Erectile Dysfunction (ED) Treatment with Platelet Rich Plasma (PRP): What You Need to Know

by Alex Shteynshlyuger MD

When it comes to the treatment of erectile dysfunction – New York Urology Specialists are a step ahead.  Better Science Means Better Care.  The causes of erectile dysfunction or impotence are complex.  Problems with obtaining or maintaining an erection that is sufficiently hard for sex can affect men of all ages.


If you have any questions, to schedule a consultation please contact us or call/text: 1-646-663-5211.


What is PRP (Platelet Rich Plasma) for ED?

PRP or platelet-rich plasma therapy for erectile dysfunction is an approach to the treatment of erectile dysfunction that uses man’s own blood to separate and concentrate certain molecules (growth factors) that are thought to promote vasodilation and growth of new blood vessels in the penis.  PRP is a relatively new treatment approach.  PRP is also marketed as the “Priapus Shot“, “Boston PRP”, Gainswave P-Shot, or “P-Shot

While there is a lot of chatter about the use of PRP for the treatment of erection problems, no randomized controlled studies have been done to demonstrate long-term safety and effectiveness of this approach to treatment.  PRP is thought to offer a variety of stem cell therapy for ED, but there is limited evidence that PRP contains a significant number of stem cells.  There is no evidence at all that stem cells even if they are present take residence in the penis and promote regeneration of healthy tissues and improve blood flow to the penis.

In comparison, shockwave therapy for ED (low-intensity extracorporeal shock wave treatment or Li-ESWT), a medication-free treatment option for treatment of erectile dysfunction has been tested and shown to be effective for ED treatment in multiple randomized controlled studies.

For this reason, at New York Urology Specialists we chose to offer shockwave therapy for ED. At this point we do not offer PRP or stem cell treatment for ED as the evidence that these are beneficial is absent.  You can be assured that experienced urologists at New York Urology Specialists offer only the most effective, proven treatment options for ED.  If scientific evidence shows that platelet-rich plasma (PRP) treatment is effective for ED or stem cell treatment is effective in treating erectile dysfunction in men, you can be assured that New York Urology Specialists will be one of the first ED clinics to offer such options to our patients.

Click to schedule an appointment with a board-certified urologist, a top specialist in NYC for treatment of ED. 

What are the Risks of Platelet Rich Plasma?

Platelet-rich plasma injection in the penis is thought to be relatively safe; severe allergic reactions are unlikely given that the product is generated from the patient’s own blood.  There is a risk of infection.  There is a risk of scar formation in the penis and Peyronie’s disease from penile injections. The risk is thought to be small from a one-time injection.  

What are the Reasons that PRP (Platelet-Rich Plasma) Injection in the Penis or the Priapus Shot for ED May Not Work?

Platelet-rich plasma is a concentrate of the components of a patient’s own blood.  The hope is that it’s a concentrate of the ‘good’ components present in the blood.  The scientific problem is that there is no easy scientific method to separate ‘good’ components from ‘bad’ components as they look very similar. The blunt approach used in the preparation of platelet-rich plasma in the doctor’s office cannot separate ‘bad’ factors from the good factors using modern technology 

The risk is that in patients with erection problems, such as dialysis patients, PRP will concentrate the ‘bad’ components. 

The nature of the penis is that after the injection of PRP components into the penis, they probably do not stay in the penis for long.  Most likely they are diluted and washed away from the penis within minutes of injection.  As a result, it is unlikely to create serious damage; on the other hand using the same logic, PRP or “P-Shot” is unlikely to create much good.

Because in most men, ED is caused by an underlying vascular problem, the factors that cause one not to get ED are present throughout the body, and moving molecules from one part of the ‘unhealthy’ body to another is unlikely to bring ‘healthier cells’ to the penis. In fact, recent studies confirm the fact that stem cells from diabetic patients are impaired.

Studies of PRP in the orthopedic literature, where it has been studied more rigorously for many years does not show any significant benefit in terms of tissue healing or regeneration.  In orthopedics, RPR is often used in healthy, young patients without significant medical issues. The fact that the benefit has not been unequivocally demonstrated in orthopedics, should give a pause to many patients.  Many ‘pain’, ‘orthopedic’, and ‘physical therapy’ clinics offer RPR for treatment of orthopedic injuries but it is not clear if they are better than placebo.  For this reason, insurances do not cover the cost of PRP in orthopedic use.

Does Insurance Cover the Cost of the Priapus Shot or PRP (Platelet-Rich Plasma)?

PRP treatment for ED, also known and marketed to men as the “Priapus” shot procedure is costly. In New York City and New Jersey, it may cost thousands of dollars from Gainswave, Boston Medical, and other providers of “P-Shot”. It is not covered by insurance, nor is it covered by Medicare. The procedure is not FDA approved.  Because there are no high-quality randomized controlled studies that demonstrate its effectiveness it is not covered by health insurance and is unlikely to be covered anytime soon.

Many health insurances cover treatment for ED with other effective treatment options, including medications such as Viagra or Cialis, penile injections with Caverject, and a penile implant.

Is PRP for ED the Right Choice for You?

There are few studies that show the effectiveness of PRP.  No studies demonstrate that PRP is able to improve erections so that men can obtain erections without the use of medications such as sildenafil (Viagra) or Cialis (tadalafil).  The treatment with PRP is costly and the benefit for most men is not certain. In fact, most clinics that offer P-Shot for ED advise their patients to use a penis pump (vacuum erection therapy) alongside and administer shockwave therapy at the same time. 

In our opinion, P-shot at best does very little and that’s the reason clinics such as Boston Medical, Gainswave providers and others advise additional EFFECTIVE treatment options which may include penile injections with Trimix, vacuum penis pumps, sildenafil, and shockwave therapy along with Priapus P-Shot. 

In contrast, shockwave therapy for ED has been shown to be effective in the treatment of ED in men.

At New York Urology Specialists we only offer treatments that are proven to work. As a result, we offer shockwave therapy for ED but not PRP.  

Treatment Options for ED for Men for Whom the Priapus Shot or PRP (Platelet-Rich Plasma) Did Not Work?

Many men try injections with platelet-rich plasma or the Priapus shot only to discover that they did not experience a significant benefit from treatment.  Many other effective treatment options are available to men for whom PRP for ED also known as the Priapus shot did not work. 

At New York Urology Specialists we offer shockwave therapy for ED; oral medications may also work well for many men if taken properly.  Trimix injections and penile implant surgery are other effective treatment options for ED in men that may work even if platelet-rich plasma (PRP) did not help.

ED is Treatable in Nearly Every Man

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of erectile dysfunction.  We understand the challenges that ED creates for our patients, their relationships and their self-esteem.  We help you find a treatment for erectile dysfunction that fits your needs, your lifestyle and your preferences.

Urologists are doctors specializing in the treatment of men with erectile dysfunction. By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for ED.  We offer medical and surgical treatment for erectile dysfunction.

Scheduling Appointments for Treatment of ED in Men


If you have any questions about erectile dysfunction treatment, schedule a consultation, contact us or call/text: 1-646-663-5211.  We have excellent reviews from patients and their partners. 

We offer affordable, highest-quality urology care with or without insurance.   Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.


Patients Reviews

Overall Rating:

4

Total Ratings

4

Total Reviews

18

Ratings

Ease of Appointment: Bedside Manner:
Promptness: Spends Time with Me:
Courteous Staff: Follows Up After Visit:
Accurate Diagnosis:

Peronis Disease
by on Aug 04, 2019

Dr Alex was both knowledgeable and concise with his diagnosis and advice which was well received. Dr was her knowledgeable in the subject and provided good advice.

3P Removal
by on Jul 24, 2019

Went to get my penile papule remove. Got done same day, it was fast, great staff, and most importantly, pleased with the result.

Urology Visit
by on Jul 18, 2019

Staff were all very welcoming. Dr. Alex Shteynshlyuger was very knowledgeable and attentive during my time spent with him.

Recommendation
by on Jul 18, 2019

Therefore I would like to recommend you to anyone who need your services.

Outstanding
by on Jul 09, 2019

Went in for a procedure with Dr. Alex and he was very calm and thorough about the the operation and the recovery. From the front desk to his assistants, everyone was very courteous, professional and polite. I highly recommend NY Urologist Specialist. They are outstanding!!!

Satisfied Patient
by on Sep 15, 2018

I am very please and satisfied with everything that has been offorded to me by New York Urology Specialist Office.....Dr Alex

Friendly , courteous, effiecient and professional
by on Sep 15, 2018

Wyts Wyts recommends New York Urology Specialists via Facebook. September 15, 2018 · Friendly , courteous, effiecient and professional staff members. This office i highly recommend for any and all Urology matters. Dr Alex Shteynshlyuger is very professional and knowledgable easy to communicate with. Thanks Dr Alex

Surgical Procedure
by on Sep 01, 2018

Dr Alex and his staff are through professionals in every sense of the word. From initial diagnosis to a period of evaluating and ruling out options, we decided upon a surgical solution, which appears for the most part to have corrected the issue. Thanks to Ana, and the staff, especially Dr. Alex for treating me so well. Best regards, Lee

Review
by on Aug 16, 2018

Outstanding service

A very good doctor
by on Aug 15, 2018

Dr. Alex Shteynshlyugerand is careful, patient, experienced. Uses innovative approaches, that actually yield results. He is indeed a good doctor, in every sense

urology services
by on Apr 11, 2018

I am very satisfied with the treatment I received at new york urology specialist and would recommend them to other patients.they are the very best.

My wife was elated
by on Jan 15, 2018

Well I put it to use last night and man, good job. My wife was elated. u made it much better somehow, so thank u for fixing my penis

Thankful
by on Dec 05, 2017

"Cannot express how thankful I am I found Dr. Shtetnshlyuger. After undergoing surgery to correct a penile torsion I couldn't be happier with the results. A great doctor who is clearly good at what he does. With something as important as your private area, It's nice to be able to rest easy and know you are in good hands.." via HealthGrades.com 12/5/2017

Review
by on Nov 19, 2017

I am writing to thank dr. Alex. He is thorough, professional, knowledgeable, helpful and friendly. I have seen him for ED and prostate issues, and he has explained all my options clearly, and found solutions that have been a great help. thank you! I highly recommend both Dr. Alex and his staff, which I find to be helpful, friendly, knowledgeable and very professional. They are a pleasure to deal with and all have been a great help.

Dr visit
by on Sep 14, 2017

I am very much thankful for meeting Dr Alex .I had a very serious medical problem I visited many doctors but none could not help me it was very difficult for me until I visited Dr Alex after a couple visits my medical problem is no more I feel very great also I felt almost 20 years younger Dr Alex is second to none fantastic doctor. Thanks again Dr Alex from my family.

Excellent doctor
by on Jul 03, 2014

I am feeling better now after visiting clinic New York urology specialists. Excellent staff and appointment on time.

Thank you for excellent care
by on Jan 07, 2013

Dear Dr. Alex: We want to thank you for the excellent care you provided for George during his emergency operation and the follow up treatment. Your quiet, confident manner was reassuring to us during a very scary time for us. We will never forget you. George Sally R. Date: 2013

We love you!
by on Feb 16, 2012

Dr. Alex Shteynshlyuger and Staff – Thank you so much for taking care of my husband Bob. Dr. Alex: I thank God everyday for you. You were an answer to prayer.

ED is Treatable in Nearly Every Man

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of erectile dysfunction.  We understand the challenges that ED creates for our patients, their relationships and their self-esteem.  We help you find a treatment for erectile dysfunction that fits your needs, your lifestyle and your preferences.

Urologists are doctors specializing in the treatment of men with erectile dysfunction. By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for ED.  We offer medical and surgical treatment for erectile dysfunction.

We Treat Some of the Most Complex ED Problems Including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-5211 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship-trained board-certified urologist with expertise in evaluation and treatment of sexual and erection problems in men using modern effective and proven treatment methods.  We offer inflatable penile implant, shockwave therapy for ED and treatment for Peyronie’s disease.

He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.


If you have any questions, to schedule a consultation please contact us or call/text: 1-646-663-5211.

We offer affordable, highest-quality urology care with or without insurance.   Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.

 

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