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The P-Shot® (also known as the Priapus-Shot®) offers a treatment to improve the hardness and sensitivity of the penis, and many will experience an increase in size, both when flaccid and erect. The P-Shot is designed to deliver lasting improvements in sexual performance to men. Is the P-Shot right for me? 1 in 2 adult males between the ages of 40 and 70 will have sexual changes they consider problematic. Often, the P-Shot will be a treatment that can help with these concerns. What is the P-Shot? The P-Shot (also known as the Priapus-Shot) is designed to deliver lasting improvements in sexual performance to men, especially those who have lost function due to an enlarged prostate, prostate cancer, the after-effects of surgery, drug side effects and other conditions such as diabetes. Using PRP (the healing parts of your blood) our doctors can help rectify these concerns. What will the P-Shot do for you? Although each man’s experience varies, most men report these benefits following the procedure and post-treatment protocol: Increases firmness of erection Increases blood flow and circulation Improved sexual capabilities Increase sexual stamina Increases sensation and pleasure Enhanced appearance How long do P-Shot results last? Results can last indefinitely, but some people may require further top-ups. How long does the P-Shot treatment take? The procedure takes 60 minutes which includes the consultation, consent and the actual treatment. Does the P-Shot hurt? The P-Shot procedure begins with a quick and easy blood draw. Then, using a proprietary technique, the growth factors are extracted from your blood and concentrated into the Platelet Rich Plasma (PRP). PRP is the injected into areas of the penis that are most important for the sexual response. These areas are numbed with a local anesthetic cream before injection, yielding little or no discomfort during the procedure. How does the P-Shot help? Platelet Rich Plasma contains many growth factors and healing factors. PRP has regenerative abilities and thus stimulates healing and rejuvenation. The resulting benefits typically include tissue growth that increases growth of new blood vessels and improved circulation within the penis, stronger erections, increased sensation and pleasure and enhanced sexual performance. Some men report changes in girth and length of the penis. Many of these benefits are experienced immediately after receiving the injection. What are the side effects of the P-Shot? The treatment uses the patient’s own blood derived plasma, it is non-allergenic and free of harmful side effects. The most common side effects include, temporary skin reactions such as redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising. Mechanism The P-Shot® uses Platelet-Rich Plasma (PRP) activated as a Platelet-Rich Fibrin Matrix (PRFM), that harnesses the power of the patients own platelet growth factors to regenerate new connective, vascular and neural tissue. It is a minimally invasive autologous medical treatment used across multiple medical specialties - including cosmetic rejuvenation. Safety There have been no serious long term effects found with PRP when administered appropriately with an FDA approved kit. A recent retrospective study in the Investigative Clinical Urology, Ethan 2018, concluded that PRFM injections for Erectile Dysfunction (ED) and Peyronie’s Disease (PD) are feasible and safe (1) Providers The P-Shot® is a trademarked procedure created by Dr Charles Runels. All global providers are registered members of the Cellular Medicine Association which includes urologists, surgeons, cosmetic physicians and general practitioners (2). Patient Satisfaction Rates. A retrospective study of 1220 patients by Kumar CS; “Combined Treatment of Injecting Platelet Rich Plasma With Vacuum Pump For Penile Enlargement”; J Sex Med 2016, 11, 174, concluded that penile length and girth enhancement using PRP and Vacuum Device for patients suffering from small penis, severe ED, significant shortening with or without Peyronies disease is a safe cheap effective procedure that can be performed in an outpatient department. With erection satisfaction rates of (see study for satisfaction rates) reported (3). Important variables such as patient medical history, presence chronic illness, medications-anti platelet therapy, lifestyle-smoking, type of PRP kits, harvesting technique, quality of PRP, doctor skill and patient expectations are contributing factors towards patient satisfaction and dissatisfaction rates (2a). Demographics In New Zealand there are more than 1 in 3 men who suffer from erectile dysfunction in their lifetime (4,5) the majority of whom present with mild-to-moderate erectile symptoms, which worsen with age (4). We recommend that any complicated cases that have not previously been investigated be referred to the appropriate clinicians such as an urologist before proceeding with any treatment.