The P-Shot Procedure: What Happens Step by Step

By ACRT BD | Regenerative Therapy Practitioner: Mr. Shamsul Hoque Nadim

If you are thinking about a P-Shot, the first question is usually not “Will it work?” It is “What will they actually do to me?” That is a fair question. This is a private treatment, and not knowing what to expect stops a lot of men from asking.

So here is the full process, from the moment you walk in to the moment you go home. No jargon, no hype.

Short answer: A P-Shot uses your own blood. A small amount is drawn from your arm and spun in a machine to separate the platelet-rich plasma (PRP). After numbing, the PRP is injected into the penis. The visit usually takes about an hour.

What a P-Shot is, in one minute

PRP is the part of your blood that holds platelets. Platelets carry growth factors, which help the body repair tissue. The idea behind the P-Shot, also called the Priapus Shot, is to place that PRP in penile tissue to support blood flow and tissue health in men with erectile dysfunction (ED).

Want the bigger picture first? Read our guide on the Priapus Shot and men’s sexual health or our main P-Shot (PRP) treatment page.

Who it may suit, and who should wait

A P-Shot is mostly talked about for men with mild to moderate ED who want a non-surgical option, or who are not happy relying on pills alone.

Talk to a doctor first, and tell us before booking, if any of these apply to you:

• A bleeding or blood disorder, or you take blood thinners
• Active cancer or cancer treatment
• Severe heart disease
• Diabetes that is not under control
• A skin infection or sore in the area

One more thing. ED is sometimes the first sign of something bigger, like diabetes, high blood pressure or heart problems. If you have never had these checked, do that too. Our posts on whether ED is always vascular and the common causes of ED explain why.

Before your visit

• Eat a normal meal and drink water. It makes the blood draw easier.
• Write down every medicine and supplement you take.
• Ask whether you should avoid pain tablets like ibuprofen (NSAIDs) around the procedure. Many clinics ask patients to avoid them, so do not guess.
• Wear loose, comfortable clothes.
• Keep the rest of the day light if you can.

The P-Shot procedure, step by step

Step 1: A private conversation

The visit starts with talking, not needles. Expect questions about your health, medicines, how long the problem has been there, whether you still get morning erections, what you have tried before, and what you hope to get from treatment.

A good clinic should tell you honestly if your situation looks like something a P-Shot will not fix. If the cause looks medical, you may be sent for tests first. That is a good sign, not a bad one.

Step 2: Cleaning and numbing

The area is cleaned and a numbing cream is applied. It needs some time to work, often 20 to 30 minutes, so ask how long it will take. This is a good time to ask any questions you forgot.

Step 3: The blood draw

This is the same as a normal blood test. A needle in the arm, a few tubes of blood, a few minutes. If you are nervous about needles, say so. Lying down helps.

Step 4: Spinning the blood

The tubes go into a centrifuge, a machine that spins fast. The spinning separates the blood into layers. Red cells sink to the bottom, and the golden plasma that is rich in platelets stays on top. This takes several minutes. The exact method depends on the kit the clinic uses.

Step 5: Collecting the PRP

The practitioner draws the PRP layer into a syringe. This should be done with sterile, single-use equipment. Do not be shy about asking to see that the kit is new and sealed. A clinic that does this properly will not mind.

Step 6: The injections

Once the area is numb, the PRP is injected in several small shots into the penile shaft. Some practitioners also treat the head of the penis, and some use a vacuum device to help the PRP spread. Ask your practitioner what they do and why.

Most men describe pressure or a quick pinch rather than sharp pain. This part usually takes only a few minutes.

Step 7: A short rest, then home

You rest for a little while, get your aftercare instructions, and go home. There is no hospital stay and no stitches.

Aftercare: the first 48 hours

• Mild swelling, redness and a small bruise are common. They usually settle in a few days.
• Ask which pain relief is safe for you. Do not take NSAIDs unless the practitioner says it is fine.
• Keep the area clean and avoid rubbing or rough activity at first.
• Most men get back to normal routines in a day or two. Ask when it is okay to have sex again.

Contact the clinic or see a doctor if you notice strong swelling, fever, pus, pain that keeps getting worse, or trouble passing urine.

When will you see results, and what does the research say?

PRP is not a pill. It works slowly, if it works for you. Many men who respond notice changes over a few weeks, not in a day or two. Some men need more than one session, and some see little change. Nobody can honestly promise a result.

Here is the honest picture of the research. Several small studies and a meta-analysis of randomized trials found better erectile function scores with PRP than with placebo. But the trials are small and the methods differ from clinic to clinic. Major urology bodies such as the European Association of Urology and the American Urological Association still describe PRP for ED as experimental. If anyone promises a guaranteed cure, be careful.

That is why we suggest treating the P-Shot as one part of a plan, not a magic fix.

Possible risks

Because PRP comes from your own blood, allergic reaction is unlikely. But any injection can cause problems:

• Pain or soreness at the injection sites
• Bruising and swelling
• Infection (rare, and much less likely with sterile equipment)
• Nerve irritation or tissue damage (rare)

The risk goes up when the person doing it is not trained or the kit is not sterile. That is the biggest reason to choose your clinic carefully.

Common mistakes to avoid

1. Choosing the cheapest option. A low price can mean cheap kits or an untrained person. Ask what equipment is used and who does the procedure.
2. Skipping the consultation. The conversation decides whether a P-Shot is right for you at all.
3. Expecting results overnight. PRP needs weeks.
4. Ignoring the cause. Smoking, high sugar, poor sleep and sitting all day can keep ED going. See our post on whether sitting too much can cause ED.
5. Hiding medicines or health problems. It can change whether the procedure is safe.
6. Treating it as permanent. Results vary and can fade. Healthy habits help you keep them.

Two examples (illustrations, not patient stories)

Example 1. A 41-year-old office worker notices softer erections for about a year. He sits ten hours a day and smokes. After a proper consultation, his plan includes a P-Shot, a blood sugar check, daily walking and a serious attempt to quit smoking. The injection is one piece of the plan, not the whole plan.

Example 2. A 55-year-old man with diabetes asks for a P-Shot because a friend said it “fixed” him. His sugar levels have not been checked in two years. A responsible clinic would first ask him to get his sugar and heart health checked, then decide on treatment.

P-Shot or shockwave therapy?

They work in different ways. The P-Shot uses your own PRP. Focused shockwave therapy uses sound waves with no injection. For some men, a plan may combine both. Our guides on low-intensity shockwave therapy for ED, P-Shot with focused shockwave in Dhaka and non-surgical ED treatment will help you compare. If you also have a curve in the penis, read about Peyronie’s disease treatment.

What does it cost?

Our P-Shot page lists a typical range of 8,000 to 10,000 BDT. The final price depends on your plan after consultation, so ask for it clearly before you start.

Questions to ask any clinic before you book

• Who will do the procedure, and what is their training?
• Is the kit new, sterile and single-use?
• How many sessions do you expect I may need?
• What results can I honestly expect?
• What are the risks, and what do I do if something goes wrong?
• What is the total cost?

Frequently asked questions

Does a P-Shot hurt? Numbing cream is used, so most men feel pressure or a pinch, not sharp pain. The blood draw feels like any normal blood test.

How long does the procedure take? About an hour in most cases, including numbing time.

Can I go back to work the same day? Most men can return to normal routines in a day or two. Ask your practitioner about your own case.

Is a P-Shot safe? It uses your own blood, which lowers allergy risk. Infection, bruising and soreness are still possible, and the evidence on how well it works is still developing.

Will one session be enough? It depends on you. Your plan is decided after a consultation, and results are not guaranteed.

Talk to us before you decide

If you want to understand whether a P-Shot makes sense for you, start with a private chat. No pressure, no third party. You can speak directly with our Regenerative Therapy Practitioner, Mr. Shamsul Hoque Nadim.

WhatsApp: +88 01977656237

Address: House-190 (Ground Floor), Lane/Road-2, Baridhara DOHS, Gulshan, Dhaka-1206.

You can also see our contact page or learn about ACRT BD. Looking for an ED specialist? Read how to choose the best ED doctor in Dhaka.