Prof. Dr. Emel Akoğlu
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- 57+years exp.
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Andrology & Men's Health
P-shot for erectile dysfunction
What the P-shot is, how platelet-rich plasma is prepared and injected into the penis, what current research does and does not show for erectile dysfunction, how it compares with tablets, shockwave therapy and a penile implant, approximate costs in Turkey against the UK, US and Germany, recovery, risks and clinic red flags.
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Prof. Dr. Zerrin Biçik Bahçebaşı
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- 37+years exp.
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What is the P-shot for erectile dysfunction and how does it work?
The P-shot for erectile dysfunction is an injection of platelet-rich plasma (PRP) into the shaft of the penis. PRP is made from your own blood: a small sample is drawn, spun in a centrifuge to concentrate the platelets, and the resulting plasma is injected after the skin has been numbed with a cream. Platelets carry growth factors, and the idea is that they encourage new small blood vessels and nerve repair in erectile tissue that has been damaged by age, diabetes or vascular disease. "P-Shot" is a brand-style name for this approach; the medical term is intracavernosal PRP injection.
It is an outpatient procedure, not surgery, and it is offered in some Turkish urology and aesthetic clinics. This guide explains what is known, what is still unproven, what it costs compared with the UK, US and Germany, how it compares with other options and how to judge a clinic. For the wider field see our urology treatments in Turkey.
Does the P-shot work for erectile dysfunction? What the evidence says
The honest answer is that it may help some men, but the evidence is early. Several small trials and reviews report modest improvements in erection scores (such as the IIEF questionnaire) for some men after a course of injections, particularly those with mild to moderate erectile dysfunction. These studies are small, short, use different PRP preparations and often have no proper placebo group. Because of that, the European Association of Urology and the American Urological Association treat PRP for erectile dysfunction as experimental or investigational, and it is not an approved treatment in the sense that tablets are. It has not been shown to enlarge the penis or to cure erectile dysfunction.
A trustworthy clinic will say this plainly. If a clinic promises a permanent cure, a fixed number of centimetres or a result guarantee, treat that as a warning.
Who is a suitable candidate for the P-shot, and who is not?
The men most often offered the treatment are those with mild to moderate erectile dysfunction who do not respond well to tablets, cannot take them, or prefer to avoid long-term medication. It is less likely to help when the cause is severe nerve damage after pelvic surgery, very advanced vascular disease, or a hormonal problem that has not been treated. You should not have it if you have a blood disorder or very low platelet count, an active infection or skin problem in the area, or take blood thinners that cannot be paused, unless a doctor has agreed. Erectile dysfunction can be an early sign of heart disease and diabetes, so a proper assessment (blood pressure, glucose, cholesterol, testosterone, medication review) should come before any injection.
How is the P-shot done step by step?
The visit takes about 45 to 90 minutes. A doctor takes your history and examines the genitals. Blood is drawn from the arm (typically 10 to 30 ml, depending on the kit), centrifuged for several minutes and the PRP is drawn into syringes. A numbing cream is applied to the penis for 20 to 30 minutes, sometimes with a local anaesthetic block. The PRP is then injected into the shaft at several points with a fine needle, and some clinics add a vacuum device or light shockwave stimulation. No cuts or stitches are involved, and you walk out afterwards. Many protocols use a course of two to three sessions several weeks apart, but the number varies by clinic and is not standardised.
P-shot or tablets, shockwave therapy and an implant?
PRP is one of several options, and for most men tablets remain the first-line treatment. Phosphodiesterase type 5 inhibitors such as sildenafil and tadalafil have decades of evidence and are available on prescription in the UK. Low-intensity shockwave therapy is also under study. When nothing else works, a penile prosthesis is a permanent surgical solution with strong satisfaction rates in the literature.
| Option | Best suited to | Typical limits |
|---|---|---|
| P-shot (PRP) | Mild to moderate erectile dysfunction, men avoiding or not responding to tablets | Evidence still limited; repeated sessions; results not guaranteed |
| Tablets (PDE5 inhibitors) | Most men as first treatment | Taken on demand or daily; not suitable with nitrates |
| Shockwave therapy | Mild vascular erectile dysfunction | Several sessions; guideline support still evolving |
| Penile prosthesis | Severe erectile dysfunction after other treatments fail | Surgery; permanent; not reversible |
What does the P-shot cost in Turkey compared with the UK, US and Germany?
The figures below are approximate ranges for one PRP session, not hospital quotes. Course packages vary, and each clinic confirms its own price in writing.
| Country | Approximate cost range per session |
|---|---|
| Turkey | €300 – €1,100 |
| United Kingdom | €700 – €2,000 |
| United States | €900 – €2,800 |
| Germany | €600 – €1,800 |
What changes the P-shot price: the PRP kit and volume prepared, whether a single session or a course is bought, the doctor's specialty, any added treatment such as shockwave, and whether the work-up (blood tests, a Doppler ultrasound) is included. Ask whether you are buying one session or a package, and what happens if the first session does not help. A cheaper quote is not a reason to skip the assessment.
P-shot for erectile dysfunction: what are realistic results?
If it helps, most men notice change gradually over weeks to a few months, as the tissue responds, rather than overnight. Typical outcomes in the studies are better firmness or reliability of erections, not dramatic transformation, and some men notice nothing. Results can fade, and some doctors repeat the course after six to twelve months. Be cautious of "before and after" photographs that imply size gain; erectile function cannot be seen in a photo. Ask for results measured by a validated questionnaire and for the number of patients treated, not only for success stories. If you have not improved after a full course, your doctor should discuss other options instead of repeating the same treatment.
Penis enlargement and filler: are they the same as the P-shot?
No. The P-shot aims to improve erectile function. Procedures that change size or girth, such as the ones described in penis enlargement and penis filler, are a different category: they change shape, not blood flow, and carry their own risks. Some clinics advertise PRP alongside these treatments, so ask exactly what is being injected and why. If you also have curvature or pain with erections, you may need an assessment for Peyronie's disease before any injection.
Your trip to Turkey and recovery after the P-shot
Recovery is short. Most men have mild tenderness, bruising or slight swelling for a day or two, and can walk out, drive and work the next day. Clinics usually advise avoiding sexual activity for 24 to 48 hours and strenuous cycling for a few days. If you are only having a PRP session, one to three nights is enough, and a course of sessions weeks apart is rarely practical on one trip, so ask how the schedule will work if you live abroad. Short flights are fine after the procedure.
What are the risks and side effects of the P-shot?
Because PRP is made from your own blood, allergic reactions are unlikely. The usual effects are pain at the injection sites, bruising, swelling and a small amount of bleeding. Less commonly, there can be infection, a hard lump at an injection site, temporary numbness, or, if the kit or technique is poor, scarring or curvature. Treatments that are experimental carry unknown long-term risks, and the Food and Drug Administration has warned about unapproved injected products marketed for sexual function. See a doctor urgently for fever, spreading redness, severe pain, or an erection lasting several hours. Check what happens if a complication arises after you return home.
How to choose a clinic for the P-shot, and questions to ask
Choose a licensed clinic where a urologist or andrologist examines you and orders the right tests before treating. Red flags include a promise of a cure, a quote with no consultation, an unlabeled injection, no named doctor, and pressure to buy a large package up front. Read how our process works and request a plan through our free quote page. Questions to ask:
- What tests will you do before treatment, and could another cause of erectile dysfunction be missed?
- What exactly is injected, in what volume, and with which PRP system?
- How many sessions are advised, and how many are included in the price?
- What results have you measured in similar patients, and how?
- What will you advise if I do not improve?
- Who will I contact after I return home?
Hospitals with Urology in Turkey
Frequently asked questions
The P-shot is an injection of platelet-rich plasma, made from your own blood, into the penile shaft. The aim is to encourage blood-vessel and nerve repair in erectile tissue, which may improve erections in some men with mild to moderate erectile dysfunction.
Small studies suggest modest improvement in some men, but the trials are short and often lack a placebo group. Urology guidelines treat PRP as experimental, so no clinic can honestly guarantee a result.
Approximately €300 to €1,100 per session in Turkey, against about €700 to €2,000 in the UK. Prices depend on the PRP kit, whether a course is bought and whether tests are included, and a clinic should confirm in writing.
A numbing cream or local anaesthetic is used, so most men feel pressure and a brief pinch rather than strong pain. Mild tenderness and bruising can last a day or two afterwards.
Most men return to normal activity the next day. Clinics usually advise avoiding sex for 24 to 48 hours and strenuous exercise for a few days. Any benefit, if it comes, builds over weeks to months.
Protocols vary. Many clinics suggest two to three sessions several weeks apart, sometimes repeated after six to twelve months. There is no agreed standard, so ask what is included in the price.
PRP uses your own blood, so allergy is unlikely, but injections can cause bruising, swelling, infection or lumps. Long-term safety data are limited because the treatment is experimental, so choose a doctor-led clinic.
Tablets have far more evidence and remain the first-line treatment for most men. The P-shot is sometimes considered for men who cannot take tablets or have not responded, but its results are less certain.
There is no good evidence that it does. It is aimed at erectile function, not size. Treat any clinic that promises a gain in length or girth with caution.
One to three nights is usually enough for a single session, since recovery is short. A course spread over weeks is hard to complete on one trip, so ask how the schedule would work for you.
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