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Get a Firmer, Harder Erection

Improves circulation and sensation in the penis, making sex more pleasurable.

"Improved the quality of my erection, love it!"
Bill W.

Asheville p shot model with blue suit

Improve The Quality of Your Erection with The P-Shot® (Priapus Shot®). Increase the Size & Girth of Erections With UroFill™

Obtaining an erection and orgasm involves physical, mental, and emotional factors. Many men with ED have found that the P-Shot® has helped them regain sexual confidence and enjoy spontaneity in their relationships. At our office in Asheville P-Shots® (Priapus Shots®) have been proven to improve erectile quality, resulting in a firmer and harder erection. Circulation in the penis can improve, thereby increasing the sensation of the penis and making sex more pleasurable.

The P-Shot® involves using your own body’s healing factors to naturally enhance your own abilities. Platelet Rich Plasma, harvested from a simple blood draw, is placed back into the penis. This initiates new tissue growth in the blood vessels and nerves, enhancing the quality and size of your erection. Performed with minimal to no discomfort. There are no allergies or incompatibilities, as your own healing factors are doing the job! In addition to the P-Shot® for better performance, we also offer UroFill™ (also known as Male Girth Enhancement) for enhanced size. Together, these non-surgical treatments offer substantial benefits for men seeking their best sex life.

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What is the P-Shot®?

Advanced Sexual Wellness Treatment

For improved erections, the P-Shot® procedure uses platelet-rich plasma (PRP) injected into the penile tissues, which is obtained by a blood draw. Erectile dysfunction, lichen sclerosus, Peyronie's disease, penis augmentation, and improved sexual performance are all typical uses for PRP therapy.

Dr. Charles Runels

Inventor of the O-Shot, P-Shot, and Vampire Facelift Procedures & Founder of the Cellular Medicine Association

A Word From The Inventor Of the P-Shot

Dr. George Ibrahim has the kind heart and the listening, empathetic ear of the family doctor everyone would want. Yet, he actually has the intellect and academic credentials of a prestigious university urologist; he enjoyed a successful career as a faculty urologist at Duke, specializing in prostate cancer surgery.

He has contributed significantly to the thought development of the Cellular Medicine Association and to the development of P-Shot and O-Shot procedures.

He’s the doctor I would want any family member to see and the doctor I routinely go to for advice about current research regarding urology and sexual medicine. He has been a source of inspiration and wise counsel for me for a decade.

—Charles Runels, MD

What are the benefits of the P-Shot®?

Non-surgical and minimally invasive

With the P-Shot® Asheville patients can do the following:

  • Improve circulation, and blood flow
  • Improve the effectiveness of other treatments like Viagra by increasing feeling and pleasure.
  • Achieve a firmer, harder erection.
  • Become erect far more quickly, which vastly improves confidence.
  • Increase sensation, leading to more frequent and stronger climaxes.
  • Increase your potential to achieve multiple erections in one setting, something most men over 40 can no longer achieve.

Physical, mental, and emotional aspects all play a role in obtaining erection and orgasm. The P-Shot®, on the other hand, has helped many men with ED rediscover their confidence and enjoy spontaneity with their partner.


I would recommend Dr. Ibrahim one thousand times over. For the past 11 years it has felt that I was getting a toothbrush shoved in my urethra every time that I reached ejaculation. The P-Shot® took out all of these pains and helped me reach maximum positive results from intercourse. Thanks Dr. Ibrahim!

April 5, 2019
Rated 5 out of 5

I’ve been a patient of Biltmore restorative for three years now and I feel better, friends say I look better, and my sexual well-being has been enhanced to a new level…I highly recommend taking the recommendations of Dr. Ibrahim to enhance your life and make it the best yet. I just turned 60 and I am forever grateful.

December 21, 2020
Rated 5 out of 5

These people are legit! The results are undeniable and they treated me with such care and were so very sensitive to the very personal nature of my visits.

October 20, 2016
Rated 5 out of 5

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Am I a good candidate for the P-Shot®?

Find your satisfaction with the P-Shot®

The P-Shot® can help a lot of men with stronger erections and more sensitivity during intimacy. If you have an enlarged prostate or have had prostate cancer, aren't responding to ED medication, or have Peyronie's Disease, you're an ideal candidate for the P-Shot®. Many patients claim that their penis became bigger after getting the P-Shot®. Other advantages include penile strengthening and straightening, better circulation inside the penis for a healthier organ, and enhanced feeling and pleasure. The P-Shots® have also shown they help repair diabetic damage—all of this with no allergic reactions, lumpiness, or discomfort.

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Asheville p shot model with white shirt

Your P-Shot Procedure

In-office treatment with no pain or downtime

Platelets from your own blood are concentrated-Platelet Rich Plasma (PRP) / Platelet Rich Fibrin (PRF) is placed into the penis with ZERO discomfort. Dr. Ibrahim is the only urologist performing this in WNC, and a urologist who has the experience to perform this with no discomfort!

Your outpatient treatment will usually last less than two hours, and patients will be able to resume their normal activities immediately. A little blood sample is extracted from your arm and placed into a centrifuge for processing once you arrive. A topical numbing ointment and a local anesthetic are then given to your genitals. The platelet-rich plasma (PRP) is identified and collected into separate syringes for injection once your blood has separated. The PRP will then be injected into the appropriate areas of the penis to achieve the desired effect.

P-Shot® Recovery & Results

Long-lasting results

After therapy, most patients return to their normal routine. To avoid infection at the injection sites, it is suggested that you refrain from sexual activity for 24 hours following your surgery.

The outcome will vary based on your general health, but many individuals see results within a few days after starting therapy. Some men report immediate results! However, most patients may need a few weeks for the body’s tissue regeneration process to fully activate. The length of time it takes to see effects is determined by your overall health. Multiple P-Shots™ may be required in certain circumstances to acquire the best outcomes. A maintenance treatment 1-2 times a year is recommended for optimal results.

Asheville p shot model with blue suit

Schedule your Asheville P-Shot® consultation at Biltmore Restorative Medicine & Aesthetics today

Why get a P-Shot® (Penis Enlargement) at Biltmore Restorative Medicine and Aesthetics?

Dr. Ibrahim is a board-certified urologist in Asheville, NC, who specializes in men's and women's sexual wellbeing. He is the only urologist qualified in the P-Shot®, Platelet Rich Plasma treatment (PRP), and the GAINSWave Acoustic Wave device between NYC and Miami.

By providing breakthrough sexual wellness therapies and regenerative medicine, Biltmore helps individuals become their best selves. Biltmore is a one-of-a-kind medical clinic that helps people of all ages reclaim their confidence and live their lives to the fullest. Schedule a consultation to learn more about P-Shots® or our sophisticated GAINSWave processes. During your consultation, ask us about enhancing your treatment with Peptide Therapy.


“Good morning Doctor I. All is well here, and I am assured that this latest laser treatment will be more than satisfying for both Bxxx and myself. You have absolutely changed our lives with the O shot and P shot®, along with my laser treatment.”

“I will never be able to thank you enough! Dr. I, you’ve given me back the youthful joyous feeling of being a woman, not a mother or grandmother, but a younger version of who I was. Never in a million years did I think I could recapture the excitement and joy of a fulfilling sex life. It’s an honor to be one of your patients. Thank you, sir!”

Frequently Asked Questions

Prior to the treatment, we apply a topical numbing lotion for 20-60 minutes. Then, a lidocaine injection is delivered to further numb the region. It is well tolerated by the patients. Most patients report no pain and, at most, minimal and brief discomfort.

There is no downtime, although there may be some temporary swelling and soreness. Bruising may be possible.

Results may be seen within days,, however, most men need 1-2 months to see their best result.

Medical insurance does not cover the P-Shot® since sexual health therapies are deemed non-medical.

Schedule Your Consultation

Biltmore Restorative Medicine and Aesthetics was built for you. We know you don’t trust your look to just anyone. You want the best. Our experienced and industry-leading regenerative medicine providers give you unparalleled personal care and will help you maximize your vitality for years to come.

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