P-Shot for Erectile Dysfunction

The P-Shot treatment typically takes approximately 30 minutes to complete.

Most men experience an immediate and notable increase in the size, shape, responsiveness, and duration of their erections within 6 hours of the P-Shot procedure. Over the following two to four months, as tissues regenerate and blood flow improves, further improvements are observed. Stronger and more intense orgasms are also commonly reported.

Men aged 35 and above who are dealing with sexual dysfunction, dissatisfaction, or discomfort with erections (including Peyronie’s disease) and who seek to enhance or improve upon the effects of other therapies are good candidates for the P-Shot.

The risks associated with the P-Shot will be explained to you by your doctor. Generally, when performed by a certified P-Shot provider following the specific protocol developed by Dr. Runels, the procedure is considered very low-risk. However, if performed incorrectly, there is a risk of permanent damage. That’s why you must work with certified providers.

Due to the use of your own blood, the P-Shot typically has minimal or no side effects. Many men are able to engage in sexual activity on the same day as the procedure.

The injection during the Priapus treatment is administered to the crucial areas of the penis that play a significant role in sexual arousal and erectile function.

To ensure your comfort, a local anesthetic (numbing cream) is applied to the penis before administering the P-Shot injection. This minimizes or eliminates any discomfort you may feel.

The P-Shot may lead to increases in both length and girth of the penis, although the results may vary. While some individuals have reported such improvements after approximately 8-12 weeks, it’s important to note that not all patients will experience every benefit of the P-Shot.

Immediately following the procedure, most patients report feeling completely normal and may feel a sense of excitement. Post-procedure pain is typically absent. While there is a small chance of bruising with injections, if it occurs, its impact is usually minimal and heals quickly.

The cost of a single Priapus Shot procedure is $1,900.

Yes, there are packages available that combine various effective treatments to address erectile dysfunction comprehensively. These packages utilize multiple modalities with proven results.

• For mild to moderate erectile dysfunction, the package includes 6 sessions of acoustic wave therapy, 1 P-Shot treatment, a penile pump, nitric oxide supplements, and a male hormone panel blood draw and consultation, priced at $4,300.
• For moderate to severe erectile dysfunction, the package comprises 12 acoustic wave treatments, 2 P-Shot treatments, a penile pump, nitric oxide supplements, and a male hormone panel blood draw and consultation, priced at $9,290.

After receiving the P-Shot, it is recommended to use the provided vacuum pump device to stretch the penile tissues for optimal results. A penis pump is used to help individuals with erectile dysfunction achieve and maintain erections. By placing the transparent cylinder with an airtight seal over the penis and using the pump to create a vacuum, blood flow to the penis increases, resulting in an immediate increase in both length and size. The use of the pump will be further explained and demonstrated by your healthcare provider.

A brief follow-up visit is typically recommended four weeks after the P-Shot procedure.

The FDA does not regulate the use of one’s own body tissues or the practice of medicine. However, all kits, devices, and medications used in the P-Shot are FDA approved.

The effectiveness of the P-Shot may be reduced in men with long-standing erectile dysfunction caused by diabetes, those who are unable to achieve any erections (including morning erections), and men with ED caused by certain heart medications. However, the term “less effective” can vary in meaning for different individuals, and actual results will vary.

Men who have already had a surgically implanted pump should not undergo this procedure.

For the most part, the P-Shot is considered an elective procedure and is not typically covered by health insurance. It is important to assess the relative value of the P-Shot compared to other erectile dysfunction treatments. While the cost of the P-Shot may be higher upfront, its long-lasting results can make it more cost-effective than continuously refilling prescription ED medications. Additionally, the P-Shot offers a non-surgical and pain-free approach to increasing penis size, distinguishing it from more invasive options like male enhancement surgery or penile implant surgery, which often require downtime.

Two Weeks Before 

• Refrain from use of excessive or unnecessary blood thinners.

One Week Before 

• Use of any Nonsteroidal anti-inflammatory drugs (NSAIDs) including over-the-counter medications like Ibuprofen (Motrin, Aleve) and Aspirin, as well as prescription medications like Naproxen is not recommended, as these medications may interfere with platelet function.
• Use Acetaminophen (Tylenol) for pain relief, when necessary.

Three Days Before the P Shot

• If you have a history of genital herpes, notify the physician, who will prescribe a course of antiviral prophylactic treatment.
• Take a course of Arnica Homeopathic tablets until a day after treatment to decrease the occurrence of bruising.
• Notify Marin Regenerative Health to reschedule, If between now and your appointment, you have an active outbreak of Human Papillomavirus (HPV) or genital herpes.

The Day of Your PRP Procedure

• Comfort Measures:
  • Be sure to eat a small meal prior to treatment, as blood will be drawn.
  • A topical numbing cream can be applied before treatment

• The P Shot is generally considered safe with minimal downtime, side effects and recovery.
• With the exception of strenuous exercise, you may return to normal activity including sexual intercourse after treatment.
• Most side effects from the treatment should not be cause for alarm. Symptoms are usually minor and should subside in time, as a normal part of the healing process. They may be alleviated with simple measures, as described above.
• Immediately following treatment, the treatment area may appear flushed, which usually subsides within several hours.
• Mild tingling, swelling, soreness, and tenderness on the penis may occur for up to three days.
• Bruising, particularly at the injection site of the penis, may last for several weeks.
• If you are concerned about any aspect of your post-treatment recovery, please call Marin Regenerative Health at 415-234-4225

• Showering and cleansing the treatment area are allowed, once medication has worn off. A gentle cleanser may be used on the treatment area.
• Refrain from strenuous exercise for 24 hours.
• Comfort Measures:
  • Acetaminophen may be used for discomfort. Refrain from NSAIDs (see above) for seven days.
  • Antihistamines, like Benadryl and Zyrtec, may be used for minor itching.
  • For up to 48 hours following treatment, cool packs or ice can relieve minor discomfort and reduce swelling and bruising. Ice for a maximum of 20 minutes per hour. After 48 hours, switch to hot packs.
  • Arnica Gel may be used for bruising.
  • If extreme swelling or any unforeseen symptoms occur, please contact Smooth Synergy at 212-397-0111.

• Most men experience improved sensation on the penis immediately following the P Shot. Additionally, collagen remodeling will continue for up to six months to deliver benefits that can include:
  • Lasting improvements in sexual performance
  • A larger, stronger and straighter penis
  • Firmer, more frequent erections
  • Increased circulation for a healthier penis
  • Increased sensation and pleasure
  • Enhancement of the results of Viagra or Cialis
  • May correct damage from diabetes

  One treatment is recommended to start and re-evaluation is recommended after 8 weeks. Results may vary. Some men require multiple p-shots in a year combined with Shockwave Therapy and Hormone management depending on severity of ED.