Priapus shot

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incautious

Larry, mention To Dr Verano that you got his name from the Peyronie's forum.

NeoV

Hey everyone, just wanted to say that I'm going in for my Priapus shot from Dr. Sachman and first ultrasound ever tomorrow morning here in San Jose. I'll post my findings and results or general thoughts soon after, maybe even tomorrow. I've been having a great time here in CA with family, it's nice to be back in the US, as strange to me as it is. Did some wine tasting in Napa for the first time the other day, it was just great.  

That being said I'm quite nervous about this. Thanks I all of you for trying this out and posting your results, good or not, here I go!

-V

Douglas Hall


NeoV,

Happy that you are having a good time back stateside.
Thank you for the updates, looking forward to hearing about your positive experience!

-Douglas

james1947

NeoV

QuoteDid some wine tasting in Napa for the first time the other day, it was just great.  
Send me some samples to Bali.
Wish you good outcome from the PRP

James
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe ED.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

NeoV

Thanks a lot guys. Having a great trip and would if u could James!

It's now the following day after receiving my shot from Jason Sachman at 6 injection sites. I had two injections on each side, one in the glans and one under the skin just above my scarring or indentations on my urethra.

Jason and Adam are really cool guys and make the whole experience easy and comforting. I first had a good while to talk to the guys about my symptoms and then I had a Doppler ultrasound. Apparently I had been clueless about what kinda of ultrasounds existed, but now I'm aware that there's quite a difference between Doppler and one used for imaging. The Doppler was useful in that it clarified that the two cords most troublesome which come out of my body are as I thought my penile arteries. They wrap around my penis and appear to bunch up on the ventral side near the indentation. I can't be sure yet about the nature of my scarring at this point but it seems unlikely that it's purely vascular given my symptoms. Still, I'm a bit relieved and next time will pursue a different type of scan when I see Lue in the future. Jason also offered to get me a separate scan elsewhere and offered to interpret it.

After chatting a while I said I was ready for the shot and we drew my blood and spun it. I was dreading the needle for drawing my blood but it wasn't particularly large nor was the process uncomfortable.

The shots did hurt but not terrible enough to not do it again if one was interested.

I was sore for 30 minutes after and then all pain went away and I enjoyed the numb car ride home. Numbness wore off quickly an hour later and I had some minor swelling which also went away as soon as I got home and examined myself trying to massage it lightly.

As expected, my penis immediately grew in volume, girth and length while flaccid due to the extra fluid. My penis feels heavy and hangs a bit better. Last night my flaccid appeared very long. This morning I had an erection and I'll just say I'm very happy with how this feels and looks. My erect penis feels and looks thicker, longer, harder and the area with indentations is a bit more filled out. I would not call these initial results dramatic, but they are there, and that's a good thing.

Now I understand that this is to be expected at first due to the increase in volume, so I can't say anything definitive yet, but I can understand now why anyone would repeat this, since my penis feels full and stable, almost pornographic. Keep in mind that this is my first erection in one week! So I'm undoubtedly having extremely hard erections today regardless of the PRP. Even so, I have no doubts that my penis is thicker and firmer than before. I would love to be like this always!  

For me, harder and larger erections have been an important part of my recovery (reduced sexual activity), so while I don't have any expectations I know what's helpful when I feel it. Erections with the PRP feels amazing, even if it's the saline effect. I do however trust the science mostly and am optimistic.

The biggest question remains, to pump or not to pump? Since full and hard erections help me so much I will probably at least continue to induce them at least.

It's all very early to tell but I'm very happy with the initial results. If I can take some illuminating photos or measurements they will be shared. Will give more brief updates after this much too long post. Currently, feeling pretty happy.

-Neo



incautious

NeoV. Wow i just missed you in napa, was there 8/27-30 awesome time esp Chandon and Coppola. I feel pumping helped me, others may not feel the same. It is very interesting the way this procedure effects everyone differently. While I saw immediate increase in girth and an a reduction in curvature, erections were some what weak for the first 4-5 weeks. Just goes to show that everyone is different. Good luck and keep us all posted

aazmaish

Dear incautious ..
how much deegre of curvature was reduced due to PP shot .
my question to Neo is .... the cost ofbfull session of PP shot.   ( my good wishes are with you ... ).
THANKS ..
Aazmaish

incautious

Aazmaish, I went from about 40-45 degrees to about 15-20 degrees. So you could say a reduction of about 50%. This has made a world of difference as you can imagine when it comes to intimacy. I've managed to keep all my improvement after 7 months. I do still pump twice a day if I can, plus I try and use traction once in awhile, plus I do still use the ESL40 ADS silicone traction device.

fredjones

one month update.  not a whole lot to report.  1/4 inch increase in width on shaft but no noticeable increase in sensitivity.

NeoV

I would imagine that nerve regeneration would take a long time.

I am still conflicted about pumping.. But I've decided to do it at least at very low pressures.

I still love the way the PRP feels, pumping sessions are way more effective with all that extra volume. Also for some reason my urethral pain has been gone as of yesterday, I'm wondering why that is.

Does anyone know how soon it's safe to pump after injections? I started one day after.

incautious

NeoV Dr.Varano had me pumping right after the shot at  10hg vacuum which is also the procedure that Dr Runnels recommends. It was a little weird because that was some minimal blood leakage from one of the injection sites. I would pump with what you are comfortable with. Since you have had urethral pain in the past, low pressures is probably smart, just enough that it feels like its doing something. And I agree with your observations about nerve regeneration with fred, it may just take longer to heal that area, just like with my ED it took a full 6 weeks before it got better. It was even a bit worse after 2-3 weeks after the shot which had me worried.

aazmaish

Dear incautious..  
thanks for the inf .that is  remarkable achievement
.. wish i could have same recovery .. :( ( i am sure PP shot is not available in this part of the world ( I am in Saudia ) ..
my congratulations to u ..
Dear Neo.
pls help by informing the cost of PP shot .. .. full session..
thanks ..
Aazmaish

UrsusMinor

aazmaish--I paid $1,200 at the same place NeoV went--but I didn't have the ultrasound, etc. Just the shots. The price generally seems to be coming down fast; when I first heard about it, $1,800-2,400 was more common.

NeoV


UrsusMinor

Neo--Sounds like your reactions were very similar to mine. If nothing else, I felt a whole lot better after the shots.

The reduction in pain has been progressive and very very welcome, as I had pain both erect and flaccid, and had pain and discomfort a lot of the time.

Of course, that doesn't prove anything, as pain tends to diminish with time, so it could be a coincidence. In any case, I'm glad I did the shots.

I haven't had any obvious change in my curve or erect length. We shall see...

-----------------------
Napa is great. But my favorite place for wine has become Paso Robles. Not only many great vineyards, but way less smug than Napa!

aazmaish

Thanks my friend ..
besides price factor lets hope it becomes  available in other Parts of the world the way it is easily available in USA ..
:).
Aazmaish

lee407

Is the procedure just one shot every 6-12 months or do you have to take an injection each time you have sex? Thanks

NeoV

It's one shot. The effects are supposed to last for 18 months or even be permanent. There are no scientific studies to prove this yet however. In my opinion, studies on PRP in general and the basic sense of what is contained in it should create some sort of permanent changes in your penis. I can't say that these changes will be at all noticeable, but I'm hopeful, since I am noticing nice effects as of now

Multiple shots certainly may be beneficial, but we don't know yet.

(Ursus, thanks for the tip!  Paso Robles looks really nice and I will go there next time I visit my family, looking forward to it!!)

james1947

Neo

Have doctors are saying to pump immediately after the shots. It not worked for me, as when I tried to do that, blood (maybe the PRP itself) started to come out from the injections places.
Sorry, I missed, when you got the shots? Any improvements as for now? I want to update your shots and progress.

James  
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe ED.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

NeoV

Hey James, I didn't want to pump due to my edema but I decided to anyway since so many men went that route.

How big was the needle she used?

I couldn't tell if the pump was "washing" the PRP out, but just like I was told, in 3 days the extra volume decreased dramatically. When I get the Priapus shot again some day in the future (many years from now), I will avoid it and let you know if I hold my volume for more than 3 days!

I guess we should keep in mind that it isn't the PRP itself that does the work, it's the stem cells that are already in the penis which are activated by the PRP (?). Perhaps all it takes is the PRP to send it's signals via growth factors etc, and then peace itself out. In that sense a pump would help get the PRP to those damaged areas where you want it most.
Still, this is just one of those points James that none of us, and I certainly, do not understand. : / It definitely keeps me up at night.

I got my shots 8 days ago, and I can still feel the extra volumization which alone seems to be helpful in maintaining straightness and shape, as well as harder and more stable erections. My penis hangs better as of now and my erections are still feeling very good since the shots.

I am probably entering the waiting phase between the initial benefits and the long term ones that I might see in weeks or months, I'll keep everyone posted.

james1947

Neo

Your theory sounds me logic. I assume the reason for my not lasting improvements to my age (67) and not healthy life stile.
I will make the 4th PRP shots next week, if no results after then I will not do more.
I don't know the needle #, but it was very thin, same as they are injecting for face wrinkles. I will ask the doctor next time.

James  
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe ED.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

james1947

Tomorrow my third PRP session.
I will get 10 ml PRP from 60 ml blood.
Will be injected per NeoV advice.
Will not use VED for two days.
Hope this time will have changes that will not fade away quickly. :)

James  
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe ED.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

aazmaish

James .
you can count on good wishes and prays from my side ...
Aazmaish.

NeoV

Good luck James!

The standard for the Priapus shot I think is 5 injections. Two on each side slightly dorsal, and one in the glans.

I hope you have better results this time getting all the PRP in the corpus Cavernosum.

Knight


james1947

Thanks for all the good wishes

James
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe ED.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

james1947

I got today my third PRP session. 10 ml PRP extracted from 60 ml of blood.
Injected as Neo suggested, two on each side but the one to the glans I opted to be on the top, just at the end of the glans. The pain was a little bit more than before, but nothing serious. The pain ended immediately when the PRP injection was done.
The swelling followed by the injection is reduced now, after 7 hours very much. Almost normal.
This time the price was US$ 290.
Will see the results.

James  
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe ED.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

james1947

By the way, I will be happy to get updates from all our Guinean pigs ;D on the "Forum PRP trial" regarding they advancements.

James
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe ED.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

incautious

James good luck to you this time around. You are right about life style changes though. Dr Runnels claims that this procedure works best if you are in shape or make life style changes like stop smoking, exercise daily and reduce alcohol consumption. Do a search on "Endothelial Dysfunction". I'm going to post a new topic on this in the ED section, but basically it is the beginning of hardening of the arteries and cardiovascular disease. The good news is that you can reverse it's effects with things like anti oxidants, ubiquinol, magnesium, beet root juice and Viagra.  Raw beets have the most nitrates of any food which the body turns into Nitric Oxide which is needed for erectile function

james1947

I am sure you are right Incautious.
Just need to be able to make this switch. ;D

James
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe ED.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

NeoV

Nice job James. Regardless of the outcome I still say the science is sound, and under 300 bucks is a steal!  

UrsusMinor

Good luck with the current round, James.

Meanwhile, Incautious is right about beets and endothelial function. The nitrates have a powerful effect on NO production. This is one of the reasons--but possibly not the only reason--that beets clobber blood pressure:

http://www.dailymail.co.uk/health/article-2309667/Beetroot-juice-helps-lower-blood-pressure-A-glass-day-reduce-7--say-researchers.html

A lot of other vegetables have the same effect, but not as strongly as beets.

Celery and celery seed tea also have a strong effect on blood pressure, but even though they contain nitrates, the effect seems to be due to the phthalides that give celery that odd smell. Celery has long been used in Asian medicine for ED, so there may be a connection there.

chandnitare

James,

All the best.

Best regards,

Chand


UrsusMinor

Great, just what I need--a really hairy penis!

NeoV

lol, now that would be hilarious!

On a different note, I am seeing something different from pre-PRP. I can't say for sure that the PRP caused it, but I can say that I have had yet more improvement sense I had it. I have noticed that my penile sensitivity has increased. I orgasm a bit sooner and even the lightest touch gets me harder than usual. Perhaps part of the harder erections is from me more aggressively manually stretching, but, either way things are yet again improving.

I think today I had one of the best erections of my life. I feel very fortunate to still be recovering, even though I do have some symptoms. I think I will do the PRP again some day even if only for the volumization effect, and next time have them inject it all in the main part of my penis (not the glans), and then do manual stretching only.

Bad news is I still have edema, and in fact it's my 1 year anniversary, hurray for a year of a squishy fluid filled penis.. As much as I agree with VED, I regret using it entirely. I feel more sadness and grief almost than my Peyronie's itself. Having to tell girls "oh by the way my penis is squishy and feels soft" is hell. I still do believe that it works quite well and I do recommend it. The tragedy is that my injury was the result of holding for only about 5 minutes and at not even that high pressure from what I could tell. I think most people will not have this problem and I don't mean to give VED a bad rep, but I have to be honest about exactly what happened. What happened was I was using the VED within what I thought was reasonable, and ended up with a chronically swollen penis for the duration of 1 year so far, with no signs of improvement. Warning signs were minor, only a mild tightness and itching on the shaft.

For those on the fence about VED, I do highly recommend it and it's helped many men. My case may be a rare one due to a variety of factors. Use at the lowest pressure possible. Avoid any tightness or itching sensations, even if they are minor.

Knight

I agree NeoV! The VED seems to a great help for most but for me it was not a good experience and may have made things worse rather than better. I don't understand why the guys getting Priapus shots would use the VED, especially too soon after receiving the injections for fear of wash out but it seems to helping some.

Whatever works is good by me! Good luck to all!

UrsusMinor

Hi, Knight--

I guess the theory with the VED after PRP is to spread the stuff around a little.

I know that a lot of folks have speculated about the possible problem of "wash-out," but that seems kind of improbable to me. After all, these are platelets. True, they have been treated with an anticoagulant before centrifugation, so they aren't trying to inject us with blood clots. But they are still somewhat sticky, and compared to drugs they are gigantic, and they aren't being injected into major blood vessels.

My doctors encouraged me to use a VED to help distribute it, but they also said there was no big rush, and that waiting until the next day was fine. They also suggested that erections were pretty good at moving things around.

james1947

Basically, nothing to report after 10 days, can't see/feel any change.
It was a little swollen after the injections, now back to the size before the injections.
Started VED two days after the injections.

James
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe ED.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

NeoV

That's helpful information Ursus, I'm still unclear about how the stuff works. James I'm sorry to hear that.. Have you not noticed harder erections or increased sensitivity?  

james1947

No harder erections (I can say not erections at all), no increase in sensitivity. :(

James
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe ED.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

james1947

I would like also to add that during the daily VED, I am now 12.7 cm.
Before the last PRP I was 13.2 cm. I know is "just" 0.5 cm, but at this length also 0.5 cm counts.
I don't think the shrinking is from the PRP, just wandering.

James
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe ED.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

fredjones

don't know if this helps but i fluctuate up to nearly an inch while in the pump...don't know why, just do..hope things improve

incautious

James i too see variations of about .5 cm i guess there are a lot of factors out there that determine that. You may want to mix the VED with traction once in awhile as I think that it helps.  

james1947

Can't do traction as my glans are becoming white and cold after 10 - 15 minutes.
Any case, thanks for the advice Incautious.

James
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe ED.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

UrsusMinor

I for one find 0.5 cm too small to measure effectively, as I can make much large changes with how hard I press the ruler.

james1947

Just an update:
No news after three weeks from the third PRP session. Everything as old.

James
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe ED.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

MikeSmith0

I contacted one of the top Peyronies urologists frequently mentioned on here (who I also consulted in the past as a patient, in person) - and he said that he thinks it won't help and might even hurt.  I was surprised... thought he'd be more open minded.  But, just FYI... that's his opinion.  Seems like guys are getting great Erection Quality results if not more size or curve reduction... wonder how that works.  I am tempted to do it - sorta disappointed my doc said he is not a fan. I could use the EQ. I am sick of viagra headaches!

james1947

Mike


You can read a summary from all the posts regarding Priapus/PRP and get to conclusion if you want to proceed or not, not too many updates in the last period:
PRIAPUS/PRP Injections Trial (forum) - Peyronies Society Forums
I am sick of Viagra headaches too, but this is the only way to get an erection.

James
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe ED.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

yyy

James, try avanafil instead of Viagra. no headaches at all