This podcast is for you, the Modern Man. I'm Dr Anne Truong,

your host. I'm an intimate health medical doctor and best

selling author of the book, Erectile Dysfunction Fix. I'll

do a deep dive into sexual health and performance and how

it affects men of all ages and backgrounds. So let's get

started, and be sure to visit my website at

sexualhealthformenpodcast.com for more information and

resources from the show. See you on the inside.

In today's episode, I'm gonna break down the P-Shot of stem

cell treatment for your ED, and it has an 80% success rate for

ED using your own blood. So stay tuned to the end, because I want

to talk about one factor that predict treatment success. I'm

Dr Anne Truong. I'm a sexual medicine specialist. I've

treated over 7000 men with ED using this technique. Now let's

dive into it.

What is this platelet-rich plasma or PRP? It comes from

your own blood. I was trained by the creator of the P-Shot, Dr.

Charles Runels, in 2013 to do this procedure where I get your

own blood, harvest the stem cell and put it back into your penis

to rejuvenate it and to get it more blood flow. So this is how

we're going to talk about it. The science behind it, platelets

are in your blood. They are part of your red blood cells. They

comprise about 1% of your blood, and it secretes all these growth

factors that promote new blood vessel formation. It stimulate

tissue regeneration and repair. The important point is that it's

not just about platelets, it's what it release, and that it

stimulate repair. It stimulate regeneration. So this is

treating the root cause of ED, rather than just taking a

medication. And when you take medication such as Cialis or

Viagra, it's just a symptomatic treatment versus treating the

root cause, and is using your own body cells to help heal

yourself. And it is regenerative, so it's more

permanent, rather than temporary, like a pill.

Now, what is the clinical evidence? There was a gold

standard study that was published by Poulios in 2021

which compare PRP or your stem cells injecting into the penis

versus the one that doesn't have any type of injection. 60 men

have mild to moderate ED and 70% of them have politically

meaningful improvement for at least six months. And that the

key finding was that their erectile dysfunction score is

measured by the IIEF. You can check out IIEFf here, in this

link here. It improved by three points, at one month, at three

months, and six months, and that's 80% of patients report

positive outcome. However, there was another study with that in

Miami in 2023 which didn't find any improvement using PRP

compared to placebo. So why the conflicting result? Different

patient population, different protocol. Because even though

they use your own blood, it's different volume, different

machine to process this, different injection. So it's not

Apple to Apples in the study. Now, the evidence really shows

that it does work, but it's limited data at this point, and

we need more larger, longer term studies for it to be really

mainstream at this point. But it does show promise.

Now, what is this procedure? This procedure, we take 60 CC or

60 ml, or three glasses of wine from your arm for where your

vein is, we take out the blood as if you're going to go to the

lab and you get your cholesterol checked. Same thing, we collect

that, then we put it in a centrifuge, and then spins it at

a certain speed, and then we put in a centrifuge to separate out

the platelets, which is in your blood. It separate out from the

red blood cells and the plasma, which is the fluid in your

blood. And then once we separate that out, we put it in syringe,

and then which is then put into the penis at different site. Now

for me, I usually draw 240 CC, not a 60 CC, and I put in

usually 20 CC of platelet-rich plasma. So it's essentially

concentrating your platelet from a larger volume to a smaller

volume, and is put into the penis to stimulate more blood

flow, more repair, more regeneration. And for the

patient experiences minimal discomfort due to numbing cream.

And we also numb the penis as well, you can return to same day

activity. Can even same day have sexual activity. Now I usually

recommend that you use a penis pump right after the PRP shot,

because it will help bring in more blood flow. It will help

accelerate repair.

Now, when do you start seeing the effect? Start seeing effect

around between three months, but it can even last up to 12 to 24

months, and you will see improvement that is firmer, more

sustainable erection. Before you have the PRP treatment, you now

have more response to medications such as Viagra or

Tadalafil. It have increased sensitivity, increased

satisfaction, and maybe a little bit about 10% increase in girth

and length. Now this isn't using in combination with the penis

pump. So the bottom line is, this is getting better outcome

and is effective for mild to moderate ED. And the better you

are in your health, the more you're gonna respond. However,

this is not for everyone, and you have to be determined

whether you're a good candidate or not as well.

So what are some other complications? Some of the

complications you may have, a little mild discomfort

you may have, a little fibrotic plaque, maybe rare complication

of decrease temporary sensitivity, and of course, with

any injection infection risk. However, I've treated over 7000

men have not had any of these complication at this point.

Well, knock on wood now, right? So it is safe because it uses

your blood so eliminate allergic reaction, no systemic side

effect, and it's much safer than surgical options. So who should

consider getting the P-Shot or the PRP? If you have mild to

moderate than just symptomatic treatment

at do

than one modality at this point.

Now you should not get or Aspirin, but if you're on

like Coumadin, then probably not at this time. Unless I mentioned

before the P-Shot or PRP is usually combination with shock

wave therapy, with Botox, and then just low dose tadalafil.

The strategy is really a comprehensive multi modality ED

treatment plan. And typically, if you're mild you probably need

one session. If you have severe ED, you may need three sessions

Now, cost consideration. It's not covered by insurance, and

unfortunately, the treatment varies by provider, by location.

But you have to consider the investment in that. This is a

long term solution compared to different medication costs and

different gadgets that you use. Make sure that you both see a

sexual medicine specialist who is experienced in using

platelet-rich plasma protocol and uses at least 60 CCs in

volume. Use 240 CCs to give you the maximum billions of cells of

at least 65 billion cells that you will need for regeneration.

And that we've been doing this since 2013 and we've treated

over 7000 patient. And we treated from mild all the way to

severe, because we have the shockwave therapy treatment, we

have the Botox in the office. We also have the supplements, we

also have the electromagnetic chair, and we also have other

modalities, such as coaching and lifestyle changes that will work

together to address the root cause of ED.

Now let's summarize. It's promising, but it's limited data

at this point. There's only one single, high quality study which

shows benefit. We need more research and standardization,

but we do know that it does work. And my clinical opinion,

is a reasonable option for as

cure. You still have to pump along with testicle massage

and Kegel exercises as well. So for future direction, we may

need larger clinical trials that's underway, standardized

protocol, and then combine it with other regenerative

therapies, such as shockwave therapy, such as electromagnetic

therapy as well.

So if you're considering a more of a regenerative approach, just

look at platelet-rich plasma or PRP for ED. Contact our office

here and see if you are a candidate. And if you have any

questions, leave it in the comment. I read every one of

them. It would mean the world to me if you subscribe and get

notification of every one of our episodes and share it with

somebody that you love. It means the world to me, because a lot

of our listeners are actually not subscribers. So subscribe

there, okay. And we are here to help you, provide you with an

alternative to ED, that you do not have to suffer in silence

and that just to let you know that there are alternatives. And

that you deserve to live better at this time. Okay? So, Modern

Man, I will see you in the next episode.

and multiple sessions of shockwave.

Okay, Modern Man, you are not alone and you don't have to

suffer anymore. ED can feel isolating, frustrating, and even

defeating. The endless guessing, the quiet shame, the weight of

not feeling like yourself is exhausting. But here's the

truth, you are not broken. You are not alone. You don't have to

figure this out alone anymore. The Get Wood Now Boost Program

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error, just real solution, real result and the confidence you

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get this journey started together. Check out the course

at getwoodnow.com. I'll see you there.

Thanks for listening to the Sexual Health for Men Podcast.

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