You’ve tried everything—lifestyle changes, pills, pumps—but you’re still not seeing the performance you want in the bedroom. Maybe you’re experiencing decreased sensation, trouble maintaining an erection, or you're just looking for a fuller appearance. These challenges can be frustrating and impact not just your sex life, but your self-esteem and overall well-being.

At Genesis Lifestyle Medicine, we understand how important sexual health is to your overall vitality. If you're exploring penile enhancement, two of the most talked-about solutions are the P-Shot® (Priapus Shot) and penile implants. In this article, we’ll help you understand how each option works and how to determine the best fit for your goals.

Your penile enhancement options

When it comes to enhancing your sexual performance and satisfaction, there are both non-surgical and surgical options available. The P-Shot and penile implants represent two different ends of this spectrum—one is regenerative and minimally invasive, the other is mechanical and permanent. Here’s a closer look at how each works.

P-Shot

The P-Shot uses your body’s natural healing factors to enhance sexual performance. It begins with a small blood draw, just like a standard lab test. Your blood is processed to isolate platelet-rich plasma (PRP), which is rich in growth factors that stimulate cellular repair and regeneration. Once PRP is ready, it’s injected into specific areas of your penis to promote tissue regeneration, improve blood flow, and potentially increase girth. Many patients report firmer erections, improved stamina, enhanced sensitivity, and better sexual performance.

Implants

Penile implants provide a reliable and long-term remedy for erectile dysfunction. There are two main types: inflatable and malleable (semi-rigid) implants.

• Inflatable implants: These consist of a pair of cylinders placed inside the penis, a pump implanted in the scrotum, and a fluid reservoir in the abdomen. To achieve an erection, you activate the pump, which transfers fluid into the cylinders to create a firm and natural-looking erection. When you're done, you deflate the implant with the pump.
  
• Malleable implants: These, on the other hand, consist of bendable rods that keep the penis firm enough for sex but can be positioned as needed. This implant option requires a surgical procedure and a period of recovery, but it provides a permanent solution for men who have not found success with other ED treatments.

What’s the difference between P-Shot and implants?

While both treatments are aimed at improving sexual performance, they differ significantly in terms of invasiveness, results, cost, and suitability. Here’s how they compare across key factors:

Level of invasiveness

The P-Shot is performed in an office setting and typically takes under an hour to complete. There’s no incision, no general anesthesia, and no significant recovery time. In contrast, penile implants involve a surgical procedure under anesthesia, with a recovery period that may last several weeks. Surgical risks like infection, scarring, or mechanical malfunction also apply.

Natural function vs. mechanical support

The P-Shot enhances your natural function by improving blood flow and tissue health. It’s ideal for men who want to restore or boost their natural performance without artificial devices. Penile implants bypass natural mechanisms entirely by introducing a device that creates an erection on demand. While extremely reliable, they do not enhance sensitivity or natural function.

Results and permanence

P-Shot results build gradually over several weeks as tissue regenerates. The results may last from 12 to 18 months, and maintenance treatments can help extend the benefits. Penile implants provide immediate, on-demand firmness and are considered a permanent solution. However, they do not alter the appearance or sensitivity of the penis beyond creating rigidity.

Downtime and recovery

After a P-Shot, most men resume normal activity the same day, including sexual activity within 24 to 48 hours. Implants, on the other hand, require several weeks of recovery. You’ll need to avoid strenuous activity and follow strict post-op guidelines before intercourse.

Candidacy

The P-Shot is suitable for most men seeking to enhance their performance, particularly those with mild to moderate erectile dysfunction (ED), performance anxiety, or decreased sensation. It can also be used in combination with other ED treatments like GAINSWave® or testosterone therapy. Implants are typically recommended for men with severe ED who have not responded to medications, injections, or other therapies. They are a last-resort treatment.

What is the right penile enhancement option for me?

Choosing between the P-Shot and penile implants depends on your specific needs, goals, and medical history. If you’re seeking a natural, regenerative approach with minimal downtime, the P-Shot may be your ideal starting point. If you have more advanced erectile dysfunction, implants might offer the reliability and control you need for a fulfilling sex life.

Ultimately, your decision should be made in consultation with a trusted medical provider who understands your concerns and priorities. At Genesis Lifestyle Medicine, we help you navigate your options carefully. Our experienced providers will evaluate your health, listen to your goals, and recommend the best treatment path to help you reclaim your sexual vitality. Schedule your consultation today to explore your penile enhancement options.