P-Shot® at K2 Restorative Medicine and Med Spa

The P-Shot® is a nonsurgical treatment for men that uses platelet-rich plasma from your own blood to support erection quality, sensitivity, and overall sexual function without pills. Dr. Pamela Kulback, a board-certified physician trained by P-Shot® creator Dr. Charles Runels, performs every treatment herself at K2 Restorative Medicine and Med-Spa in Trussville, Alabama, serving men from Trussville, Birmingham, Pinson, Clay, Leeds, and Moody.

Restore and optimize function with the P-Shot®. Prevent and treat erectile dysfunction, optimize overall orgasmic function and performance, and help enhance the girth and length of the penis. The Priapus Shot® is a quick nonsurgical procedure that uses your own blood’s healing properties, platelet-rich plasma, to regenerate new tissue and restore sexual function in men. It is a nonpharmacologic treatment (no pills!) without the need for surgery or general anesthesia. The P-Shot® allows for spontaneous sexual activity, which is a great advantage over available surgery or drug therapy. Platelet-rich plasma contains growth factors that can help restore and heal the body, and it has long been used in orthopedics, dentistry, aesthetics, anti-aging, and even hair restoration. Using platelet-rich plasma for sexual function is considered off-label, and Dr. Kulback will talk honestly with you about the research and realistic expectations.

Intimate Health treatments for men and women include O-Shot and P-Shot as well as the Emsella Chair

How Is the P-Shot® Performed and What Can You Expect?

After an initial consultation, Dr. Kulback assesses whether the P-Shot® is right for you. Men of all ages are seeking this treatment, and thousands of men across the globe have experienced harder erections, increased orgasmic function, and even growth of the penis.

Dr. Pamela Kulback is an authorized provider of the P-Shot® in Trussville, Alabama. She starts the procedure by applying numbing. While the numbing takes effect, she draws the patient’s blood and places it in a specially designed centrifuge that separates the platelet-rich plasma from the rest of the blood. It is then injected into the numbed penis, starting with the shaft and followed by the head, using a special method designed to keep you comfortable.

Following the injections, most men report a feeling of fullness in the penis, but generally little or no discomfort. A penis pump is used for the best results.

We recommend using a penis pump for at least 15 minutes immediately after treatment to further distribute the platelet-rich plasma, and then continuing to use the penis pump daily for at least 6 weeks afterward to achieve optimal results.

How Long Does the Procedure Take?

The entire procedure takes about 60 minutes on average, though it can vary. Most of that time is spent preparing the platelet-rich plasma and numbing the penis.

What Is the Recovery Time and How Soon Do I See Results?

There is minimal recovery time, if any. Men may resume sexual activity the same day. The penis often bruises, and mild soreness is to be expected.

As the platelet-rich plasma is absorbed, the penis usually returns to its pre-treatment function level for a variable length of time. The average patient will notice subtle changes in erection strength and orgasmic function within the first month after the procedure. Sustained results are usually noticeable after 4 to 6 weeks, with full results apparent within 2 to 3 months after the initial treatment.

An increase in girth and length of the penis is common. Results vary because the causes of dysfunction vary. Not all men who opt for the P-Shot® suffer from erectile dysfunction; some want to prevent it and optimize function. We treat men of all ages. Many men see improvement after the first treatment, and some need more than one treatment to achieve the results they desire. The P-Shot® lasts an average of 12 to 18 months, and many men living with sexual dysfunction choose to repeat it twice a year. Because the protocol for erectile dysfunction differs from the protocol for prevention or for optimization and size, Dr. Kulback will recommend a plan based on your condition and your goals. If curvature from Peyronie’s disease is part of the picture, she will talk with you about whether the P-Shot® fits your plan.

P Shot at K2 Restorative Medicine and Med Spa Trussville, AL
P-Shot for male rejuvenaton - uses PRP from the patient's own blood

How Can I Improve My Results?

If you want to maximize your Priapus Shot® result, do not smoke, exercise daily, and use your penis pump as instructed.

How Much Does the Procedure Cost?

Pricing depends on whether a penis pump is provided and whether your P-Shot® is paired with other procedures or part of a package, so contact our office for current pricing, and ask about packages with our Emsella chair. We utilize a penis pump created by Dr. Joe Kaplan. PatientFi and CareCredit financing are available.

Beware: Not All Platelet-Rich Plasma Is the Same

Though some physicians and nurse injectors may offer the platelet-rich plasma shot for less, keep in mind that not all platelet-rich plasma is created equally. Because Dr. Kulback trained with the inventor of the P-Shot® and is an authorized Vampire Procedure provider, she follows a strict protocol concerning the centrifuge and the type of platelet-rich plasma kit used to make this procedure successful.

The platelet-rich plasma kit we use concentrates the growth factors contained in your blood and is designed to allow for better results than nonstandardized kits and systems.

Why Men in the Birmingham Area Choose Dr. Kulback

Dr. Pamela Kulback is a board-certified physician with nearly 10 years in aesthetics. Before any treatment, she reviews your health history and goals so your protocol fits you, and men come to our Trussville, Alabama office from Birmingham, Pinson, Clay, Springville, Leeds, and Moody for discreet, physician-led care.
Learn more about the O-Shot® for women.

Many men have called the Priapus Shot® a life-changing procedure. Request an appointment today!

Medically reviewed by Dr. Pamela Kulback, Medical Director. Last updated October 2026.

FAQ

The Priapus Shot®, better known as the P-Shot®, starts with a simple blood draw. We spin your blood in a centrifuge to concentrate the platelet-rich plasma and its growth factors, which stimulate tissue healing and new collagen and elastin. After numbing, Dr. Kulback places it in the shaft and head of the penis to support blood flow, sensitivity, and erection quality, with no pills and no surgery.

Yes, Dr. Pamela Kulback is an authorized P-Shot® provider and has completed the official training from Dr. Charles Runels, who developed the Priapus Shot®. Every P-Shot® at K2 Restorative Medicine and Med-Spa is performed exclusively by Dr. Kulback herself, in a private, discreet setting at our Trussville, Alabama office.

You’ll find us at 3536 Vann Road, Suite C, Birmingham, AL 35235, in the Trussville, Alabama area. We’re convenient for men coming from Pinson, Clay, Springville, Leeds, and Moody.

Many men in Trussville and the greater Birmingham area come to us for that reason. The P-Shot® is a nonsurgical option that some men use alone or alongside other care, and results depend on what is causing the problem. Dr. Kulback reviews your history first, because erectile changes can sometimes signal heart or circulation issues worth checking with your primary doctor.

No. Men of all ages from across the Trussville, Alabama area come to us, and some simply want to keep things working well as they get older.

Plan on about 60 minutes on average from start to finish, though it can vary. Much of your visit is simply waiting for the numbing to settle in while your platelets are prepared, so you can sit back and relax.

Many men notice subtle changes within the first month. Results are usually steadier around 4 to 6 weeks, with full results within 2 to 3 months.

No, the P-Shot® does not hurt. Numbing is applied first, and some men feel very slight discomfort at most.

The P-Shot® lasts an average of 12 to 18 months, with age, lifestyle, and health all playing a part. Many men living with sexual dysfunction choose to repeat the P-Shot® twice a year to keep their results strong.

It depends on why you’re coming in. The protocol for erectile dysfunction is different from the protocol for prevention, and both differ from a protocol focused on optimization and size. Talk with Dr. Kulback about your condition and your goals, and she’ll recommend the plan that fits you.

It can. Dr. Charles Runels, who developed the P-Shot®, has reported gains in both length and girth in men he’s treated, and many of our patients notice a fuller, larger look over time, especially when they follow the penis pump routine. Every man responds a little differently, so Dr. Kulback will talk through what’s realistic for you at your consultation.

Yes. The pump, also called a vacuum erection device, uses gentle negative pressure to draw blood into the erectile tissue, the corpora cavernosa. This spreads the platelet-rich plasma evenly and increases blood flow, which supports tissue remodeling, firmer erections, and gains in length and girth. Dr. Kulback recommends 15 minutes immediately after treatment, then daily for at least 6 weeks. Ask our team whether a pump is included with your package.

None to speak of. Most men head straight back to work, the gym, or their weekend plans the same day.

Yes. A little bruising, swelling, or tenderness is common in the first few days and fades without any special care. Our team is just a phone call away if you’d like reassurance.

Yes, and Dr. Kulback will explain how the two work together for you. Our Emsella chair strengthens the pelvic floor muscles while you sit fully clothed, which supports bladder control, prostate-related pelvic health, and overall sexual function. The P-Shot® works on the tissue itself, so the two complement each other. Ask about packages, since combining treatments often saves you money.

The P-Shot® is around $2,000. Your price depends on whether a penis pump is provided, and whether your P-Shot® is paired with other procedures or part of a package. Give our Trussville, Alabama office a call for current pricing.

We do. PatientFi and CareCredit let you break your treatment into monthly payments, and applying takes just a few minutes. Our front desk in Trussville can help you get started.

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