LOW-INTENSITY SHOCKWAVE THERAPY IMPROVES HEMODYNAMIC PARAMETERS IN PATIENTS WITH VASCULOGENIC ERECTILE DYSFUNCTION: A TRIPLEX ULTRASONOGRAPHY-BASED SHAM-CONTROLLED TRIAL
Reproduced from Dr Charles Runels,Website www.priapusshot.com
Pioneer of the P Shot®
Is The P Shot® FDA Approved?
Answer...Great to hear from you and I’m very happy that you’re helping out our provider!
Here’s a few points that answer your questions:
So I've always had a Woolworth's bladder, right from being a teen, after a few beverages with my raucous teenage friends, I'd spend most of the night frequenting the bathroom or back of the shed depending on where the festivities took us. Things never really changed, my 20's, 30's and into my 40's the frequency and irritation of never ending pee stops, and getting up in the middle of the night was continuous. Urology visits, endoscopies, urine flow charts, Bloods-PSAs, exclusion tests for Prostate & Bladder Cancer and please bend over examinations were (are) common for me.
My diagnosis BPH (Benign Prostatic Hypertrophy) and Irritable Bladder Neck. Not so bad on the face of it. However at one point there was discussion of surgical treatment for my prostate to relieve my symptoms as oral medication was adversely affecting me.
Having trained as an Urgent Care Physician there's a tendency to think worse case scenario and work backwards from there .... so I'm thinking Prostate resection and possible impotence due to nerve damage, that's great ....... how do you fix that?
Yes Doctors can catastrophize things also .... so I started looking around at treatments available to help post prostate surgery if that's the way things were going to go for me.
I'd known about PRP treatments for 10 years plus, and knew that it had various applications. A colleague of mine had met Dr Charles Runels pioneer of the P Shot® and asked if I'd be interested in learning about this new treatment, which also had applications in sexual health. Given how I was personally affected I thought it would be great to see how the treatment could be applied in men with ED Erectile Dysfunction, and so I decided to take part in the learning and practical sessions in the application of the P Shot®. To be continued.
The three main problems addressed by the P-Shot® included erectile dysfunction (ED), Peyronie’s disease (PD), and lichen sclerosus (BXO). Though the prevalence of these problems in New Zealand could vary from that seen in the United Kingdom or the United States, in the US & UK, around 3% of men suffer with Peyronie’s disease with the prevalence of ED ranging from around 10% for men in their 40’s up to around 50% for men over 60. The prevalence of BXO varies greatly in the literature but could be at least 5%.
The usual treatments for these problems can be both frustrating and without correcting the underlying pathophysiology. For ED, neither penile implants, Viagra®, papaverine penile injections, nor vacuum pump therapy correct the underlying pathology of neurovascular disease. J Urol. 2003 Aug;170
With Peyronie’s disease, surgery can leave the penis shorter, risks ED, and the Peyronie’s can reappear, post op, at a new location on the penis—frustrating for both doctor and patient. Injectables for Peryonie’s disease have been not reliable until Xiaflex. But Xiaflex is a fifty-thousand US-dollar series of injections and carries with it the risk of penile fracture. Vacuum pump therapy helped 51% avoid surgery in one series, leaving the other half to need surgery.
For BXO, steroid creams may be used, but often require long term use. The definitive treatment, circumcision may still not be curative nor is it desired by some men.
So, for all three problems, there could be a need for another treatment option to used alone or in concert with the present therapies.
Platelet rich plasma has been the subject of over 9,000 research papers referenced on PubMed in the areas of wound healing, remodeling of scar tissuehttps://www.ncbi.nlm.nih.gov/pmc/?term=platelet+rich+plasma+scar+treatment, down regulating the autoimmune responsehttps://www.ncbi.nlm.nih.gov/pmc/?term=platelet+rich+plasma+autoimmune, regeneration of nerve tissue, helping prevent infection, and now research showing help with the improvement of the male and female genitalia.
For example, Dr. R. Virag, the vascular surgeon who helped develop the idea of papaverine injections for erectile dysfunction, is doing studies for the use of PRP in the treatment of both PD & ED e-mémoires de l'Académie Nationale de Chirurgie, 2014, 13 (3) : 096-100 .
One study, he recently published, showed that PRP injections helped with PD better than Xiaflex and with fewer side effects (the side effect of the PRP is that erectile function improves) http://www.oatext.com/evaluation-of-the-benefit-of-using-a-combination-of-autologous-platelet-rich-plasma-and-hyaluronic-acid-for-the-treatment-of-Peyronies-disease.php .
Other studies of PRP - penile injections have shown improvement in BXO  https://link.springer.com/article/10.1007%2Fs11255-017-1523-0 and ED https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5754585/, help with size https://www.jsm.jsexmed.org/article/S1743-6095(16)30656-7/fulltext, and with nerve repair post prostate surgery https://www.ncbi.nlm.nih.gov/pubmed/?term=platelet+rich+plasma+nerve+penis
In over 9,000 papers published on PubMed about the use of PRP, there has been not one report of serious infection, granuloma formation, neoplasia, fibrosis, or necrosis.
Erectile dysfunction occurs for a variety of reasons. It is not a disease, but a symptom of some other problem, either physical, psychological or a mixture of both. In this blog we explore some of the common causes of psycho-social stresses that contribute towards Erectile Dysfunction in men.
Erectile dysfunction is very common and becomes even more common in older men. An Australian survey shows that at least one in five men over the age of 40 years, increasing to about two in three men over the age of 70 years, often experience erectile problems, and about one in ten men are completely unable to have erections. With each decade of age, the chance of having erectile problems increases. Below are some of the common psycho-social causes
• Performance anxiety • Employment & financial pressures • Sexual attitudes and upbringing • Depression
• Relationship problems • Psychiatric disorders
The mechanism for poor erectile function is universally the same. Stress, excitement, anxiety, anticipation, foreboding all release a hormone caused adrenaline, this is our fight or flight hormone that triggers a cascade of physical responses. One of these responses induces constriction of blood vessels in the periphery of the body, the idea is that blood and oxygen is then directed towards vital organs to maintain their survival. As a consequence many tissues have a reduction in their blood supply, in terms of the penis, this means that a diminished blood supply results in a softer erection or erectile dysfunction. In this instance the treatment is to manage the issue causing stress and put in place a program that identifies and promotes behaviors that reduce stress induced hormone release. Medication may offer temporary relief whilst these changes are put in place.
Erectile dysfunction occurs for a variety of reasons. It is not a disease, but a symptom of some other problem, either physical, psychological or a mixture of both.
The causes can be categorized into the following groups
1) Psycho-social problems
2) Metabolic factors vessel function
3) Factors affecting blood flow
4) Factors affecting nerve function
6) Lifestyle effects
7) Urological problems
As our blog continues we will explore each of these factors in more depth.
Occasional failure in erectile function is quite normal, and can be the result of transient factors that are easily remedied such as poor sleep, excess alcohol or substances that can induce fatigue or sleepiness. Sometimes there are a number of factors working simultaneously to cause problems, therefore its important to tease out all of the potential causes and address each of these individually for a satisfactory outcome.
The Priapus Shot®, also known as the P-Shot® uses the magic of our own blood by harvesting and activating cellular platelets to stimulate the release of autologous platelet derived growth factors to generate new connective and neurovascular tissue.
In layman’s terms this means we have special cells in our blood, that when activated can produce new tissue, blood vessels and nerves. The applications are far reaching and may benefit those men suffering from erectile dysfunction.
In addition the P-Shot® may be useful in men with an ageing penis, diabetes, hypertension, high cholesterol, penile injury, and generalized arterial disease also involving the penile artery.
The aim is to generate new tissue and vascular pathways that bypass or regenerate those tissues that are diseased so that erectile function is restored. Note individual responses may vary.
Contact Dr Mark @ Essential Men’s Clinic to find out more, email firstname.lastname@example.org
Since 2010 Director of the Face Doctors Botany at 260 Botany Rd Howick, and in 2012 opened Face Doctors Remuera at 89 Greenlane East Rd, Remuera.
Dr Morunga is actively involved and participates in modern enhancing Cosmetic Medicine techniques, whilst enjoying providing a fun and exciting service in Auckland.
Offering Botox® and Dysport® treatment for facial lines, frown and forehead lines, crows feet, and facial slimming. Provides Dermal Filler treatment for non-surgical enhancement of nose, lips and cheek augmentation, offers management for excessive sweating, teeth grinding and nonsurgical removal of benign skin lesions and moles.
Other treatment modalities include Facial Peels and Dermaroller for Collagen Induction Therapy and the latest cutting edge treatment in Cosmetic Medicine; Platelet Rich Plasma, the cornerstone of the Vampire® Treatment Series, Hair Rejuvenation and the P Shot®.
Has developed a special interest in the treatment of men's sexual health issues such as erectile dysfunction and premature ejaculation. Combining these treatments with his Cosmetic Medicine skill set to offer the complete range of services for men at the Essential Men's Clinics.
Dr Mark Morunga