Erectile Dysfunction Treatment
Are you satisfied with your penis? Do you have a spontaneous erection in the morning? Can you maintain an erection during a full sexual experience? Are you interested in getting a bigger penis? Is your penis straight?
These are all either causes or symptoms of Erectile Dysfunction.
Erectile Dysfunction (ED) or Impotence occurs in over half the male population, increasing with age. ED is defined by the inability to achieve or maintain an erection for a satisfactory sexual experience. Left untreated, it can lead to frustration, problems with intimacy, low self-esteem and depression.
Previously in my Family Practice, men would ask for Viagra by name, casually, always at the end of the appointment, as if they were asking for a beer. But these requests were far from casual, and the pain and shame were very real. The stories I heard were similar. When they had tried it, men reported that Viagra offered hope. It worked. But there were limitations: the need to plan ahead, the inability to combine with certain heart medications.
Other treatments eventually hit the market – implantable devices, injectable medications, and other Viagra-like pills – each with their plusses and minuses. Then, Dr Charles Runels developed the Priapus Shot, also known as the P-shot.
The P-Shot is a novel approach to the treatment of Erectile Dysfunction. As proven by extensive research, the P-Shot uses your own blood (Platelet Rich Plasma) to improve sensitivity, increase the size and/or girth of your penis, and establish a firmer erection. The P-Shot also helps to heal injured tissue by improving blood flow into your penis.
The reported benefits of the P-Shot include:
· Increased firmness of erection
· Enlarged penis
· Increased circulation within the penis
· Increased sensation and pleasure
· Increased sexual stamina
· Straightened penis
· Improved effectiveness of oral medications (Viagra, Cialis, Levitra, Staxyn)
· Improved or resolved urinary incontinence
· Improved or resolved prostate discomfort
The P-Shot uses Platelet Rich Plasma (PRP), which I have been using for years, with great success, in my Sports Medicine practice. PRP is a game changer. There are no side effects, making it the safest treatment option for ED.
The benefit of the P-Shot is dependent on the health of the recipient and the degree of dysfunction or injury. If the recipient is overweight, for example, or has high blood pressure, diabetes, or heart disease, the P-Shot may not be as effective, or may require more than one treatment. The use of NSAIDS (Motrin, Advil, Aleve, Naprosyn, Diclofenac, Celebrex, etc.) impedes the healing process, and may not be used following the P-Shot. If you have Peyronie’s Disease, three treatments are likely to be needed.
The P-Shot is not covered by insurance, and costs $1900 per treatment
Think of the impact this procedure could have on your life. Get your mojo back! You will find the satisfaction well worth the cost.
Please call to discuss whether the P-Shot may be right for you.
Peyronies Disease is a situation where the penis is not straight. It occurs in 5-7% of the population. The cause behind the plaque development and curvature is not known, although there are some associations with diabetes, some family history, and men with low testosterone. The curvature can progress over time and this makes it difficult to have an intimate relationship. Conventional treatment options include topical therapy, oral therapy, injection therapy, traction devices and surgery. However, those patients who have already pursued all the conventional medical therapies will tell you that the benefits they received from these options were less than ideal. The risk of side effects from medications and Xiaflex injections can be worse than not being treated. The P-Shot, however offers a treatment option that is without the risks, as the substance that is injected is your own blood. It is a safe, painless option for treatment. The benefits are noted immediately in some patients.
Here is a YouTube Video of a patient who was treated with P-Shot for Peyronie’s disease: P-Shot
Who is a great candidate?
A man who uses Viagra, Cialis, Levitra, or Staxyn with good success is the optimal candidate.
How does Platelet Rich Plasma (PRP) work?
Platelet Rich Plasma is derived from blood. A centrifuge is used to remove red blood cells, white blood cells and most of the plasma, the yellow liquid form of blood. Platelets are then concentrated by a second centrifuge, and are re-suspended in the plasma. Hence the name, Platelet Rich Plasma.
Platelets are produced in the bone marrow. Within the platelets are clotting factors, growth factors, honing molecules and other proteins that regulate healing. Platelets, which live for 7-10 days, stop bleeding, initiate healing, and encourage a new blood supply.
Healing occurs in 3 distinct phases. The first is an inflammatory phase, which begins when platelets are drawn to a site and become activated, releasing the growth factors necessary for healing. This phase lasts 3-5 days, and is an important time to avoid anti-inflammatories (such as Ibuprofen, Naprosyn, Diclofenac, Aleve), as inflammation promotes healing.
The second phase, the proliferative phase, occurs over a period of weeks. During this time, cellular material forms in a layered approach, and new blood vessels form. The layers of differentiated cells form a matrix that strengthens the injured tissue. This is the phase of healing when tissues are most prone to re-injury. It is important to use the penis pump correctly so as cause an erection but no trauma to the tissue by pumping too much.
The third phase of healing is called the remodeling phase. This lasts up to a year. During this period, collagen continues to develop and gets deposited in layers, adding strength to the tissue.
What is the risk of using PRP?
PRP is not associated with any risk or complication because it is your own blood, which is not foreign to your body. The risk of treatment is a consequence of the actual injection technique. The risk of treatment with PRP includes allergy to the anesthetic and injury or puncture of a deeper structure or nerve. This shouldn’t happen, but because everyone’s anatomy is slightly different, it is a potential. Bruising to the injected area can be expected. There is a low risk of infection.
What can I expect during and after the treatment?
The treatment is preformed using topical anesthetic and sometimes a nerve block. In some offices Nitrous Oxide can be used. This should help with any nervousness or anxiety you have about the procedure and further reduce your concern about pain. The injections are done with very small needles in specific locations. It can be done within 15 minutes if the anatomy is normal. After the procedure once the anesthesia has worn off, the penis will feel bruise and slightly swollen. This usually lasts a day. In some people it may last 3-5. We will use the pump immediately after the procedure. Then you will continue to use the pump twice each day for the next 2 months. If for any reason you can’t use the pump each day, we should schedule the procedure for another time.
Why use a penile pump?
The success of the P-shot requires rehabilitation of the penis over the following 2 months. This involves using a penile pump that will be supplied at your visit. We will teach you how to use it. Think of the pump as exercise for you penis. It is common to treat muscle injuries with Physical Therapy. Think of using the pump as Physical Therapy for the penis. The benefit being that you do it in the comfort of your own home.
What are the instructions for using the pump?
Don’t be too aggressive! The goal is to exercise the penis… a full erection is not needed. There should be no pain, just an enlargement of the penis from increased blood flow, which increases oxygen to the area. You need to pump twice a day for the next two months. Then continue to pump as needed. The saying “If you don’t use it, you’ll loose it” comes into play.
Does anyone need more than one shot?
Yes, a diagnosis of Peyronie’s disease warrants 3 shots and regular use of the penile pump to straighten the shaft of the penis. Other patients who are not in perfect health, may not get the full benefit in one treatment session.
What else can I do to improve the benefit of the P-Shot?
Healthy nutrition with a diet low in manufactured carbohydrates (ie: food that is processed at a factory and comes in a box or bag). Good carbohydrates are found in vegetables and fruits. Be careful of how you cook or prepare these, as fats that are partially hydrogenated are not healthy. Butter (especially Ghee, which is clarified butter) or coconut oil are healthy choices. Steaming is even better. A fist sized portion of meat cooked at temperatures below 400 degrees may be OK a few days a week. Be careful with the sauces and salad dressings, as they can add calories. Avoid snacks. Fast for 13 hours a day (overnight).
Bio-identical hormones, including testosterone and DHEA are very beneficial for men’s health as they age.
Supplements can be beneficial in terms of healing. Fish Oil, Multiminerals.
Daily intake of ½ your body weight in water is great if you do not have heart disease or issues where you need to avoid too much fluid.
Exercise daily. 20 minutes of vigorous exercise is recommended, however a day where you walk a lot (to go grocery shopping or to do errands) can be extremely valuable.