"The amount of men that are thrilled when they can use their equipment again is just wonderful!" -Dr. Ibrahim
The P-Shot® used for Peyronie’s Disease Treatment is effective. Platelet Rich Plasma is painlessly injected into the shaft and the results are amazing!
Peyronie’s Disease or PD occurs after trauma to the penile shaft, usually during intercourse. The shaft may be bent and this can tear the covering of one of the erectile bodies. When this tear “heals” a “scar” can form. The scar won’t then distend like the rest of the penis. This causes the penis to bend in the direction of the scar. In the “old” days we injected steroids and all sorts of things to try and soften it. But today, we have Platelet Rich Plasma or PRP (from your own body) that contains growth factors that can heal the body.
Injecting this PRP into the scar or plaque can demonstrably improve things. Injecting PRP this way is called the Priapus Shot® or P-Shot®. Depending on the severity, multiple P-Shots® may be needed. Everyone is different. Adding a penile pump during all of this has been shown to help as well and those instructions are on a separate template. Add acoustic wave treatments, or GAINSWave can also benefit in your Asheville Peyronie's Disease Treatment. The good news, these advances have dramatically improved outcomes! Please see the attached research paper on this subject.
(Dr. Ibrahim is a certified training of other providers in the P-Shot® and the female version, the O-Shot®) PLEASE REFRAIN FROM ANY NSAIDS LIKE ASPIRIN OR ADVIL FOR 1 WEEK PRIOR TO ANY PRP PROCEDURE AND ONE WEEK AFTER. TYLENOL IS FINE. EVEN ONE NSAID CAN ADVERSELY AFFECT PLATELETS.
Several ways:
Surgery is sometimes recommended for severe Peyronie’s cases, but it comes with significant risks, including:
Most men who come to Biltmore Restorative want to avoid surgery, which is why we focus on effective, non-invasive alternatives. Our combination approach using PRP, GAINSWave, and regenerative medicine has helped hundreds of men each year improve their condition without surgery.
Biltmore Restorative Medicine
Peyronie’s disease (PD) is a condition that develops when scar tissue (plaque) forms inside the penis, leading to curvature, pain, and possible erectile dysfunction. This scar tissue is typically a result of penile trauma, often occurring during intercourse. When the tear heals, the hardened plaque doesn’t expand like normal tissue, causing a bend in the shaft.
While some cases remain mild, others worsen over time, making early intervention with non-surgical treatments crucial. Advances in regenerative medicine, including PRP injections (P-Shot®) and GAINSWave therapy, have significantly improved outcomes, offering effective, non-invasive solutions.
Peyronie’s disease isn’t something you’re born with—it typically develops after an injury to the penis. This often happens during sex when excessive bending or pressure causes tiny internal tears in the erectile tissue. Over time, as the body tries to heal, scar tissue forms, leading to the hard plaques that cause curvature.
Some men may not even remember a specific injury, as repeated minor trauma over time can also trigger the condition. Other contributing factors include genetics, certain health conditions like diabetes, and age-related changes in connective tissue.
The key takeaway? If you’re noticing changes in your erection—curvature, pain, or difficulty with penetration—it’s worth getting checked out. Early intervention can help prevent worsening symptoms and restore normal function.
Biltmore Restorative Medicine
Ignoring Peyronie’s disease won’t make it go away—and in most cases, it progressively worsens. The scar tissue can continue to harden, making the curvature more pronounced and leading to increased pain or difficulty with erections.
Possible long-term effects of untreated Peyronie’s disease:
The good news? Non-surgical treatments like PRP (P-Shot®) and GAINSWave therapy can help break down plaque, improve circulation, and restore function—especially when started early.
For years, men were told surgery was the only fix for Peyronie’s. But today, non-surgical treatments have changed the game, offering real results without invasive procedures.
At Biltmore Restorative, we specialize in cutting-edge, non-surgical Peyronie’s treatments, including:
Surgery is only necessary in extreme cases, and even then, it comes with risks—including a 100% chance of penile shortening. Instead, our goal is to restore function and improve penile health without cutting, stitches, or long recovery times.
Peyronie’s disease doesn’t happen overnight—it usually develops slowly over months or even years.
Men often notice:
The sooner you seek treatment, the better the outcome. Treatments like GAINSWave and PRP can help soften scar tissue, improve circulation, and stop the condition from progressing.
Biltmore Restorative Medicine
At Biltmore Restorative Medicine & Aesthetics, Dr. George Ibrahim and Dr. Taylor Love provide expert, compassionate care in non-invasive aesthetics, hormone optimization, and sexual health. With a deep understanding of how aging, hormonal changes, and lifestyle factors impact overall well-being, they offer science-backed treatments designed to help you look and feel your best.
From restoring hormonal balance to enhancing confidence through aesthetic and sexual wellness treatments, Dr. Ibrahim and Dr. Love take a personalized approach to every patient. Their expertise, combined with a commitment to patient comfort and education, ensures that you receive cutting-edge care in a welcoming and supportive environment.
Absolutely, in fact, penile trauma is the cause of PD.
Penile trauma is the cause of PD.
No, it will never get better and typically get’s worse
No, absolutely not.
At best, it stays as it is
At worst, the curvature worsens and the ability to have sex decreases
Acoustic Wave therapy or GAINSWave treatments
Platelet Rich Plasma Injections (the Priapus or P-Shot®)
Regenerative Growth Factor Injections
Some practices use a medication Xiaflex, we choose not to as feel it can weeken the tissue leading to penile fractures.
Surgery, but we don’t, as this will decrease penile length 100% of the time
It can not straighten the penis, so no.
Combination of these:
There is no instant cure for Peyronie’s, but treatments like PRP (P-Shot®), GAINSWave therapy, and regenerative injections can improve symptoms over several months.
Peyronie’s disease often presents as a noticeable bend or curvature of the penis, sometimes accompanied by a hard lump or plaque along the shaft.
Without treatment, Peyronie’s can progressively worsen over time. Early intervention can help minimize curvature and improve sexual function.
It affects an estimated 10% of men, though many cases go undiagnosed due to embarrassment or lack of awareness.
It is a connective tissue disorder that results in scar tissue buildup inside the penis, causing curvature, pain, and erectile dysfunction in some cases.
Yes, we help hundreds of men each year
Unfortunately, for the vast majority of men, it will only continue to get worse
No, as in absolutely no creams work.
If properly trained and experienced (as we are as Dr. I is a urologist) we can feel it exam
It won’t “hurt” but I’ve never seen it help, whatsoever.
Depends on your definition of success, as it will decrease penile length in 100% of the cases and that is unacceptable to the vast majority of men.
Everyone is different, so can’t answer this.
Symptoms include:
While it cannot be completely reversed, treatments like GAINSWave therapy, PRP injections, and regenerative medicine can help significantly reduce curvature and restore function.
It typically develops over months to a year, progressing from initial inflammation to hardened plaque formation.
Combination treatments like GAINSWave therapy, PRP injections, penile traction, and regenerative injections have shown the best results in reducing plaque and improving function.
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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.
1 Vanderbilt Park Dr #230,
Asheville NC 28803
2249 Augusta St.
Greenville, SC 29605
Mon - Thurs: 9am - 4pm
Friday: 9am - 12pm
Sat & Sun: Closed
