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The Priapus Shot or P-Shot, as it's commonly called, is a relatively new procedure designed to treat erectile dysfunction, among other common penile problems.
The procedure uses your own platelet-rich plasma (PRP), and it is injected into your penis to potentially stimulate new cell growth and improve blood flow.
PRP is responsible for healing wounds, so the theory is that the P-Shot will rejuvenate the penis and allow it to function at an optimum level, but does it work?
Because the area is numbed prior to the injection, most patients report little to no pain.
No, once you complete the series of injections, the results last roughly two years.
The average cost of the procedure ranges from $600-$2000 dollars depending on where you live. This procedure is not typically covered by insurance.
Typically, most people can return to their sex lives within a few days.
If you're wondering, "what is the P shot?" you're not alone.
This relatively new therapy may help to help improve:
The P-Shot was first registered in 2010 and is still in the experimental stage, although many licensed doctors are authorized to administer it throughout the US.
The goal is for the PRP to rejuvenate the penis and allow it to function at an ideal level.
Since PRP is responsible for wound healing, it may play a role in forming new neural pathways in the penis to promote a healthy circulatory system and stronger erections.
Generally, the P Shot is administered over a series of several months.
In many cases, a single procedure consists of two to three shots on one side of the penis and then an equal amount on the other side.
The procedure is often done once a month for up to six months or until the doctor and patient are satisfied with the results.
When the patient goes home, the doctor may advise them to rest their penis for a few days to aid in healing.
Along with this, some doctors recommend using a penis pump to help stimulate the PRP throughout the penis.
While the scientific research and studies on the P-Shot are relatively thin, especially since the procedure was only registered in 2010, there are a handful of patient reviews and adjacent studies that can help paint a picture of the pros and cons of the P shot.
Pros of the P-Shot:
Cons of the P-Shot:
Luckily, you don’t have to do anything major to prepare for the Priapus Shot.
However, it’s ideal to get a full night's sleep and eat well beforehand to help your body respond best to the procedure.
Working out lightly before the procedure can also help since cardiovascular activity will improve your blood flow, and this may help you react optimally to the P-Shot.
Likewise, a vegetable-rich diet can improve your cardiovascular system and help ensure you get the best results from the P Shot.
By taking care of your body, you’ll likely improve your chances of success from the procedure.
Even though the Priapus Shot is a very simple procedure, it’s helpful to know exactly what to expect so you can arrive with confidence and without stress.
Here’s what you can likely expect on the day of the P-Shot:
While the P-Shot is generally regarded as safe and without the risk of any major side effects, it’s still a medical procedure and comes with some potential risks that should be noted beforehand.
Some of the most common side effects include:
Some of the more rare yet serious side effects are likely from the act of injecting, and not the PRP itself.
The repeated use of needles carries some risks, including:
The P-Shot is likely not a person's first choice when it comes to solving ED and other male sexual problems.
Before trying the Priapus Shot, it's worth exploring less expensive, less invasive, and more readily available alternatives that may provide relief.
Products like Vitaflux utilize researched ingredients like L-arginine, L-citrulline, and L-Carnitine tartrate to safely increase nitric oxide production throughout your body.
This can help to improve your circulatory system and blood flow throughout the penis to help with stronger and firmer erections, a higher libido, and even more satisfying orgasms.
Likewise, aerobic exercises and a healthy diet can help to regulate the body's circulatory system, which can be very beneficial in reducing the risk of developing or getting worse erectile dysfunction.
Kegels, which require squeezing the pelvic floor muscle gently throughout the day, can also help to increase erection quality and reduce ED.
The P-Shot itself is generally not regarded as painful. Before the procedure, you’ll apply a numbing gel or cream to help minimize the risk of any pain during the injections.
However, you may still feel some pressure from the injections, and this can be slightly unsettling given the area, even if it’s not painful.
For a day or two afterward, you may feel some slight pain and discomfort throughout the penis.
An ice pack or a simple over-the-counter pain reliever may help to alleviate the pain, but it’s important to ask your doctor before using anything after the procedure.
The P Shot can cost anywhere from $600 to $2,000 per visit, depending on your local area.
Some areas have higher costs, and certain providers may charge more or less than others.
The procedure is generally out-of-pocket as well as it is considered experimental and not approved by the FDA, and may require an average of five separate procedures in total.
There are many licensed doctors throughout the US that can provide the Priapus Shot.
To find one, simply search in your local area for a P-Shot provider, and then check to ensure they are licensed and have strong reviews.
The average recovery time for the P-Shot is quite short, with many people online saying it only took a day or two until the slight pain and discomfort went away.
However, since the P Shot does not have a lot of scientific studies backing it, this information is generally gathered from firsthand reviews of the procedure.
Results will vary depending on a number of factors, including:
Most of all, results are highly individualistic and depend on how well your body reacts to your PRP.
Some people react very positively and quickly, while for others, it may take several months and treatments before positive results are noticed.
Some people report seeing increased erection size and quality within just 24 hours, while the average seems to be within 3-6 monthly treatments.
Some people also report seeing positive effects only after six months of treatment.
It’s best to avoid sex for at least a few days after the procedure to ensure there’s no irritation, worsening of discomfort, or risk of infection at the injection sites.
Due to certain individual factors, such as your age and health, your doctor will likely provide a more specific timeline on when you can enjoy sex after the treatment.
You may also be advised to avoid certain activities like lifting heavy weights, squatting, or riding a bicycle immediately after the Priapus Shot to avoid irritation.
It’s theorized that the results can last up to two years for some users.
The duration of the effects likely depends on numerous individual factors, including:
However, when successful, the P-Shot likely provides at least several months of stronger erections, with potential benefits lasting up to two years.
The P-Shot is an experimental procedure that may help improve erectile dysfunction, a lack of sensitivity, and other penile problems among men.
The Priapus Shot generally has few side effects, although it does lack federal approval and long-term studies about its benefits.
Other options may come with more scientific proof for treating ED, and should be considered first.
For most men, the P-Shot won’t be the first tool to fight against ED, but it may prove to be a worthwhile one in certain situations.
Dr Laurence Levine is a Professor of Urology and practices at Rush University Medical Center in Chicago. He is focused specifically on Male Sexual Health and is past President of the Sexual Medicine Society of North America (SMSNA). Dr. Levine graduated from the University of Colorado School of Medicine where he received his MD and completed his training in Urology at the Harvard Program in Boston.
Absorption Pharmaceuticals LLC (Promescent) has strict informational citing guidelines and relies on peer-reviewed studies, academic or research institutions, medical associations, and medical experts. We attempt to use primary sources and refrain from using tertiary references and only citing trustworthy sources. Each article is reviewed, written, and updated by Medical Professionals or authoritative Experts in a specific, related field of practice. You can find out more about how we ensure our content is accurate and current by reading our editorial policy.
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Schirmann A, Boutin E, Faix A, Yiou R. Pilot study of intra-cavernous injections of platelet-rich plasma (P-shot®) in the treatment of vascular erectile dysfunction. Prog Urol. 2022 Jun 10:S1166-7087(22)00130-0. doi: 10.1016/j.purol.2022.05.002. Epub ahead of print. PMID: 35697553. Accessed September 23, 2022.
Everts P, Onishi K, Jayaram P, Lana JF, Mautner K. Platelet-Rich Plasma: New Performance Understandings and Therapeutic Considerations in 2020. Int J Mol Sci. 2020 Oct 21;21(20):7794. doi: 10.3390/ijms21207794. PMID: 33096812; PMCID: PMC7589810. Accessed September 25, 2022.
Gerbild H, Larsen CM, Graugaard C, Areskoug Josefsson K. Physical Activity to Improve Erectile Function: A Systematic Review of Intervention Studies. Sex Med. 2018 Jun;6(2):75-89. doi: 10.1016/j.esxm.2018.02.001. Epub 2018 Apr 13. PMID: 29661646; PMCID: PMC5960035. Accessed September 25, 2022.
Silva, André B., et al. “Physical Activity and Exercise for Erectile Dysfunction: Systematic Review and Meta-Analysis.” British Journal of Sports Medicine, vol. 51, no. 19, Oct. 2016, pp. 1419–24, https://doi.org/10.1136/bjsports-2016-096418. Accessed September 30, 2022.
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