Priapus Shot® Procedure

1. AVOID the use of NSAIDS (ibuprofen, Motrin, Aleve, Naproxen, Aspirin, etc.) 3-7 days before procedure (Tylenol

is OK for pain relief right up to and including the day of procedure – do not exceed 4000mg in a 24 hour period).

2. AVOID the following nutritional supplements for 3-7 days before procedure - Ginko Biloba, Garlic, Vitamin E,

Vitamin A, Flax Oil, Curcumin and other anti-inflammatory nutrients.

3. AVOID the Systemic use of corticosteroids for 1-2 weeks before the procedure.

4. AVOID Alcohol and Cigarettes for 3-7 days before the procedure.

5. HYDRATE very well the day before and the day of the procedure for ease of blood draw.

The week after the procedure for best results:

1. Bruising may occur due to the negative pressure of the pump

2. Follow the post procedure pumping protocol (10 minutes – AM and PM)

3. AVOID the use of NSAIDS (ibuprofen, Motrin, Aleve, Naproxen, Aspirin, etc.) 3-7 days after procedure (Tylenol is OK for pain relief – do not exceed 4000mg in a 24 hour period).

4. AVOID the following nutritional supplements for 3-7 days after the procedure - Ginko Biloba, Garlic, Vitamin E,

Vitamin A, Flax Oil, Curcumin and other anti-inflammatory nutrients.

5. AVOID the Systemic use of corticosteroids for 1-2 weeks after the procedure.

6. AVOID Alcohol and Cigarettes for 3-7 days after the procedure.

7. EAT a healthy diet and HYDRATE very well – at least 64 ounces of clean fresh water.

8. Receive prescription from pharmacy if provided. Call office when refill is necessary.

9. Attend 4-week follow up appointment with provider for further instructions and intervention if necessary.

PRP is prepared by drawing the patient’s blood (like a lab test) and separating the blood cells from the plasma (liquid portion). The platelets sit at the top of the cell portion and release growth factors that start the healing process after an injury. This process results in the growth of new blood vessels.

The PRP is relatively “thin” and can be injected with a small needle. There is a thick membrane under the penis skin and covering the blood vessels (called the tunica). Patients will momentarily (less than a second) feel the needle passing through this space but after the needle is in the blood vessels and during injection there is little, if any, sensation.

Many patients who have used these medications (PDE-5 drugs) find that they can begin to lose their effectiveness and require increasing dosages. The P Shot/Gainswave/Caverstem procedures will often restore effectiveness to patients who have stopped responding to medications or reduce/eliminate the need for them. Dr. Bowen often prescribes a low daily dose of tadalafil both to enhance the effectiveness of the procedure and for its beneficial effects on the vascular system in the entire body -- especially the brain and heart.

Yes, we offer pulse wave treatments, also called Gainswave, which is a non-invasive treatment usually performed once a week for 6 weeks. The pulse wave treatment has results similar to the P Shot and may be combined with the P Shot for even more dramatic effect. A single wave treatment is included with and done just before the P Shot. The most powerful single treatment that we offer is called Caverstem. This is done by harvesting stem cells from bone marrow and injecting them in the same way as the P Shot.

The price of the P Shot is $1900. If you add a Gainswave treatment to the P Shot, the price is $2400.