Reviews of the Priapus Shot® Procedure

Please be considerate.  Honest and intelligent observations will be welcomed. Negative and positive comments needed for honest discussion. Hateful and thoughtless comments will be deleted and the commenter blocked.

Sexuality is beautiful, pleasurable, and sacred.  Comments should consider those principles.

Thank you very much.


689 thoughts on “Reviews”

  1. 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.

    1. 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

      1. 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 If you have any other questions, you can visit my website at or email me at

        1. 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

    2. 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 or visit my website at

  2. 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.

    1. 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.

    2. 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.

    3. 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.

  3. 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.

  4. 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).

    1. 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.

      1. At 5 weeks the results are good. Erection quality is now very strong and penis has noticeably grown in size. My wife is pleased.

  5. 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.

    1. 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.

    2. 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.


  6. 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?

    1. 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 for more information or you can email me directly with other questions at

  7. 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.

    1. Did you gain length in flaccid state or erect state? I’m hoping for some flaccid gains since I’ve got retraction issues.

      1. 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.

  8. 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 ?

  9. 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.

    1. 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.

  10. 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.

    1. 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®.

      1. 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?

          1. 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.

        1. 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.

  11. 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

    1. 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.

  12. 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.

    1. 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.

  13. 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.

    1. 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).

      1. 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.

      2. 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.

      3. 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.

  14. 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?

    1. 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!

  15. Hi there i am just wondering if this treatment will help with male lichen sclerosus on glands and forskin. Its a very depressing disease.

    1. 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.

      1. 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

  16. 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.

    1. 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.

      1. 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

        1. 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.

  17. 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

    1. 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.

  18. 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.

  19. 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.

    1. 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 …
      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…

  20. 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.

      1. 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?

        1. 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.

  21. 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?

  22. 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?

  23. 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.

  24. 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.

  25. 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.

  26. 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?

  27. 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?


    1. 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.

  28. 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?

  29. 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.

  30. 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

  31. Hi,

    Is there any risk that the needle may hit and damage any vital nerves in the penis, like the cavernous or dorsal nerve?

  32. DR Runels
    Is there any contra indications for patient’s with autoimmune disorders such as those with c-anca vasculitis .

  33. 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?

  34. 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.

  35. 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?

    1. 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…

      1. 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.

  36. 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.

    1. 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.

  37. 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.

    1. When you have zero function of the dorsal nerve endings penis / sensacion, can the priapus shot do anything to regrow ?

  38. 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.

  39. 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.

  40. 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

  41. Dr Runels,

    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?


  42. 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.

  43. 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?


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