Service
Penile PRP (P-Shot)
PRP (platelet-rich plasma) is a treatment using your own blood: a small amount of blood is taken, the plasma with platelets is separated in a centrifuge and injected with a thin needle into the tissue of the penis. There is no foreign material and no incision.
Who is it for and when is it done?
Whether the treatment is right for you and what can be expected from it is determined at a urological examination. The examination is a conversation with the doctor and a brief physical examination; we talk about what is bothering you, for how long and what you expect. After the examination you get a clear answer on whether the treatment can give what you are looking for — if it cannot, we say so at the examination.
If your erections are weakening, the first step is a urological examination, because the cause may lie in blood vessels, hormones or medicines.
How is it done?
10–20 ml of blood is taken from a vein in the arm, as for a laboratory test. The blood is centrifuged, that is, separated into layers, and the plasma with platelets — cells that carry growth factors and start tissue repair — is extracted. Before the injection the skin is numbed with a cream, and the plasma is then injected into the tissue of the penis with a thin needle.
The effect builds gradually, because the tissue responds to plasma over weeks. That is why PRP is most often done as a series of two to three treatments four to six weeks apart. How many treatments make sense in your case is agreed at the examination.
When is the procedure not suitable?
The treatment is not done if there is active inflammation or infection at the treatment site, a clotting disorder or blood-thinning medicines that cannot be temporarily stopped, a low platelet count or active malignant disease. If what you expect is not something the treatment can give, this is discussed openly at the examination.
General reasons for postponing a procedure (inflammation, a clotting disorder, smoking): When is a procedure postponed?
Anaesthesia
Penile PRP is done under local anaesthesia: the skin is numbed with a cream before the injections, so most men feel pressure rather than pain. If you prefer, the treatment can also be done under general anaesthesia. General anaesthesia is not included in the price of the treatment and is arranged at the examination. What happens before, during and after anaesthesia is described on the Anaesthesia page.
Recovery
After the treatment the injection site may be tender and slightly swollen for a few hours, and small bruises may remain for one to three days. When sexual intercourse is possible is agreed at the examination.
Risks
Expected — tenderness and slight swelling for a few hours, small bruises at the injection sites.
Occasional — pain at the injection site for a day or two, weaker effect than expected, the need for an additional treatment.
Expected, and rare but serious → Risks and complications: what is the course of healing, and what is a complication?
Price
| Service | Price |
|---|---|
| Penile PRP (P-Shot) | €300–500 |
The exact amount depends on the extent and is determined at the examination.
Specialist and team
Specialty: urology — examinations, diagnostics and procedures.
When the procedure is done under sedation or general anaesthesia, the anaesthesia is led by a specialist in anaesthesiology, resuscitation and intensive care who works full time at the clinic.
In the operating theatre, the surgeon is assisted by head nurse Martina Šereg, with the help of nurses Kristina Jurešić and Mateja Tomorad, and in recovery the care assistant Mirjana Kovačić is with you. Martina also looks after preparation, scheduling and contact after the procedure.
Who will operate is decided at the examination, based on the findings and the type of procedure. You know the name of the surgeon before the procedure and meet them at the examination.
What happens at the examination?
A urological examination has two parts: a conversation about your symptoms, past illnesses and medicines, and a clinical examination. Depending on the findings, an ultrasound is done straight away, in the same visit, if needed. You receive the findings at the examination.
What if the result is not as agreed?
The result of a procedure is assessed at a follow-up visit, once the swelling has gone down and the scar has matured, not in the first weeks. If it differs from what was agreed at the examination, the same surgeon carries out the correction.
→ Poliklinika Barbel's correction policy
Frequently asked questions
Does it hurt? The skin is numbed with a cream before the treatment, so most people feel pressure, not pain.
Can an allergy occur? The plasma is your own, so an allergic reaction to it is not expected; a reaction to the numbing cream is possible.
When is the effect seen? Gradually, over several weeks after each treatment.
Does the treatment change penis size? No. Length at rest and girth are changed by surgical procedures. → Penis lengthening · Penis girth enhancement
Is it normal to feel uncomfortable coming in? Yes, and it is the most common reason men put off an examination for years. At the examination nothing is commented on and nothing is compared. The first conversation can also take place without an examination, if that is easier for you.
Medical review: doctors of Poliklinika Barbel · October 2026.