PRP therapy is a penile injection intended to improve sexual performance in men by promoting regeneration of nerves and blood vessels thus increasing the amount of blood flow to the penis.
This procedure is designed with the goal to help those who feel their performance has declined due to issues such as diabetes, metabolic syndrome, cardiovascular disease, or nerve damage, or other issues related to aging.
While the PRP Shot, is a new, regenerative treatment option for erectile dysfunction, Platelet-Rich Plasma therapy (PRP) has for many years been a successful treatment modality in orthopedics, plastic surgery, and sports medicine.
It is approved by Health Canada.
There is promising scientific data that shows the potential ability of PRP in promoting more effective erections.
The practice of platelet rich plasma (PRP) is currently considered an experimental treatment modality for ED according to 2018 Erectile Dysfunction guideline by American Urological Association.
How the PRP Shot Works for ED
The PRP procedure involves harvesting and re-injecting one’s own plasma, which has rejuvenating qualities, into the penis. The treatment is a virtually painless procedure. Except for a slight pinch with the initial freezing, you should not feel any pain with the PRP injections.
Platelet-Rich Plasma (PRP), separated from the blood through a centrifuge, contains many factors essential for cell survival, including nutrients, vitamins, hormones, electrolytes, growth factors such as IGF and HGF and proteins.
- No one who has a history of bleeding disorders may have this procedure.
- If you previously suffered from herpes simplex sores or human papillovirus (HPV) warts, there is a slight risk that this treatment could contribute to reactivation due to the body’s natural response to stress in that area. Please consult with our doctor before proceeding.
- Other therapy programs should be used before and after PRP treatments in order to enhance the results (Examples: Viagra, Cialis, sex therapy, shockwave therapy, a vacuum erection device (VED), and testosterone therapy).
Potential Benefits of Platelet Rich Plasma Injection
The expected benefits incluce improving the quality of erections, making them stronger, longer lasting, firmer, and more satisfying as well as:
- Enhancement of penile sensation
- Increased penile girth and length
- Shortened time that it takes to get erect again after sex
- A low risk treatment which is virtually painless and minimally invasive
- No known extra major risk to men with complicated health conditions
Platelet rich plasma injection is also a convenient treatment, which can be performed separately or together with EDSWT, in under 60 minutes. There is no need to take the day off of work and there is very little down time.
Common Side Effects and Risks
Edema (swelling) of the injection sites may occur, in addition to bleeding, ecchymosis (bruising) around injection sites, penile sensitivity, bumps on penile tissue. If any of the above symptoms intensify, your clinician should be notified. A cool compress placed on the area provides comfort. The treated area should be cared for delicately.
- Limited activity may be advised, as well as, no hot tub or swimming for 48 – 72 hours post treatment.
- Penile pain and discomfort may be developed and persist for a few days.
- Rare side-effects include: Infection (signs of an infection can be fever, purulent discharge (pus), severe redness, swelling in the area, and skin that is hot to touch), Priapism (a condition that causes persistent and painful erections for more than 4 hours that would require immediate medical intervention at Emergency), and Peyronie’s disease (the development of fibrous scar tissue inside the penis that causes curved, painful erections). Should any of these symptoms occur, the patient will need to seek immediate medical attention.
- Even though risks and complications occur infrequently, there are always risks of unforeseen complications and risks that may need medical or surgical treatments in a timely fashion.
- Allergic reactions are uncommon from the treatment. Some persons have localized reactions to topical preparations. Systemic reactions are rare.
- Although good results are expected, there is no guarantee or warranty expressed or implied on the results that may be obtained.
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What to Expect During Treatment and Post-Treatment Care
When you arrive, our staff will take you to an examination room to draw your blood. Patients will wait in the room while we process the plasma. The entire process will take roughly 60 minutes.
Patients will remove their clothing below the waist and lie on the table in preparation for the injections.
We will apply a numbing cream to the genital area. Following the topical numbing cream, the doctor will inject the penis with a local anaesthetic.
Once the area is frozen, the doctor injects the PRP along the shaft and the glans of the penis. The injections take about 5 minutes and the procedure is complete.
Patients will be provided with a vacuum erection device (VED) at the end of the PRP therapy session and they will be shown how to use it to achieve proper pressure. Patients are instructed to use the VED twice a day for 10 minutes each time for 30 days post PRP therapy. Patients are advised to apply a cool compress to the area 3-4 times a day for 48 to 72 hours post PRP therapy.
We highly recommend avoiding sexual activity, swimming, hot tubs, biking, or any other activities that cause discomfort for 48-72 hours post PRP therapy. Patients are also advised to contact our emergency number if they are otherwise concerned.