Priapus Shot® (P-Shot®) Training & Certification

Video filmed in 2012 and still relevant…

For licensed medical providers who treat men — and the women who love them

The Man in Your Waiting Room Has Already Tried the Pill.Here’s What to Offer Him Next.

Learn the original Priapus Shot® (P-Shot®) and Priapus Toxin™ procedures from the physician who designed them — online this week, hands-on with live models when you’re ready — and get a full, cheerful refund if it isn’t right for you.

---

Dear Colleague,

Last year a couple sat in my office in Fairhope. He was a few years out from his prostatectomy. Wise man. Smart wife. They’d been to prominent universities and seen prominent urologists.

And neither of them had ever heard the phrase “penile rehabilitation.”

It got worse. Somewhere along the way, someone had given him a penis pump — with no pressure gauge. Someone had also given him what was called a “P-Shot.” From the way his wife described it, the plasma went in some odd location. My bet is that the person who did it only said they were part of our group.

Here’s what bothered me most: a man who wanted his love life back had spent real money on half-measures, and nobody had given him the whole protocol.

If someone in our world doesn’t know something, shame on me for not teaching it. So this page is me getting back on my soapbox — and inviting you to learn to do this the right way.

What’s the Problem?

You already know the numbers on erectile dysfunction. What you may not see is what the men don’t say out loud.

They don’t come in asking for help with their erections. They come in for their blood pressure, their knee, their “annual.” The ones who do bring it up have usually been pushed in the door by their wives. (Yes — the wives bring their husbands. That’s why gynecologists are some of our best P-Shot® providers.)

And when a man finally does sit down in front of you, here’s the hard truth: he is not an easy case. If he were, the first doctor would have fixed him.

A man who is willing to pay cash has usually already seen one or two physicians who take his insurance. He likes them. He’s a little embarrassed to be seeing you at all — almost like he’s cheating on his doctor.

So you are being handed the hardest cases. And most of us were trained with only two moves: write a prescription, or refer him on.

What’s Been Tried?

Let’s be fair to every tool, because I use most of them.

• The pills work. Daily tadalafil and its cousins raise the IIEF-5 (SHIM) score by roughly seven points in the studies. Good. But they don’t rebuild tissue, and some men don’t respond at all.
• The pump works — when it’s used correctly. But I’ve had at least twenty men tell me, “I already have a pump.” When I ask whether it has a pressure gauge, the answer is often no. Then I put a real one on, and they’re shocked at what they’d been missing.
• Walking works. One study of tennis three times a week bumped the score by about seven. (At my level, tennis is mostly watching the ball whiz by — so it doesn’t help much.)
• Injections and implants work — and most men dread them, but for some, they are a miracle, life changer. Most men just want that as a last resort.
• “Generic PRP” sometimes doesn’t work. The one placebo-controlled study that failed used half the dose and did not include the activation process or the injection methods we use. In my opinion, the methodology was poor. JAMA has made the point that, with these therapies, the method matters.

And then there’s the option most often chosen: wait. There is still no standard protocol for penile rehabilitation in the textbooks. The debate began around 2010 and hasn’t ended.

But imagine you’re the man — or his wife. Do you really want to wait another ten or twenty years for the research to settle the question? Or do you want the best research we have now, combined with the best understanding of the physiology and physics of an erection?

What’s New?

The Priapus Shot® procedure

In 2010, I designed a very specific way to isolate a patient’s own platelet-rich plasma (and other blood-derived growth factors) and inject it in a very specific way to improve the health and function of the penis. As far as I know, it was the first use of PRP to treat erectile dysfunction. I registered the idea with the U.S. Patent and Trademark Office at the time.

Since then, more than 2,000 physicians in more than 50 countries have investigated and used the procedure through the Cellular Medicine Association. The outside research has kept stacking up:

• A double-blind, randomized, placebo-controlled trial showing PRP improves erectile function (Poulios et al., Journal of Sexual Medicine, 2021).
• A 2024 systematic review and Bayesian network meta-analysis of regenerative therapies for ED (Hinojosa-Gonzalez et al., Journal of Sexual Medicine).
• A 2024 GRADE-assessed meta-analysis of randomized trials of intracavernosal PRP for mild-to-moderate ED (Yogiswara et al.).
• A 2025 meta-analysis of PRP alone or combined with low-intensity shockwave (Zhou et al., The Aging Male).

Does it work every time? Of course not. Does it have a statistically significant success rate? Yes. And much more research needs to be done — which is exactly why I want more good clinicians doing it the standardized way and reporting what they see.

The Priapus Toxin™ procedure

This is the one most providers haven’t heard of, and it’s where many of the hardest cases turn around.

Botulinum toxin injected into the corpus cavernosum has now been studied in double-blind trials using Botox®, Dysport®, and Xeomin®. And here’s the part that should make you sit up: those studies were done in men for whom the pills did nothing — and still showed roughly a 40% success rate. With Xeomin, 100 units lasted about nine months.

Forty percent of men had already failed everything else. Knowing that and not offering it means you’re not offering the best of what we know. In the course, I’ll also show you the P-Shot 100™—combining the two in a single visit.

The whole protocol, not just a shot

Here’s what I want you to understand: the procedure is the centerpiece of penile rehabilitation, but the results come from the stack. You’ll learn my full protocol — including the one I use for men recovering from prostate surgery (only parts of this protocol may be needed for someone with the beginnings of ED without prostate problems):

1. Call the urologist — while the patient is in your office. (Respect earns referrals.)
2. Daily tadalafil, if tolerated.
3. A well-fitted vacuum device with a pressure gauge, used the right way.
4. Walking.
5. The Priapus Shot® procedure.
6. The Priapus Toxin™ procedure.
7. Shockwave, if you have it (there’s evidence of synergy).
8. Testosterone, estradiol, and prolactin — checked and managed (or coordinated with the urologist).
9. Attention to the ejaculatory cycle (the most common way men accidentally sabotage their own results).
10. Reassess and repeat at about twelve weeks.

Pills raise the score by about seven. Walking, about seven. Our procedure, about seven. Does that add up to twenty-one? Not likely. But it adds up to more than any one of them alone. It just makes sense.

What’s Possible?

One of the first men I treated with the P-Shot® combined with penile rehabilitation had been married for about sixty years. He was more than two years out from prostate surgery, getting ready for a second honeymoon. I wasn’t sure it would work.

Since then, I’ve treated many more — and, more importantly, I’ve heard from our members around the world.

Here’s what becomes possible for you:

• You become the person who has an answer when the pill stops working — instead of the person who refers him away.
• Specialists start sending you patients. It happens again and again: you call the surgeon, you treat one of his more troubling cases respectfully, the man gets better — and the referrals start. Nurse practitioners and primary care doctors in our group have built practices exactly this way.
• Even when it doesn’t fully work, you’ve helped. One of the urologists in our group prefers that men have a P-Shot® before a penile implant — the tissue is healthier and the outcome more favorable.
• You treat couples, not just men. Add the O-Shot® procedure and the wife who brought her husband in becomes your patient too.
• You’re never practicing alone. You join a mastermind of physicians — board-certified in urology, general surgery, internal medicine, interventional radiology, family practice, and more — and a live Journal Club every week for help and new ideas.

Picture a Tuesday afternoon a few months from now. A man and his wife are in your office. Three doctors told him to wait. You don’t tell him to wait. You pick up the phone, call his urologist, lay out a protocol, and tell him exactly what the next twelve weeks will look like. That’s the doctor I want you to be.

What Providers Say About Training with Us

Don’t take my word for it. Here’s what physicians and providers say after training with the Cellular Medicine Association.

“I have been to many marketing classes directed towards medical spas and I have never learned as much about internet marketing as I did from you.”— William A. Moore, Advanced Skin Fitness, Dallas, Texas

What’s the Catch?

There are a few — and I’d rather tell you now.

This isn’t for everyone

Our providers come from primary care, urology, gynecology, and age-management medicine, among others. Who may perform PRP and botulinum toxin injections is set by each state (and country) and licensing board, so please check your state’s guidelines and your own scope of practice before you apply. In some places, a physician extender can do this, and in some, not (a good guide is whether your state will allow you to inject HA fillers). If you aren’t licensed to perform these injections where you practice, you won’t be approved. Not sure? Call 1-888-920-5311, and we’ll help you think it through.

You have to pass

After approval (within one business day), you go straight to the training videos, then take an online test. Most qualified providers finish the introductory material in one to two hours. Your license to use the names is granted only after you pass, and it can be revoked for failing to meet the agreed-upon standard of care. That’s how we protect the patients — and the reputation you’re attaching your name to.

What it costs

The online training for both procedures — the Priapus Shot® and the Priapus Toxin™ — is $997.

Starting the next month, a $97 monthly licensing fee lets you keep using the names in your advertising and supports our research and marketing. You can cancel the monthly fee any time without penalty — you just stop using the Priapus Shot® and Priapus Toxin™ names. (The license does not include the right to teach the procedures without my written permission.)

One new patient more than pays for it.

And the guarantee

I do the same thing with my own patients. To this day, if a man doesn’t think I helped him, I give him his money back. I’d be a hypocrite to treat you any differently.

Here’s what you get when you’re approved

• The step-by-step Priapus Shot® (P-Shot®) Procedure Course — video, protocol, and online test.
• The Priapus Toxin™ and P-Shot 100™ Course — dosing, mixing, and technique.
• The supplies list — exactly what to order, including where to get a pump with a proper gauge.
• Legal documents and guidance.
• Marketing materials and strategy — plus the right to use the Priapus Shot® and P-Shot® names in your advertising.
• A listing in the provider directory on PriapusShot.com, where patients look for trained providers.
• The Journal Club — a live call every week and an archive going back years.
• Questions & Answers and the patient survey tools for tracking your outcomes.
• All the benefits of membership in the Cellular Medicine Association while you’re subscribed.

Tell Me What to Do

There are two ways in. Many of our best providers do both — online first, then hands-on.

Path 1 — Start online today (fastest)

1. Click the button below and complete the application ($997).
2. You’ll hear back within one business day.
3. Watch the training (one to two hours for most qualified providers) and pass the test.
4. Start offering the procedures — with three months to change your mind.

Path 2 — Learn hands-on, with live models

Some of us learn best with the syringe in our own hand and an instructor at our shoulder. CMA-certified trainers hold hands-on workshops across the U.S. and abroad — Florida, Texas, Arizona, Colorado, New York, Tennessee, Pennsylvania, and more — each one personally endorsed by me.

I also teach my own small workshop here in Fairhope, Alabama: two days covering the Priapus Shot®, Priapus Toxin™, O-Shot®, Clitoxin®, the Vampire® procedures, and the marketing I use in my own practice. I keep the class small so I can coach every person through live injections, and registration shuts itself off when the seats are gone. The next one is January 21–22, 2027 ($7,897).

---

It’s an honor to think you might join us. A lot of men out there need you — and so do the women who love them. This is a worthy cause.

P.S. If you remember one thing from this page: the man in front of you has probably already been told to wait. You can be the doctor who doesn’t. Apply now — you have three months to decide whether it was worth it.

P.P.S. Already offer the O-Shot®? Then you’re already seeing the wives. Adding the P-Shot® means you can finally treat the couple.

---

References

1. Poulios E, et al. Platelet-Rich Plasma (PRP) Improves Erectile Function: A Double-Blind, Randomized, Placebo-Controlled Clinical Trial. J Sex Med. 2021;18(5):926–35. https://doi.org/10.1016/j.jsxm.2021.03.008
2. Hinojosa-Gonzalez DE, et al. Regenerative Therapies for Erectile Dysfunction: A Systematic Review, Bayesian Network Meta-Analysis, and Meta-Regression. J Sex Med. 2024. https://doi.org/10.1093/jsxmed/qdae131
3. Yogiswara N, et al. The Potential Role of Intracavernosal Injection of Platelet-Rich Plasma for Treating Patients with Mild to Moderate Erectile Dysfunction. Arch Ital Urol Androl. 2024;96(3). https://doi.org/10.4081/aiua.2024.12687
4. Zhou Z, et al. The Efficacy of PRP Alone or in Combination with Low Intensity Shock Wave Therapy in Treating Erectile Dysfunction: A Systematic Review and Meta-Analysis. Aging Male. 2025;28(1):2472786. https://doi.org/10.1080/13685538.2025.2472786
5. El-Shaer W, et al. Intra-Cavernous Injection of BOTOX® (50 and 100 Units) for Treatment of Vasculogenic Erectile Dysfunction: Randomized Controlled Trial. Andrology. 2021;9(4):1166–75. https://doi.org/10.1111/andr.13010
6. Abdelrahman IFS, et al. Safety and Efficacy of Botulinum Neurotoxin in the Treatment of Erectile Dysfunction Refractory to Phosphodiesterase Inhibitors. Andrology. 2022;10(2):254–61. https://doi.org/10.1111/andr.13104
7. Giuliano F, Denys P, Joussain C. Intracavernosal IncobotulinumtoxinA (Xeomin®) 100 U as an Add-on Therapy for Difficult-to-Treat Erectile Dysfunction. Toxins. 2022;14(4):286. https://doi.org/10.3390/toxins14040286
8. Giuliano F, Joussain C, Denys P. Intracavernosal AbobotulinumtoxinA (Dysport®) as Add-on Therapy for Erectile Dysfunction. Toxins. 2019;11(5):283. https://doi.org/10.3390/toxins11050283
9. Sopko NA, Burnett AL. Erection Rehabilitation Following Prostatectomy — Current Strategies and Future Directions. Nat Rev Urol. 2016;13(4):216–25. https://doi.org/10.1038/nrurol.2016.47
10. Welliver RC, et al. Penile Oxygen Saturation Before and After Vacuum Therapy in Patients with ED After Radical Prostatectomy. J Sex Med. 2014;11(4):1071–77. https://doi.org/10.1111/jsm.12445
11. Errors in Text. JAMA Netw Open. 2022;5(11):e2245075. https://doi.org/10.1001/jamanetworkopen.2022.45075