Repair signals prepared
For a PRP P-Shot your blood is spun so the platelets form a golden layer. Exosome, secretome and stem cell P-Shots use sterile, lab-prepared vials.
Regenerative injections that repair the tissue behind your erections. There are four types of P-Shot, PRP, exosome, secretome and stem cell, and your doctor matches the type to how much repair you need. Numbed first, a very fine needle, and back to normal the next day.
The P-Shot, short for Priapus Shot, is a regenerative injection for erectile dysfunction. Concentrated repair signals are injected into the erectile tissue, where they support new blood vessels and nerve repair, so erections become firmer, more reliable and more sensitive over the following weeks.
There are four types: PRP made from your own blood, exosome, secretome and stem cell. At SuamiSihat Clinic a licensed men's health doctor chooses the type after a proper assessment, and the P-Shot is often combined with ESWT for stronger results.
In under a minute, our men's health doctor explains what the P-Shot is, the types we use and what the injection does in the tissue.
Video in Malay, 43 seconds. It plays muted; tap the button for sound.
Every type delivers repair signals to the erectile tissue. They differ in where the signals come from and how strong the regenerative push is.

Platelet-rich plasma, spun from a small blood sample to concentrate your own growth factors.
Best for: Mild to moderate ED and reduced sensitivity. The first regenerative step for most men.
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Exosomes are tiny cell-derived messengers that carry repair signals, delivered as a concentrated dose.
Best for: A stronger boost when PRP or ESWT alone is not enough.
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The full set of growth factors and signals released by stem cells, without injecting the cells themselves.
Best for: Moderate ED that needs stronger nerve and tissue repair.
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Mesenchymal stem cells for the deepest tissue repair, given under a dedicated doctor-led protocol.
Best for: Severe or long-standing ED, or when other treatments have not been enough.
Learn moreSwipe sideways to see the full table.
| Type | What is injected | Source | Best for | Typical plan |
|---|---|---|---|---|
| PRP P-Shot | Concentrated platelets and growth factors | Your own blood | Mild to moderate ED, sensitivity | 2 to 3 sessions, about 4 weeks apart |
| Exosome P-Shot | Cell-derived repair messengers | Sterile, lab prepared | Stronger boost, slow response to PRP | 1 to 3 injections, often with ESWT |
| Secretome P-Shot | Stem cell growth factors and signals | Sterile, lab prepared | Moderate ED, nerve and tissue repair | 1 to 3 injections, often with ESWT |
| Stem Cell P-Shot | Mesenchymal stem cells | Sterile, lab prepared | Severe or long-standing ED | Set individually by your doctor |
The PRP P-Shot has the most clinical trial evidence. Exosome, secretome and stem cell P-Shots are newer, with promising early studies, and your doctor explains what is known before you choose.
The P-Shot works best for levels 2 and 3, when firmness or sensitivity has dropped but erections still happen. Level 1 cases usually need a stronger type or a combined plan. Tap the level that describes you.
Based on the Erection Hardness Score (EHS), a simple 1 to 4 scale used by doctors worldwide. It is a guide, not a diagnosis.
Penetration is possible, but firmness is not complete or does not last. This is the most common level and the easiest to improve.
What we usually recommendFour steps happen between the injection being prepared and the result. Together they explain why the effect builds up over weeks instead of hours.
For a PRP P-Shot your blood is spun so the platelets form a golden layer. Exosome, secretome and stem cell P-Shots use sterile, lab-prepared vials.
Injected into the erectile tissue, the signals release growth factors, the same messages your body uses to heal a wound.
These signals support new small blood vessels in the erectile tissue, so more blood can flow in and stay in.
They also support nerve recovery, which many men notice as better sensitivity and erections that start more easily.
Your doctor confirms suitability, and the right type, at the first visit. These are the general guidelines.
The whole visit takes about an hour to an hour and a half, most of it waiting for the numbing cream. Tap each step for details.
Your doctor reviews your health, your erection quality and your medication, recommends the P-Shot type that suits you and explains the expected benefits. You sign a consent form only when you are comfortable.
Medical numbing cream is applied and left on for up to about 50 minutes, so the injections feel like light pressure. The area is then cleaned with antiseptic.
For a PRP P-Shot, a small amount of blood is taken from your arm and spun in a centrifuge to separate the platelet-rich plasma. For an exosome, secretome or stem cell P-Shot, a sterile, sealed vial is prepared under the doctor's supervision.
The doctor injects the P-Shot slowly into the erectile chambers, usually one or two points on each side, with a very fine needle (27G to 30G). Slow, controlled injection keeps it accurate and comfortable.
Light pressure is applied and you rest briefly while we check you are well. Mild tenderness or bruising is normal. Avoid sex for a day or two and avoid anti-inflammatory painkillers (NSAIDs) for a few days, as your doctor advises. Your review is booked before you leave.
Many clients combine two. Your doctor recommends the right plan after your assessment.
Swipe sideways to see the full table.
| Treatment | How it works | Needles | Downtime | Effect |
|---|---|---|---|---|
| P-Shot (all 4 types) | Repair signals rebuild vessels and nerves | Yes, numbed | Minimal | Firmness and sensitivity, builds over weeks |
| ESWT shockwave | Sound waves build new micro blood vessels | No | None | Builds up over a course, long lasting |
| ED tablets (sildenafil, tadalafil) | Relax blood vessels for a few hours | No | None | On demand only, each time |
| Kegel Chair | Strengthens the pelvic floor muscles | No | None | Better control and firmness that holds |
A PRP P-Shot is usually 2 or 3 sessions about 4 weeks apart. Exosome and secretome P-Shots are usually 1 to 3 injections, often alongside a course of ESWT, and stem cell plans are set individually. Your doctor reviews your progress at each visit.
Mild tenderness or light bruising at the injection points settles. You are back at work the next day, and the repair signals start working in the tissue.
Many clients notice better sensitivity and more frequent morning erections as the tissue responds.
Firmness builds, especially after the second session or alongside ESWT. Erections start more easily and hold better during intimacy.
Results usually reach their best, which is also when the PRP trials measured the biggest difference. Your doctor reviews whether a top-up or a stronger type will help keep them.
Results vary between individuals and depend on the cause and severity of ED.
The P-Shot repairs the tissue. Adding one of these works on a second part of the problem.

Our most popular pairing: shockwave for blood flow, the P-Shot for sensitivity and firmness.
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A stronger pelvic floor helps keep the blood in, so firmness lasts through intimacy.
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Therapeutic massage supports circulation and relaxation between sessions.
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A men's health blood panel checks sugar, hormones and cholesterol that affect your results.
Learn moreThe PRP P-Shot has been tested in placebo-controlled trials. These are the key results.
In a double-blind trial of men with mild to moderate ED, 69% reached a meaningful improvement in erectile function six months after two PRP sessions, compared with 27% on placebo. No side effects were reported.
View on PubMedA meta-analysis of randomised trials found PRP improved erectile function scores more than placebo at one, three and six months.
View on PubMedPooling seven randomised trials, adding PRP to shockwave therapy improved erectile function scores more than shockwave alone.
View on PubMedExosome, secretome and stem cell P-Shots are supported mainly by early studies, and not every PRP trial has shown the same benefit. Your doctor will tell you honestly which type is likely to help you.
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Articles written and reviewed by our men's health team.
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Ask on WhatsAppThe P-Shot is a regenerative injection into the erectile tissue. It delivers concentrated repair signals that support new blood vessels and nerve recovery, for firmer, more reliable and more sensitive erections over the following weeks.
P-Shot stands for Priapus Shot, also called the Priapus injection. It is named after Priapus, the Greek god of male fertility and virility, which reflects its purpose: a penile injection for firmer erections and better sensitivity. Today the name covers four types: PRP, exosome, secretome and stem cell.
There are four: PRP, made from growth factors in your own blood; exosome, which uses cell-derived repair messengers; secretome, the growth factors released by stem cells; and stem cell P-Shot, our most advanced option for severe cases.
It depends on how strong a repair your tissue needs. PRP usually suits mild to moderate ED, exosome or secretome give a stronger boost when PRP or ESWT alone is not enough, and stem cell is for severe or long-standing ED. Your doctor recommends the type after your assessment.
Most clients feel only light pressure. Medical numbing cream is applied first and the doctor uses a very fine needle with a slow injection. Mild tenderness afterwards is normal and settles in a few days.
Plan for about an hour to an hour and a half, most of it while the numbing cream works. The injections take only a few minutes. You go home the same day and can usually work the next day; avoid sex for a day or two.
A PRP P-Shot is usually 2 or 3 sessions about 4 weeks apart; exosome and secretome are usually 1 to 3 injections, often with ESWT. Some men notice better sensitivity within a few weeks, and firmness usually builds over 1 to 3 months.
It is a short, numbed procedure done by a licensed doctor with sterile materials. PRP comes from your own blood, so the risk of an allergic reaction is very low. Possible side effects are mild bruising, swelling or tenderness. Your doctor checks for reasons not to treat, such as a bleeding disorder, blood thinners or an infection.
Yes, and many clients do. ESWT builds new blood vessels with sound waves while the P-Shot adds repair signals for sensitivity and firmness. A 2025 review of seven trials found PRP plus shockwave worked better than shockwave alone.
The P-Shot is a treatment for erection quality and sensitivity. Some men feel fuller erections as blood flow improves, but it is not a size enlargement procedure, and we do not promise size changes.
Book your free assessment online or message us on WhatsApp. Choose Subang Jaya or Kota Bharu, both open daily. Consultations are one to one in a private room with a male team.
One private, no-obligation assessment with our men's health doctor. We check which P-Shot type, ESWT or combination suits you best.
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