Erection Problem: The P-Shot Answers to Common Questions About This Sensitive Treatment

The P-Shot, or Priapus Shot, is a regenerative medicine treatment that uses platelet-rich plasma (PRP) extracted from your own blood. It’s injected into the penis to stimulate tissue repair, improve blood flow, and enhance sensitivity. While the procedure has grown in popularity, it’s also generated questions about its capabilities, especially in relation to conditions like Peyronie’s disease, penile curvature, and combining the treatment with fillers for enhancement.

Here are answers based on current medical knowledge, patient experiences, and expert opinions.

Understanding the P-Shot

The P-Shot, also known as the Priapus Shot, is a non-surgical treatment designed to improve male sexual health and treat erectile dysfunction. This innovative procedure involves injecting platelet-rich plasma (PRP) into the penis to stimulate blood flow, promote tissue growth, and enhance overall sexual performance. Derived from the patient’s own blood, PRP is rich in growth factors that support cellular regeneration. While the P-Shot has shown promising results in improving erectile function and sensitivity, ongoing research is essential to fully understand its long-term effectiveness and safety.

How Does the P-Shot Work?

The P-Shot works by harnessing the regenerative power of PRP, which is obtained from the patient’s own blood. This plasma is rich in growth factors and proteins that play a crucial role in cellular regeneration and tissue repair. When injected into the penis, PRP helps to increase blood flow, improve erectile function, and enhance overall sexual health. The treatment targets the underlying causes of erectile dysfunction, such as poor blood flow, scar tissue, and chronic health conditions, making it a comprehensive approach to addressing male sexual dysfunction.

Can the P-Shot Correct Penile Curvature?

The P-Shot cannot permanently correct significant penile curvature caused by conditions like Peyronie’s disease. The curvature is typically due to scar tissue in the tunica albuginea, the layer of tissue that surrounds the erectile chambers. This scar tissue prevents even expansion during an erection, leading to a bend.

Platelet-rich plasma can support tissue healing and improve circulation, but it does not dissolve or remodel the dense, fibrotic tissue causing the curve. Low-intensity shockwave therapy, or treatments like Gainswave, may help remodel scar tissue over time. PRP can be complementary but not curative.

One physician likened the effect of Peyronie’s disease to placing tape on a balloon: “When you inflate it, the tape keeps one area from expanding, causing a curve.”

The P-Shot Procedure

The P-Shot procedure is relatively quick and painless, typically taking around 30-60 minutes to complete. The process involves several steps:

  1. Drawing a small amount of blood from the patient’s arm.

  2. Using a centrifuge to separate the platelets from the rest of the blood.

  3. Injecting the PRP into the penis with a small needle.

  4. Applying a topical anesthetic cream to numb the area and minimize discomfort.

This straightforward procedure leverages the body’s natural healing processes to enhance sexual function and performance.

What to Expect During Recovery

Recovery from the P-Shot is typically quick and straightforward, with most patients able to resume normal activities immediately. Some may experience minor side effects such as bruising, swelling, or pain, which usually resolve within a few days. To ensure optimal healing, it is recommended to avoid sexual intercourse for a few days post-procedure. This brief recovery period allows the PRP to effectively stimulate tissue repair and improve erectile function.

Can the P-Shot and Filler Be Done on the Same Day?

Technically, yes, the P-Shot and filler can be performed on the same day since they target different areas. PRP is injected into the corpus cavernosum and other erectile tissues to stimulate regeneration, while fillers are injected subcutaneously to increase girth.

However, combining the treatments in one session may not always be advisable. Healing and monitoring the effects of each procedure separately ensures better results and reduces risks of swelling or tissue stress. Many experts recommend spacing the treatments by at least four to six weeks.

As one provider explained, “The P-Shot improves circulation and function, while fillers focus on aesthetics. Giving each its own time to work provides a more tailored and effective result.”

 

What Can the P-Shot Do for Erectile Dysfunction?

The P-Shot is designed to:

  • Improve blood flow to the penis.

  • Enhance sensitivity, particularly in the glans.

  • Potentially support erectile function.

  • Temporarily increase size through improved circulation.

PRP therapy, used in the P-Shot, has a long history in wound healing, sports injuries, and dentistry, where it stimulates cellular regeneration and tissue repair.

While some patients report improvements in erection quality and penile sensation, outcomes vary. Providers emphasize that no regenerative procedure can guarantee specific results.

What Can’t the P-Shot Do?

The P-Shot is not a panacea. It does not:

  • Correct structural issues like severe Peyronie’s disease.
  • Permanently increase size or length.
  • Replace the need for foundational health practices like exercise and weight management.
As one physician noted, “PRP enhances natural healing, but it won’t fix everything.”  

How Does It Compare to Shockwave Therapy for Blood Flow?

Low-intensity shockwave therapy targets scar tissue and stimulates blood vessel growth, making it a potential treatment for conditions like Peyronie’s disease. While PRP focuses on regeneration, shockwave therapy actively remodels damaged tissue. Used together, these therapies may offer synergistic benefits. Some men prefer the P-Shot over prescription drugs for treating erectile dysfunction.

Are Fillers a Good Option for Penile Enhancement?

Penile fillers are an increasingly popular option for aesthetic enhancement, focusing on increasing girth. However, they come with practical limitations. One syringe of filler is a fraction of a teaspoon, meaning substantial quantities are needed to achieve noticeable results, making the procedure costly.

An alternative is fat grafting, which uses the patient’s own fat for enhancement. While more invasive, fat grafting may provide longer-lasting results.

What Are the Risks of Combining Treatments?

Combining P-Shots with fillers or other treatments is safe in experienced hands but may increase swelling or discomfort. Overuse of treatments, especially fillers, may lead to unnatural results or complications. A conservative, step-by-step approach is often best.

Cost and Insurance

The cost of the P-Shot can vary depending on the provider and location, but it is generally not covered by insurance. On average, the P-Shot costs around $1,000 to $2,000 per treatment. Some providers may offer package deals or financing options to make the treatment more accessible. It’s important to discuss the cost and payment options with your provider during the consultation.

Choosing a Qualified Provider

Selecting a qualified and experienced provider is crucial for the success of the P-Shot treatment. When choosing a provider, consider the following:

  1. Ensure they are a board-certified urologist or medical professional.

  2. Verify their experience with the P-Shot procedure.

  3. Confirm they use high-quality equipment and follow proper protocols.

  4. Look for clear instructions and follow-up care.

  5. Check reviews and testimonials from previous patients.

By choosing a qualified provider and adhering to recommended protocols, patients can minimize risks and maximize the benefits of the P-Shot treatment.

When Should You Consider the Platelet Rich Plasma P-Shot?

The P-Shot may be worth exploring if you’re looking to:

  • Enhance sensation or erectile function.

  • Address mild issues with blood flow or circulation.

  • Complement other therapies like shockwave treatment.

It is less suitable for patients seeking dramatic physical changes or solutions to structural issues.

Top 10 Quotes

  1. “The P-Shot stimulates natural healing, but it’s not a cure-all.”

  2. “PRP can improve blood flow and sensitivity but won’t fix Peyronie’s disease.”

  3. “Think of Peyronie’s like tape on a balloon—it curves where the scar is.”

  4. “Filler adds girth, but results are subtle unless large amounts are used.”

  5. “Shockwave therapy can remodel scar tissue and improve flexibility.”

  6. “Spacing out treatments like the P-Shot and filler ensures better outcomes.”

  7. “PRP won’t dissolve dense scar tissue, but it supports regeneration.”

  8. “Muscle loss and poor circulation contribute to many issues with aging.”

  9. “Fat grafting offers a more lasting enhancement option than fillers.”

  10. “Treatments are tools—success depends on realistic expectations and expert care.”

Final Thoughts

  1. he P-Shot offers exciting possibilities for regenerative healing and improving penile health, but it’s not a one-size-fits-all solution. It works best when combined with other targeted therapies like shockwave treatment or fillers, depending on your goals. Consulting with an experienced provider and setting realistic expectations are key to achieving safe, satisfying results.

    • P-Shot benefits

    • Penile curvature treatments

    • Peyronie’s disease

    • Low-intensity shockwave therapy

    • Penile fille

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By Dr. Ryan Welter

August 16, 2025