
P-Shot™
The Sexual Medicine Society of North America (SMSNA) advises against the use of permanent fillers like silicone and paraffin due to potential long-term complications. And the American Urological Society (AUA) considers penile girth enhancement (PGE) using subcutaneous fat injection to be unsafe and ineffective.



What is the P-Shot?
The P-Shot harnesses the power of Platelet-Rich Plasma (PRP) derived from your own blood. This concentrated plasma is rich in growth factors and proteins that stimulate cellular regeneration and the formation of new blood vessels. When injected into the penile tissue, the P-Shot promotes increased blood flow, enhanced erections, and overall improvement in sexual performance.
Ideal Candidates for the P-Shot
The P-Shot is an ideal treatment for men seeking:
- A natural approach to improving erectile dysfunction and sexual performance.
- Solutions for Peyronie's disease and penile curvature.
- Enhanced sexual rejuvenation without the reliance on pharmaceuticals like Viagra.
Contraindications include certain blood disorders, active infections, and severe systemic diseases.
"After looking into and searching about girth enhancement for over a year and a half, all over Texas and the country, Dr. Wierschem is absolutely the most knowledgeable Dr. to perform this procedure and his technique is hands down better than everyone in the county. Dr. Wierschem is extremely professional, courteous, and personable. His staff is also very easy to work with and happy to answer any questions and they make you feel very comfortable. They made me feel valuable and important and I was more than just another procedure. Dr. Wierschem really does care for his patients and wants the best for them. He truly is a Doctor first. I would recommend him and his staff for anything men's health related, 1000%."
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Why Choose Dallas Men’s Health?
At Dallas Men's Health, you're not just a patient; you're a partner in your healthcare journey. Led by Michael Wierschem, M.D., a board-certified urologist with over 25 years of experience, our clinic is at the forefront of men's sexual health and well-being. Dr. Wierschem is certified in Male and Female Sexual Health by the International Society for Sexual Medicine (ISSM). Our practice in Oak Lawn is a sanctuary where men can openly address their health concerns, benefiting from the latest in medical technology and innovative treatments.
Our comprehensive range of services, including Penile Enhancement with GirthPro, Regenerative Erectile Dysfunction Treatments, Hair Loss Prevention and Regeneration Solutions, Weight Management and Body Sculpting Treatments, Laser Aesthetics and more, are designed to meet your unique needs. At Dallas Men's Health we understand that every man's health journey is unique, and we are dedicated to providing personalized care to help you achieve your sexual health and aesthetic goals.
Dallas Men's Health in an International Destination for men, because of our Innovation, Expertise and Honesty.
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This map illustrates a sample of our patient demographics over the past 12 months.





Complimentary Aesthetic
Service with Each Package!
Aesthetic Services are available for men and woman, and are easily transferrable.

Results
Patients typically observe noticeable improvements in erectile function and sexual performance within weeks following the P-Shot treatment. Optimal results are often seen after a few months, with many patients reporting significant enhancements in their sex life and overall satisfaction.
What to Expect from Your P-Shot Session
P-Shot therapy for Erectile Dysfunction at Dallas Men's Health begins with an initial consultation. During this meeting, Dr. Michael Wierschem will discuss your medical history, the specifics of your erectile dysfunction, and determine if the P-Shot is the right course of action for you.
Once you are deemed a suitable candidate, the procedure itself is straightforward and minimally invasive. It starts with a simple blood draw from your arm, similar to any standard blood test. This blood is then placed in a centrifuge to isolate the Platelet-Rich Plasma (PRP). The area of injection is numbed with a local anesthetic to ensure comfort, and the PRP is injected into specific areas of the penis.
Recovery from the P-Shot is swift, with most patients able to return to their daily activities immediately, and sexual activities within a few days. Follow-up appointments will be scheduled to monitor your progress, and additional sessions may be recommended based on your response to the treatment.
Risks and Side Effects of PRP for Erectile Dysfunction (P-Shot)
While the P-Shot is considered safe and minimally invasive, as with any medical procedure, there are potential risks and side effects. Common side effects may include temporary swelling, bruising, or discomfort at the injection site. Rare risks include infection, allergic reactions to the injected materials, and no improvement in erectile function.
Dr. Wierschem and the team at Dallas Men's Health prioritize patient safety and will discuss all potential risks and side effects with you during your consultation. You'll be closely monitored throughout the treatment process to manage any adverse effects and ensure the best possible outcome.
The P-Shot vs. PRF Treatments for ED
Both Platelet-Rich Plasma (PRP) and Platelet-Rich Fibrin (PRF) treatments stand out for their innovative approaches to enhancing male sexual health. While the P-Shot, utilizing PRP, is renowned for its effectiveness in improving erectile function and overall sexual wellness, PRF treatments have also gained attention for their unique benefits in the treatment of ED.
Benefits of PRF
Platelet-Rich Fibrin (PRF) is considered the next evolution in platelet concentrate therapies, offering several distinct advantages in the treatment of erectile dysfunction:
- Natural Healing Process: Like PRP, PRF is derived from the patient's own blood, minimizing the risk of allergic reactions. However, PRF involves a slower, sustained release of growth factors, which can provide a longer-lasting regenerative effect on erectile tissue.
- Richer in Growth Factors: PRF contains a higher concentration of growth factors and healing proteins compared to PRP, due to its unique preparation process. This can potentially lead to more significant improvements in blood flow and tissue repair within the penile area.
- Enhanced Tissue Regeneration: The fibrin matrix in PRF provides a scaffold that promotes the growth of new cells and blood vessels, aiding in the repair of damaged tissues and enhancing erectile function over time.
- Reduced Inflammation: PRF has been shown to have anti-inflammatory properties, which can benefit men with ED by reducing penile inflammation and contributing to a healthier erectile mechanism.
- No Additives Required: The preparation of PRF does not require anticoagulants or other additives, making it a purely natural product that is rich in healing components.
While both the P-Shot and PRF treatments offer promising outcomes for men struggling with ED, the choice between them depends on individual patient needs, the specific nature of their ED, and the professional recommendation of their healthcare provider.
What About Exosomes for Erectile Dysfunction?
Exosomes are emerging as a groundbreaking option alongside the more established PRP (P-Shot) and PRF therapies. Exosomes, tiny extracellular vesicles derived from stem cells, represent the cutting edge of regenerative medicine. They play a crucial role in cell-to-cell communication, delivering a cargo of proteins, RNA, and other molecules that can significantly influence the healing and regeneration of tissues.
For men facing ED, exosomes offer a novel approach by targeting the underlying causes of sexual dysfunction at a cellular level. These vesicles support the repair and growth of penile tissue and blood vessels, fostering improved blood flow and contributing to firmer and more sustainable erections. The therapy involves the administration of exosomes directly to the penile area via injectaion, where they unleash their regenerative potential.
The benefits of using exosomes for ED include their ability to promote tissue regeneration, enhance cellular function, and potentially reverse damage within the erectile tissue.
At Dallas Men's Health, we carefully evaluate each patient's unique health profile and sexual wellness goals. During this process, we will assess whether PRP, PRF, exosomes, or a combination approach represent the best treatment option for you, ensuring that the therapy chosen is tailored to meet your specific needs and offer the most effective outcome.
Cost of the P-Shot in Texas
The cost of the P-Shot varies based on individual treatment plans and needs. At Dallas Men's Health, we provide transparent pricing and personalized consultation to discuss your specific situation and financial considerations. Contact our Dallas, TX, office for more information and to explore the transformative benefits of the P-Shot.
General Urological Issues Treated by Dr. Wierschem
BPH – Benign Prostatic Hyperplasia
Diagnosis/Evaluation may include: Detailed history, physical and prostate exam, PSA, urinalysis and possible other tests of bladder/urinary function.
Treatments for BPH may include: diet modification, medication, office based procedures and surgical procedures.
Prostate Cancer
Diagnosis/Evaluation may include: Detailed history including Family history, Physical exam to include the prostate, PSA testing, MRI evaluation and prostate biopsy.
Treatment for Prostate cancer may include: Active Surveillance/Watchful Waiting, Focal laser treatment, Surgical Removal, Radiation/Proton Therapy and medication.
Prostatitis
Diagnosis/Evaluation may include: Detailed history, physical and prostate exam, PSA, urinalysis and possible other tests of bladder/urinary function.
Treatment of Prostatitis may include: Antibiotics, Anti-inflammatories, prostate medication, diet modification and other behavior modification techniques discussed with the doctor.
Vasectomy
This procedure is performed in the office by Dr. Wierschem. It is a painless procedure that typically takes less than 10 minutes. You will be set up to have your semen checked 6-8 weeks after the procedure to ensure that you are sterile. Until that time you will need to continue contraception. Please contact the office for more information.
Nephrolithiasis – Kidney stones
Diagnosis/Evaluation may include: Detailed history, Physical Exam, Urinalysis, blood tests, Radiological evaluation (e.g. plain X-ray, CT scan, Ultrasound), comparison to prior radiological studies, labs and reports.
Treatment of Kidney Stones may include: Active Surveillance/Watchful Waiting, diet modification, medical management, pain management, surgery (e.g. Shock Wave Lithotripsy (ESWL), ureteroscopy (typically with laser stone ablation), stenting (an internal tube that bypasses the obstructing stone) or even external drainage of the kidney in certain cases.
Infertility
Diagnosis/Evaluation may include: Detailed history, Physical Exam, urinalysis, semen analysis (and possible other semen studies), radiological evaluation.
Treatment of Infertility may include: Active Surveillance/Watchful Waiting, medication, diet and behavior modification and surgical intervention.
Yes, the P-Shot is not only for men with erectile dysfunction. It can also benefit men looking to enhance their sexual performance by improving erection quality, sensitivity, and sexual stamina. This makes it a versatile treatment option for a wide range of men seeking improvements in their sexual health.
The P-Shot offers a regenerative approach to treating ED by using your own Platelet-Rich Plasma (PRP) to encourage tissue and blood vessel growth, enhancing erectile function naturally. Unlike Viagra, which temporarily improves blood flow to achieve an erection, the P-Shot aims for long-term improvements in sexual performance and erectile health without the need for daily or situational medication.
One of the significant advantages of the P-Shot is the minimal downtime. Most men can resume their daily activities almost immediately after the procedure. Some might experience mild sensitivity or bruising at the injection site, but this typically resolves quickly, allowing for sexual activities to be resumed within a few days.
Results can vary, but many men report noticing improvements in their erections and sexual performance within a few weeks after receiving the P-Shot. The effects can continue to improve for up to three months as new tissue grows. The duration of the results varies among individuals but can last for a year or more, with some men opting for periodic treatments to maintain their results.
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