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P-Shot vs Shockwave: Comparing Two ED Treatments

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Erectile dysfunction (ED) affects millions of men, and many are searching for more than just pills—they want lasting, natural solutions.

Two popular options today are the P-Shot (Priapus Shot), a regenerative therapy, and low-intensity shockwave therapy (LiSWT or shockwave therapy). People often compare these treatments to see which is more effective for ED.

Here at InjectCo, we believe in offering our clients cutting-edge, evidence-based regenerative therapies in a safe, results-driven med spa environment.

These treatments use the latest medical technology to help men regain confidence and improve their sexual health. Let’s look at your options and see whether the P-Shot or shockwave therapy might be right for you.

What Is the P-Shot?

The P-Shot (Priapus Shot) is one of InjectCo’s flagship male wellness services. The treatment uses platelet-rich plasma (PRP) derived from the patient’s own blood.

A small blood draw is performed, and the sample is then centrifuged to isolate platelets and growth factors. These are then administered as PRP injections, a type of penile injection, into targeted injection sites on the penis.

The PRP injections are designed to stimulate tissue regeneration, new microvascular growth, and enhanced sensitivity.

Since it uses your own blood, the P-Shot is a natural, regenerative treatment. There are no implants or synthetic materials involved, so the risk of allergic reaction is very low.

What You Can Expect from the P-Shot

  • Notice improvements in firmness, sensitivity, and erection quality within weeks.
  • Results peak around 3 months.
  • Effects last 12–18 months, depending on health and lifestyle.
  • Some men schedule maintenance treatments after a year.
  • Minimal downtime; mild redness or swelling resolves within days.
  • May enhance stamina and prolong erections.
  • It can also support increased size and sensitivity in some men.

The P-Shot is a good choice for men who want a regenerative approach, are looking for long-term results, and prefer a treatment that works with their body.

What Is Shockwave Therapy for ED?

Shockwave therapy, or low-intensity extracorporeal shockwave therapy (LI-ESWT), is a non-invasive treatment. It uses gentle sound waves from a handheld device to improve blood flow and support healthy tissue in the penis.

These sound waves send small pulses that encourage the body to release growth factors, form new blood vessels, and clear tiny blockages in the penis.

Many men prefer this non-invasive method because it causes little discomfort and requires no recovery time.

Clinical studies and meta-analyses indicate that LI-ESWT offers improvements in erectile function, particularly for those whose ED is vasculogenic (ex., related to blood-vessel health).

However, it is not yet FDA-approved for ED in the U.S. Many experts recommend waiting for more research to confirm its safety and effectiveness.

What You Can Expect from Shockwave Therapy

  • Sessions last about 15–20 minutes.
  • Typical protocol: twice weekly for 3 weeks, a short break, then another 3-week series.
  • Studies show results can last up to a year, sometimes longer.
  • Most people feel only mild discomfort, such as tapping or tingling, and no anesthesia is needed.
  • Since it’s off-label for ED, insurance usually doesn’t cover it.

This treatment works best for ED caused by blood vessel issues. Following the full treatment plan gives the best results.

Can You Use Them Together (Combination Protocols)?

Yes. Many practitioners are exploring the combination of PRP (P-Shot) and shockwave therapy to enhance outcomes and maintain results over time. The rationale is:

  • Shockwave therapy preps tissue by improving circulation, breaking micro-obstructions, and activating growth factors.
  • PRP injection delivers concentrated growth factors where needed to boost regeneration.

How InjectCo Approaches ED Care

InjectCo is more than a med spa. We are a regenerative clinic that combines medical science, patient comfort, and a focus on aesthetics.

When it comes to ED and male wellness, our process includes the following:

Comprehensive Consultation & Assessment

We begin with a detailed medical and sexual health assessment, reviewing history, symptoms, and vascular risk factors.

Our evaluation encompasses cardiovascular health, hormone levels, and psychological factors such as stress and anxiety, as well as lifestyle habits that may impact performance. Consulting a doctor ensures the chosen treatment is both safe and effective.

Tailored Treatment Plan

Based on the assessment, we develop a treatment plan. It is always customized, not off-the-shelf.

Safety, Comfort & Transparency

We use sterile techniques, follow careful injection procedures, and make sure you understand your treatment. We also explain what to expect, including the duration, potential need for additional treatments, and associated costs.

Patient Support & Follow-Up

We provide follow-up care, make adjustments as needed, and give advice to help you keep your results. Our plan may also include tips for lifestyle changes to support your long-term sexual health.

Ethical and Evidence-Based Practice

We stay up to date with the latest research in sexual medicine to make sure our treatments are based on solid science and shared responsibly.

At InjectCo, our goal is to help men regain function, confidence, and a better quality of life, not just cover up symptoms.

Risks and Limitations

Patients with certain conditions, such as prostate cancer or diabetes, may have special considerations when choosing ED treatments.

For example, diabetes can impact blood flow and erectile health, and prostate cancer or its treatments may influence which therapies are appropriate.

Because of these factors, we always set realistic expectations. We aim for real, measurable improvement, not perfection.

P-shot vs Shockwave: Which Should You Get?

If you’re exploring modern, non-surgical options for ED, P-Shot and shockwave therapy represent two of the most exciting frontiers. InjectCo ensures that each of our clients goes through a thorough evaluation before a personalized P-Shot plan can be recommended.

If you are ready to explore our penile enhancement treatments, schedule a confidential consultation with us at InjectCo. We will guide you through both options and help you choose the best path with confidence.

Your intimate wellness deserves nothing less than that.

Frequently Asked Questions

Which treatment is better for severe ED?

The P-Shot, combined with Shockwave Therapy, often yields better results for severe cases.

Will insurance cover the P-Shot or Shockwave Therapy?

No, both are considered elective procedures and aren’t covered by insurance.

How soon can I resume sexual activity after treatment?

Most patients can resume activities within 24–48 hours, depending on their comfort level.

Can younger men with ED benefit from these treatments?

Yes, especially if ED is due to stress, circulation, or performance issues.

What happens if the treatments don’t work for me?

InjectCo’s team will reassess and suggest alternative therapies or maintenance plans.

Written By:
Dr. Adrian Cole, MD


Dr. Adrian Cole, MD, is a Medical Advisor with over a decade of experience in medical aesthetics and wellness. He provides clinical guidance on patient safety, treatment planning, and evidence-based protocols across a broad range of services, including injectables, skin health, and medical weight management. With extensive experience training healthcare providers, Dr. Cole plays a key role in shaping best practices and supporting safe, results-driven care within modern aesthetic and wellness clinics.

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