FAQ hub
The P-Shot is not painful for most men. Before any injection, the area is numbed with topical anaesthetic cream and, if preferred, a penile nerve block. The injections themselves take 10 minutes, and most patients describe the sensation as mild pressure rather than pain. Mild tenderness for 24-48 hours afterwards is normal.
The full appointment is 60-90 minutes. That includes 20-30 minutes of consultation, 15 minutes of blood draw and dual-spin PRP processing, 15-25 minutes of numbing and injections, and a short post-procedure debrief. The Enhanced (shockwave-combined) appointment adds about 15 minutes.
Yes. Most men return to work, drive, and resume normal activity the same day. We ask you to avoid sexual activity, vigorous exercise, and hot baths/saunas for 4-5 days. Mild swelling or sensitivity in the first 24-48 hours is normal and not a reason to take time off.
Yes, you can drive yourself home after the standard P-Shot. The topical anaesthetic doesn't affect cognition or reaction time. If you've chosen a full penile nerve block (rare) or are particularly anxious, we'd recommend arranging transport, but this is a precaution, not a requirement.
Most men have one P-Shot, with optional maintenance every 12-18 months. Some conditions, including Peyronie's disease, post-prostatectomy rehabilitation, and severe vascular ED, may benefit from a course of two or three treatments spaced 6-12 weeks apart. We recommend a plan at consultation based on what you're treating.
Most men notice changes between week 4 and week 8, with peak results around 8-12 weeks. A minority report subtle improvements in the first 1-2 weeks. The treatment works by regenerating tissue, so the timeline reflects natural cellular healing. There is no overnight effect.
P-Shot results typically last 12-18 months, with some men reporting effects up to 24 months. Duration varies by underlying cause, lifestyle factors (smoking, diabetes, vascular health), and whether maintenance treatments are used. The treatment does not wear off suddenly; improvement gradually returns toward baseline.
Yes, for properly selected patients. The best-cited clinical study (Poulios et al., Journal of Sexual Medicine, 2021) showed 69% of men with mild-to-moderate ED improved after PRP injection vs 27% on placebo. Response rates are higher for vasculogenic ED and lower for severe neurological or psychological ED. Roughly 30% of men are poor responders.
Modest, often transient size changes have been reported by some patients, primarily as a result of improved tissue health and stronger erections. The P-Shot is not a penis enlargement procedure, and we don't market it as one. If size is your primary concern, soft-tissue fillers are a different conversation and not one we offer.
"Worth it" depends on what you're treating, your alternatives, and your budget. For doctor-confirmed vasculogenic ED, Peyronie's disease, or post-prostate rehabilitation, the value equation is strong, with one £1,250 treatment set against years of oral medication, surgery risk, or an untreated condition. For mild psychological ED or general "wellness optimisation", the case is weaker, and we'll tell you.
Side effects are generally mild and short-lived, including bruising, mild swelling, or sensitivity at the injection sites, typically resolving within 48 hours. Because PRP is made from your own blood, allergic reaction is essentially eliminated. Serious complications, such as infection or prolonged painful erection, are rare and under 1% in published series.
The P-Shot has a strong safety profile. It uses your own blood, performed under sterile conditions, with thousands of treatments globally documented. The procedure is performed by your doctor personally under CQC-regulated standards with full medical indemnity. Like any injection, there is non-zero risk, which is discussed in detail at consultation.
The P-Shot is suitable for adult men in good general health with erectile dysfunction (particularly vasculogenic), Peyronie's disease, reduced sensitivity, post-prostate-treatment changes, or male lichen sclerosus. It works best when the underlying issue has a tissue or vascular component. Severe neurological ED or pure hormonal/psychological causes may not respond as well.
The P-Shot is not appropriate for men with active genital infections, untreated severe coagulation disorders, untreated platelet disorders, certain cancers, or where a pregnancy partner is trying to conceive (the latter is provider-dependent: discuss at consultation). It is not a substitute for cardiological assessment if cardiac symptoms accompany the ED.
Yes, and diabetic men are among the strongest candidates, because diabetic ED is largely vascular, and vascular ED is what PRP and shockwave address best. Blood glucose control should be optimised before treatment to support tissue healing. We may recommend the Enhanced (shockwave-combined) protocol for diabetic patients given the vascular emphasis.
Yes, the P-Shot is increasingly used as part of penile rehabilitation after radical prostatectomy or pelvic radiotherapy. Earlier intervention (within the first 12 months post-treatment) tends to produce better outcomes because the window of nerve recovery is longer. We coordinate with your oncologist or urologist.
P-Shot pricing in the UK ranges from about £1,000 to £2,500. Our Standard P-Shot is £1,250, including consultation, dual-spin PRP, anaesthetic, doctor-performed injection, and 6-week and 12-week follow-ups. The Enhanced P-Shot with same-day low-intensity shockwave therapy is £1,350.
The P-Shot fee covers consultation, sterile single-use disposables, medical-grade centrifuge use, anaesthetic, the doctor's time across an hour-plus appointment, dual-spin processing (more time-intensive than single-spin), and two follow-up reviews. The procedure cannot be safely or effectively delivered at supermarket pricing.
No. The P-Shot is not currently funded by the NHS for erectile dysfunction. The NHS pathway for ED begins with oral PDE5 inhibitors (Viagra/Cialis) and may extend to vacuum devices, intra-cavernosal injections, or surgical implants, but PRP is private-only.
Yes, 0% finance is available, spreading the cost over months. Details and application are handled at consultation. There is no fee if you decline finance after consultation.
For some men, yes. After a successful P-Shot, many men either stop or substantially reduce their use of PDE5 inhibitors. For others, particularly those with severe ED or comorbid conditions, the P-Shot reduces the dose needed rather than eliminating it. The two are complementary, not antagonistic, and can be combined safely.
They work differently. The P-Shot delivers concentrated growth factors that regenerate tissue. Shockwave therapy delivers acoustic waves that stimulate new blood-vessel formation. They are most effective when combined, which is why we offer the Enhanced (same-day combined) protocol. Standalone P-Shot suits Peyronie's and sensitivity loss; standalone shockwave suits pure vascular ED.
For vasculogenic ED, diabetic ED, age-related multifactorial ED, or sub-optimal response to oral medication, yes, combining them is the protocol with the strongest outcome data. For isolated Peyronie's disease or sensitivity loss, the Standard P-Shot may be sufficient. We recommend a protocol after consultation rather than as a default upgrade.
Dual-spin PRP processes the blood sample through a two-step centrifuge protocol. This concentrates platelets to a higher level than standard single-spin methods, and it's included as part of the P-Shot package.
Low-intensity extracorporeal shockwave therapy, or LI-ESWT, uses targeted acoustic waves to stimulate repair pathways in erectile tissue. It's a non-invasive option for erectile dysfunction, either as a standalone course or as part of the Enhanced P-Shot + Shockwave option.
Our clinic is at 48 Wimpole Street, Marylebone, London W1G 8SF. Patients should check current travel routes before attending, and we can confirm appointment details before the visit.
Our clinic is at 48 Wimpole Street, Marylebone, London W1G 8SF. Patients outside London should confirm suitability, appointment availability, and travel plans before booking treatment.
Your doctor performs every step of the P-Shot personally, including consultation, blood draw, PRP processing, the injections themselves, and the follow-ups. Nothing is delegated to a nurse or technician.
Book online via the consultation form, call +44 7955 836986, or email [clinic email]. There is no obligation to proceed with treatment after consultation.
Consultations are confidential. Any GP or third-party communication only happens with patient consent unless disclosure is required by law.