PRP – Platelet Rich Plasma

Platelet Rich Plasma (PRP) is a novel treatment modality involving the use of elements from a person’s own blood to promote healing and rejuvenate certain areas of the body. Although it has been used to treat sports injuries for years, it was recently put in the spotlight by Kim Kardashian who had the so-called “Vampire Fascial”.

How does PRP work?

The PRP procedure involves taking a sample of your own blood and then spinning it down to obtain the platelet rich plasma. This section of your blood is then activated with a chemical and reinjected back into the area in your body where you are in need of rejuvenation.

What can PRP be used for?

PRP has gained popularity in the medical field of sexual health, with what is known as the “O-shot” or “P-shot”. Although still being researched, it has been used with great success in treating the following conditions:

  • Lichen Sclerosis
  • Decreased Vaginal or Penile Sensitivity
  • Small Penis
  • Erectile Dysfunction
  • Peyronie’s Disease

We now have the facilities at the Bryanston and Pretoria practices to offer PRP to patients suffering from one of the above conditions.

How does the PRP procedure work?

After obtaining consent for the procedure, a blood sample will be taken from your arm. Two big ampules are filled with blood and then spun down in a centrifuge. During this process, the platelet rich plasma gets separated from the rest of the cells. The PRP then gets extracted from the rest of the sample and activated by adding chemicals.  At My Sexual Health, we only use the Celluvance Intimate Tissue Repair Diamond PRP kit from DermaV Pharmaceuticals.  There is a lot of research behind this product and we believe it is the highest quality the South African Market has to offer at this stage.

During the procedure itself, the doctor will prepare the area by cleaning it with a disinfectant. The PRP is then administered by multiple injections using a very small needle. The areas that will be injected will be confirmed with you just before the procedure starts.

In women, it might include the clitoris, around the vaginal opening, the labia and in the area of the G-spot.

In men it might include the carona (ring around the head and specifically the frenulum) of the penis, the head and the shaft.  If you suffer from Peyronie’s disease, there will also be multiple injections into the plaque with a bigger needle.

Do I get an anesthetic for PRP?

You will be offered a very potent local anesthetic cream that you have to apply to your genital area as soon as your blood sample has been taken. It is advisable that you arrive before your appointment and ask reception for your anesthetic cream – it works better if it has been applied thirty minutes before the procedure.  This cream is usually sufficient as an anesthetic, but we do also offer conscious sedation (where a light anesthetic is administered through a drip by another doctor), or a ring block of the penis for men.   You can expect to feel a small prick when the needle goes in and also the sensation of the PRP being injected.  Some people experience this as very painful, but most have very little pain.

What happens after a PRP treatment?

The procedure takes only a few minutes and you should be able to go back to work or resume your daily activities if you did not receive conscious sedation.

You will be advised to cover the area with swabs to avoid bleeding.  As soon as you are certain that there is no bleeding, these swabs can be removed.

You can take only paracetamol after the procedure.  Other pain killers might affect the efficiency of the procedure.

A sick note can be provided if you prefer to take the day off work for this medical procedure.

 

What are the Risks and Complications when doing PRP?

The risks involved in PRP are minimal. It is still seen as an experimental treatment when it comes to sexual health related issues. No serious adverse events have been reported in the literature.

Any injection can cause bleeding, infection, discoloration of the skin and blistering of the skin. You will be observed for bleeding after.  At home, bleeding can be controlled by applying pressure to the area.

The following might be signs of infection:  colour changes and/or swelling accompanied by pain and/or increased temperature in the area and/or fever.  Colour change, swelling and pain alone is most likely normal and not a sign of infection. Temperature change and fever most likely is.

Please inform your doctor immediately via email if you think you have an infection.  Send a picture if you can.  Also phone the practice. If it is after hours, you might need to go to your local emergency room.

The procedure will not be performed in patients with active, untreated infections.

If you are on blood thinners, there might be excessive bleeding.  It is not a complete contra-indication, but you should be aware of the risk.  The bleeding might only cause discoloration, but there might be long-term consequences.

One of the complications that have been reported anecdotally, is unwanted orgasms by women. A prolonged erection in men is also a theoretical risk. Men with erections lasting longer than four hours, should report to casualties. Women with unwanted orgasms should book a follow-up appointment.

Although it has not been reported in the literature, serious complications like loss of sensation, abscess formation, erectile dysfunction or any other serious adverse event cannot be excluded.

It is normal for the area to appear bruised and swollen after the procedure.  It should return back to normal in seven to ten days. The anesthetic cream wears off in about four to eight hours.

Any person with a complication, should inform the doctor who performed the procedure immediately.  Please note that we do not have emergency facilities.  If it is after hours and your doctor is not available, you should go to casualties or your GP immediately.

What is the difference between PRP and the P-Shot or the O-shot

PRP is the same thing as the P-shot and the O-shot.  P-shot and O-shot are just names that have been commercialised for the use of PRP in the genital area.  We advise patients against going for so-called P-shots and O-shots from doctor who do not have training and experience in sexual health.  For the wrong indications, it can be harmful.

How much does PRP cost?

Dr Elna Rudolph charges R3800 for the first procedure and R3500 if it is repeated within one month after that.  You have to book a consultation first.  If it is just to discuss PRP and other treatment options, you will be charged R1300 for the 30 minute appointment and the PRP cannot be done on the same day.  If you however book an hour appointment, the appointment is R2350 and if PRP is the appropriate treatment for you, it can be done on the same day for an additional R2000. (prices are subject to change and according to the latest information received from Dr Elna Rudolph).

PRP for small penis:

The effectiveness of PRP for small penis has probably been blown out of proportion a bit, but we have had success with enlarging the penis after PRP treatment.  There is no guarantee though.  We strongly recommend that men who are looking for penile enlargement should also buy the Vacurect Vacuum Pump to be used daily after the PRP treatment.  It is also advisable to get three treatments for optimal effect. Some guys then come back for an annual treatment to maintain the effect.

To book a consultation, contact:

Dr Elna Rudolph

Dr Elna Rudolph

Medical Doctor, Sexologist and Clinical Head of My Sexual Health

Cape Town

Dr Jeanne Aspeling

Dr Jeanne Aspeling

Medical Doctor

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