drug to be widely accepted (10 years to do the research and another 10 years for the research to translate into a change in the common practice of medicine). For example, the first heart cath was done in the 1940’s–but not widely done until 20 years later.
In the end, everyone must decide with their physician what’s the best therapy. Based on risks and benefits and your own personal problem or preferences, the Priapus Shot® procedure may not be for you.
Hope this helps.
Possibly not a placebo, but it could be compared to Viagra, Soundwave, Trimix to name a few. I see no controlled studies. The theory of how this works is not obvious to me.
this is great hearing from the source. i would have liked to hear directly from the sources involved with icp therapy but got the nih studies instead, which was good but not AS good
That explanation makes perfect sense. Thanks
A couple of question. This procedure spins out platelet-rich plasma (PRP) and injects it into the penis. It seems that this isn’t going to stay there, won’t this circulate out to other parts of the body.
Also the cost of this procedure seems out of line with other procedures. You are taking blood spinning out platelet-rich plasma (PRP) and injecting it. I see that there are people doing this who are not physicians
I have Peyronies disease with small soft plaque (12mm) since March 2018. unfortunately my condition got complicated after been treated by Steroid injection from Bad urologist, as a result I had half of my penis atrophied and my erections became soft after two weeks from the injection.
would P shot recover the atrophy and dissolve the plaque?
I’m sorry to hear about your situation, especially the tissue atrophy which is a known risk associated with steroid injection. It’s impossible to know whether or not PRP would work in the situation you described. But there are studies which would support the idea of using PRP based on the fact that PRP has been shown to have benefit in other instances of atrophic scarring (e.g. acne scars: https://onlinelibrary.wiley.com/doi/abs/10.1111/dth.13067 ).
PRP has also shown promise in the treatment of Peyronie’s disease and likely works by “dissolving” the plaque. Also, it is considered very safe. Based on the above, I think there is a chance that PRP could help, but likely it would take a series of treatments.
Here is a link to a review article about non-conventional treatments for Peyronie’s disease: http://tau.amegroups.com/article/view/31839/28669
Best wishes,
Patrick Yam
prpclinic.ca
If I were to be so lucky to get .25″ increase in girth from the first shot, would there be a good chance that a second shot (and third) would increase the size even more?
Hello Chris,
It’s not possible to know in advance in your particular situation, but most patients who have the Priapus Shot will usually experience an increase in size of the penis, in length and/or girth. There was a study of over 1200 patients who had the Priapus shot monthly for a total of 5 times. They had an average increase in length and girth of 7 mm and 5 mm per injection. 0.25″ equals 6.35 mm, so that’s right in the ballpark of what you’re describing. Overall, they experienced a mean increase in girth of 30 mm, and length of 35 mm, measured 6 – 12 months after the treatment series. You can find a link to the study as well as other research on the Priapus Shot here:
https://prpclinic.ca/treatments/prp-priapus-p-shot/
Size and function can also be improved with the regular use of a vacuum erection device, (VED), which we also recommend after the procedure. Make sure to use it in the proper manner as instructed by your doctor, so as not to damage delicate nerves and blood vessels in the penis.
Anecdotally, most of the patients who I have given the Priapus shot to have had improved function and size, either girth or length, with each successive procedure, consistent with the published research.
Best wishes,
Patrick Yam
prpclinic.ca
Hi patrick! This penis growth you are talking about, is this growth permanent? Or will the growth from the P-Shots dissappear and your penis length and girth will shrink back to its normal size, if you stop getting the P-shot?
I am 44 years old and am on a plavix and aspirin regimen. I would really like to have the p shot procedure. Is it possible to still have good results from the p shot while taking these medications?
Thanks for posting a very important and interesting question. I did some research on this subject and created a post which you can read if you’re interested: https://prpclinic.ca/prp-with-aspirin-or-plavix/
The short answer is, yes, you could have the Priapus Shot while on plavix and aspirin. Never stop these medications if they have been prescribed by your doctor. The only side effect I could find was in a patient who stopped his aspirin and that caused a bad outcome.
Will PRP work as well if you are on these antiplatelet medications? It’s difficult to say. The research is a bit divided. PRP is very safe when prepared and administered by a trained, experienced provider, so it likely wouldn’t hurt to try, (aside from the time, cost, and discomfort), but it’s difficult to know in advance. I suspect, since you are fairly young, that you could see benefit, more if the PRP is prepared using a high concentration technique (look for double-spin), and activated prior to injection.
There are also many other factors which would have an impact on how much benefit you may get from the P-Shot such as underlying health and medical conditions, your current level of function (EDIS score), level of physical activity and fitness, etc. These should all be reviewed in advance and discussed with your doctor to decide whether you might be a good candidate for the treatment.
Best wishes,
Patrick Yam
prpclinic.ca
Did nothing for me,but I figured it worth a “shot.”
Hello I’m william and I’m considering the p shot. I dont have any problems with erections and I’m of average size but I am hoping just to increase my size..will this give me a larger erection????
Hi William,
Your question is very similar to another one here about increase in size from the Priapus Shot, so I apologize in advance for the repetitive nature of my answer.. The short answer is yes, although it can’t be guaranteed and individual results will vary. With that said, if you have the Priapus Shot, you will likely get an increase in size. BUT, don’t stop reading! It’s very important to emphasize the importance of having realistic expectations…
You may NOT get an increase in size. If a patient is expecting an extra inch after one Priapus Shot, it won’t happen. Also, the Priapus Shot is not designed to grow the penis, but mainly for enhancing sexual function in terms of improving erection firmness, sensation, etc. If you are mainly looking for an improvement in size there are other treatments besides the Priapus Shot which have that as their stated function and goal, such as implants or injectables.
The research for using PRP to improve erectile function is still in early stages, but there are studies that have demonstrated both improved function and growth using the Priapus Shot. One particular study, which I mentioned in my other answer, looked at 1220 patients who had the Priapus shot monthly for a total of 5 times. They had an average increase in length and girth of 7 mm and 5 mm per injection. 0.25″ equals 6.35 mm, so that’s right in the ballpark of what you’re describing. Overall, they experienced a mean increase in girth of 30 mm, and length of 35 mm, measured 6 – 12 months after the treatment series. You can find a link to the study as well as other research on the Priapus Shot here: https://prpclinic.ca/treatments/prp-priapus-p-shot/
Size and function can also be improved with the regular use of a vacuum erection device, (VED), which we also recommend after the procedure. Make sure to use it in the proper manner as instructed by your doctor, so as not to damage delicate nerves and blood vessels in the penis.
Anecdotally, most of the patients who I have given the Priapus shot to have had improved function and size, either girth or length, with each successive procedure, consistent with the published research.
Take my comment off if you’re not gonna approve it after 5 weeks. That’s unsane and lazy staff!
Is there a Dr in CA, specifically in the SF Bay Area? When searching for a provider on this site only one comes up in CA…is this true?
Is jelqing combined with pumping or just jelqing okay after a P-shot? How long will it take to get girth results? If you have no morning erection will the results be less?
Is jelqing okay after a P shot?
Do you need to have a morning erection before having a P shot? If there is a increase in girth when can you expect this, how many weeks?
Why is the Pump necessary following the P-Shot. Also I JUUL (vape) nicotine a lot will the vasoconstriction effects of my vice reduce the efficacy of the procedure? Using to heal Peyronies 28 years old
I am 65 y/o in v. good health and only had occasional “ED” problems, I just wanted better. Had the P-shot in mid July 2019 at the Restore Center in Abilene after getting zero call-backs from 4 local MDs in Midland who were on Dr. Runel’s list. Was very happy with Dr. Patterson and have second follow up next week and considering a second shot, Thank goodness I didn’t not have to go to the hell-hole of Austin for this. Anyway, since the P-shot I have “pumped” almost everyday for about 12 mins only per day. I am getting rock hard erections and even spontaneous ones. My length only increased by about .25 to 7.5 but the girth increased by about .5 and it seems much more muscular, more veiny and harder. Hope a second shots adds some more size and increased hardness. The P-shot was much more painful than I expected and next time I will ask for stronger numbing shots.
You have 7 and a half inch penis. You know how blessed you are and you want more.. Your like the zheff Bezos of cocks! Be happy with what you got. I gotta small dick and it sucks dude!
Hello. I had a great sex life with no problem maintaining erection at 44yo, vegetarian for ~3yrs. I’m a dentist and use PRF on a daily basis with various dental surgical procedures. I injected 0.75mL per shaft side, 5 days ago.
I now am worried as have not been able to keep my erection and when I tried to have Inter course the day after, reached orgasm within a minute, highly unusual. Is there different results for different users? I did not use a pump. I did it to increase a little girth and in wife’s words, ‘I have too much time’
Much respect. The dentists worked out the science of PRP before anyone else. But, injecting the penis involves some specific techniques. What you did was not a P-Shot® procedure. I hope you’ll see one of our certified providers.
Hey there, I got the P shot 3 weeks ago and was getting great results after but I started using a vacuum pump a week after, at the recommended presssure daily, and after using it 5 times, my penis went numb and I can’t get an erection now. It seems like I now have nerve damage. How do I recover from this? I’m scared I did permanent damage
Penis is now hard
I have has high blood pressure and high cholesterol and was put on medication and developed ED . will the Pshot work for me?
I have been diagnosed with hypothyroidism around the same I took the p shot….its been 9 weeks i was on np thyroid medication, taking cialis, and viagra. No results what’s so ever. I still struggle with ED. Why is this happening to me.
For all you guys looking to regain sensitivity – if you were circumcised that is a big reason for loss of sensitivity. Nerves are severed and the most sensitive tissue of the penis is removed- the inner foreskin. You can try foreskin restoration to improve sensitivity. And remember- don’t let them cut your kid or grandkids!
Complete nonsense . Im circumsized and have great sensation.
I have a redness on my penis and no skin creams can hepl it. I wonder if I use this, will there be an improvement on my sore?
Hi there, can you recommend someone in Honolulu who does p-shot and share your guarentee of refund if not work?
There is several in Hawaii. Try looking in the directory of listed dr.s I saw a few there when searching.
I read after having a shot it can last between 12 to 18 months. So its not a permanent solution? If I had more then one shot then do I have a better chance of permanent effects? Or over time it will still loose it’s size?
I have a few general questions about the P-shot, but first an overview:
I’m a bit overweight, but the weight is coming off. On TRT, that is going well. May have sleep apnea but getting tested for that soon. I find my erection strength has suddenly decreased, as well as sensitivity in my penis.
Here are my questions:
1. I’m also considering Gainswave along side the P-shot. Would it be beneficial to do the shockwave first and then P-Shot, or other way around, or does it really matter?
2. The P-shot interest me for size first, erection strength second. If the average circumference increase is .25″ on the first shot, but someone wanted slight more, is there a benefit to a second shot in regards to size? Is there a suggested wait time?
3. Do other methods of HGH production (i.e. semorelin or other supplements) provide any help to the P-shot in regards to size?
Any doctor recommendations in the 92028 zip code (north San Diego county?)
Dave
32
Hi yall, I got the p shot this morning because I’m looking for some more length and girth, still numb from the cream lol but I did some research and multiple practices has given their patients the vacuum pump. My medical practice didnt provide one. Should I purchase one to increase my chances of getting some length?
Does the P shot use Exosomes to grow new tissue, are the results permanent, and would you recommend taking a Nitric Oxide supplement post procedure?
Hello, I also have another question. Will the P Shot bring back the elasticity and get rid of permanent shrinkage from HBP, Diabetes and Smoking? If someone gets rid of all of these causes to an unhealthy erection; will the restoration (not size increase) remain permanent in a healthy individual?
Hi, can you recommend a reputable provider in Boise, Idaho?
Can the p shot help with supposed penile tissue damage?
Wondering the same.
The Priapus shot uses platelet rich plasma, or PRP, to stimulate the body’s own natural healing and repair process. PRP works by releasing various growth factors and cytokines which activate the healing process. PRP has been shown to help with damaged tissue in many areas of the body including wounds, scars, tendons, joints, gums, etc. So yes, it can help with damaged tissue in the penis and many patients have improved penile function after getting the Priapus shot. There is one news report of a soldier who sustained trauma to his penis and recovered a significant degree of size and function after having the Priapus shot: https://www.thesun.co.uk/news/6265996/ex-soliders-penis-grows-1-5-inches-thanks-to-new-jab-after-it-was-torn-in-an-explosion/
It’s important to remember that each situation should be considered on an individual basis before deciding if PRP is worth trying. There are many types, causes and degrees of “damaged tissue”. PRP is not appropriate in every situation. Indeed, the use of PRP in the Priapus shot is still considered experimental. A full medical consultation including appropriate lab investigations should always be done with your doctor before deciding on any treatment or medication, whether it’s PRP or something else.
I am a 39 year old with a penis length of about 5.3 inches, which I halve sever anxiety over and have for a very long time. My width is not average and I’ve finally realized snugger for condoms are better for me and my wife so they don’t slide off. I am very interested in the p-shot in hopes of gaining even just a little length and girth. But I’m apprehensive about the cost and any side effects or constant need to redo the procedure every few months. Will this actually help give me a small boost in length and girth, and about how long do the results last? My wife continues to say I am fine and actually made me back out of a once scheduled procedure to get this done. But as I’m getting older, I notice it does appear to be getting a little smaller, so I’m wanting to make sure I’m still adequate for her. Thougjts?
not sure where you live, but you could get a series of treatments at a reduced price if you participated in this research…
—>See the Research (click)<--
Also, for a more dramatic improvement in girth, you could see one of our providers who also combines the P-Shot® with HA fillers subdermally. You can safely see some increases with both of these options.
Keep us posted about your results.
Best regards,
Charles Runels, MD
I used to have same situation with yours, 6 months I got 6 shot and daily vacuum used like 10-15 min per day. Result is amazing definitely worth it I got 3cm on length and 2 cm on girth.
Hi, I am 28-year-old who was prescribed VED (penis pump) by a urologist in London. Since using the pump for 10 mins/day and pumping up to max size and releasing throughout the session, I have suffered with bad erectile dysfunction (I had no dysfunction prior to the pump). I imagine I may have damaged the smooth muscle in the penis and I wondered if there is any chance that PRP could help improve this damage? It has been about 4 months since I last used the pump so hopefully I am still within a timeframe in which I could see improvements? Is there a timeframe outside which PRP probably won’t work or is there always a chance it can help even after years of erectile problems?
Thanks!
Dr Runnels used me as a training model for the P shot 5 or 6 years ago. That one procedure greatly improved the hardness of my erection, and has lasted for years. I am now looking to get another treatment, that would include stem cells with prp. Fantastic technology. Simple safe and drug free. Thanks Dr.!
I am 37 and have used Ed pills for about a year now. They haven’t been working so I got the P shot a week ago. After the second day I felt like a new man. Increased sensitivity and no problem getting an erection. Now a week later I feel like I did before the shot. Basically no response from my penis. Very hard to get an erection. Is this normal?
The short answer is please don’t worry, what you’re describing is normal. Erectile function is highly dependent on blood flow to the area. After the Priapus Shot, it is common to have increased function for a short period of time due to trauma of the injections themselves as well as the volume of PRP causing temporary increased blood flow to the area.. This is the immediate response. After a few days, this settles back to the normal state before the treatment. However, it takes longer to see the effects from the growth factors and cytokines in the PRP. One of the main ways that PRP improves function is through angiogenesis, the formation of new blood vessels. It usually takes at least 2-3 weeks for the effects to even start to become noticeable. It’s very gradual, but generally about 80% of the improvement will be apparent at 8 weeks. Some practitioners will offer a repeat treatment at this point. I tend to recommend a repeat treatment at around 4 weeks, depending on the baseline function, or even sooner if a condition like Peyronie’s is being addressed. Hope this helps.
Patrick Yam MD. PRPclinic.ca
Will this Pshot hurt someone with herpes ?
since PRP improves the immune system, it could possibly help decrease the severity or the frequency of outbreaks; but, we do not have any research to prove that.
I recieved my Pshot 3 days ago and currently pairing it with Gainswave treatments.
4th Gainswave will be next week.
Now, the Pshot..Dr gave me 3 injections..1 on each side of the shaft which was manageable in pain. Felt like a mosquito bite that’s about it but..when he gave me a shot in the penis head I about came unglued. I felt everything and it burnt and stung so bad. I’m 53 and can handle pain but this pain made me almost faint. Got light headed, pale and began sweating. Dr said it was normal but I gotta admit I thought about pulling away due to the pain. Looking back I don’t know if the nurse even applied numbing cream on the head. For my Gainswave she applies to the shaft, wraps in plastic, then 15min later she comes back in and performs the shockwaves which seems uncomfortable but manageable.
Question is how long does it take for the cream to kick in with numbing? I’ve read to leave it on for an hour but my office leaves it on for 15min or so..
Also performing my daily pumps 30min each night 7hg. With pumping is it best to leave it at 7 for a few minutes, deflate then pump it back up and repeat?
Too early to tell but haven’t seen any positives yet but its early so I’ll follow protocol as directed.
Also, Dr did not take any blood from my arm for PRP he used blood from a younger individual he said. After reading some testimonials from others the Dr pulls blood from the patients which mine didn’t.
Makes me wonder now..
Any thoughts??
Thanks,
Instead of using the vacuum pump to have blood flow into the penis, can I use tadalafil every few days to flow blood into the penis ? I see some clinics in America are offering this. I am from the UK btw. Thanks
you can, but the pump expand the penis to more than the normal erection does, so used properly this gives a better effect.
I I have ed related 1.penile venous insuffiency called venous leakage 2.Venous incompetence and arterial insufficiency.These two examined by two different centres.erection 70% by viagra ,cialis.not possible intercourse by condom.ejaculation in 30 seconds.please giuide for p shot and shock wave therapy.
I just got my p-shot for narrowing and identation. The provider told me not to use the Vacuum pump for two weeks and sexual abstinence also. I’m been taking low dose cialis everyday for a year, she told me not take it for two weeks. What do I do?
There may be something special about your personal history that makes you unique, but that is not the usual advice we offer. Here’s our actual protocol (click), are you sure you had the procedure from one of our providers? (if the person who did your procedure is not listed on this list (click), then I have no idea what you even had done. Just shooting the penis in the many ways it could be done does not give the best chance of a good outcome.
I am 56, had a widow make heart attack at 55 with subsequent triple bypass. Is the P-shot appropriate for me or is it contraindicated?
I have my P-shot in 3 days. I’m currently on trt 200mg once a week. My question is, I usually have high hemoglobin until I donate blood. Will that effect my blood draw or the quality of my prp? I was going to donate, as I have a donor card to use whenever I need, but I got a tattoo 3 weeks ago.
The most direct effect of having a high hemoglobin would be that, when blood is drawn, there would be less plasma available, hence less platelets, because within a certain amount of blood, there would be more volume of red blood cells.
This should not affect the activity of your platelets; however, the high hemoglobin can affect blood flow. Good luck with your procedure.
Hi,
I’m healthy 30 year old male. Did ultrasound, – blood flow etc is all normal.
But when I am not on medication at all, I am unable to maintain erections for sexual intercourse. No morning erections whatsoever.
However, when on medication, I have good response to PDE5 inhibitors.
I’m currently on 5mg daily tadalafil + combined with Prelox [(L-arginine (2800mg) + pycnogenol (80mg)]. & I see good results with this. (I may also introduce L-citrulline down the line).
But my question is, do you feel the P shot can give me that extra help me with my case? & Do you think I would respond well to the P shot given the severity of my ED?
Thank you.
Thank you for the comment! We completely agree—our video is for educational purposes only and not a substitute for professional medical advice. Always consult your doctor for personalized guidance on vacuum erection devices or any treatment. Stay informed and safe! https://www.jointinjectionuk.com
Dr. Runels has been truly inspirational in my career path. I’m using this platform to reach others who are deciding whether to invest in seminars led by him or his certified instructors. It will be the best decision you will ever make!
I was a clinical professor of Urology at Duke University when multiple sclerosis forced me to make a career change. I started doing bio-identical hormones about 14 years ago. Along the way, there was some entertainment awards show like the Oscars, Emmys (I don’t know the difference between any of them) that talked about one of the “presents” all attendees received, which were certificates to O and P shots!)
As a urologist, that’s my world. I know that anatomy, literally, inside and out.
Next thing you know, I’m in Fairhope, AL., one of the nicest large towns I have ever visited!
Vampire procedures were also being offered, and I enrolled in them.
When I returned, what once was a one-pony show became a hormone, aesthetics, and sexual wellness, clinic.
I became an instructor years ago and will being offering courses again (my office is in Asheville, NC, another gorgeous place to visit, and while there is still flood damage visible to those of us who know where to look, your visit will not be affected by the devastation we incurred).
Here is the advice I tell all enrollees (I haven’t run this past Dr. R so I hope he’s ok with this), and sadly, not all heed it.
For most of you, injecting the genitals and face is going to be foreign. So before you go, have as many male and female “models” ready to go. Before you return from Fairhope, have consents signed, aggreements to do social media posts, before and after pictures, leave 5-star reviews-with as many friends, family, and staff, as possible. (The P-Shot is techinically much easier to learn, not that the O-Shot is difficult, the P-Shot just takes doing it 1-2 times to get the hang of it).
Sure, it may be Sunday evening but do the above somewhere. The sooner you replicate what you did in Fairhope, the more confident you’ll be, and then the more profitable than you can imagine.
The highest margins, by far, are sexual health procedures. The barrier to entry is high, and the desire and outcomes are fantastic.
Dr. Runels, I cannot thank you enough for your guidance for over a decade.
Thank you.
Sincerely,
George
Usually, the full effect is not until 8 to 10 weeks. This is an unusual response. I would go back…
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The most direct effect of having a high hemoglobin would be that, when blood is drawn, there would be less…
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