ERECTILE DYSFUNCTION PROTOCOL
ED Overview
Current treatments for Erectile Dysfunction include testosterone therapy, penile injections, nasal sprays, oral medication, vacuum therapy, and PRP treatments. Surgical options also offer a variety of implants.
This is ideal for any man who is seeking an alternative to oral ED medications, such as Viagra, Cialis, or Levitra. Some have tried these and were simply disappointed in the results. Others have suffered uncomfortable side-effects such as flushing or headaches. Then, there is a group of men who cannot, or should not take these ED drugs–such as men with diabetes, heart disease, or high-blood pressure.
The patient must have a recent urological exam and have normal spa and testosterone levels.
A dual spin, closed, processing system is needed in order to produce 10-20cc of PRP with 6X concentration.
Materials Needed:
• Topical numbing cream: Benzocaine 20%, Lidocaine 8%, or Tetracaine 8%, compounded.
• 5cc Syringes
• 27 gauge half inch needles
• Calcium Chloride
• Ice packs
• Alcohol based cleaner
Also, have patient purchase a penile pump before day of procedure.
Please carefully read and have your patient follow these instructions prior to their PRP treatment.
The patients must be advised to:
AVOID: Aspirin, Motrin, ibuprofen, Aleve (all non-steroidal and steroidal anti-inflammatory agents), curcumin, turmeric, Gingko biloba, garlic, flax oil, cod liver oil, vitamin A, vitamin E, or any other essential fatty acids at least 1 week prior to and after treatment. This includes pain gels such as Voltaren and Salonpas, etc. for pain relief.
Remember, we are creating inflammation.
Screen patients for systemic steroids such as; Prednisone, Hydrocortisone, etc. for at least 2 weeks prior to procedure. This includes (epidurals and other steroid injections).
Please advise the patients to avoid vigorous exercise, sun, and heat exposure for at least 3 days prior to treatment.
They should also avoid alcohol, and cigarettes for 3 days before and after treatment.
The hardest part of the procedure maybe to draw blood! So, increase fluid intake.
DIET AND FLUID INTAKE: Please increase intake of fluid the day before procedure by drinking 2 glasses of water in the morning before PRP session, 2 glasses at lunch and 2 glasses at dinner.
Advise eating a normal breakfast or lunch the day of your PRP session. Do not eat for 3 hours prior to procedure. They should take routine morning medications as long as they are not anti-inflammatory, or blood thinners. Please see list above.
At this time, these procedures are not easily learned without proper training. I encourage anyone interested in performing injections into genitalia to attend a certified course. Visit www.priapusshot.com.
Please carefully read and have your patient follow these instructions after their PRP treatment. There are minimal restrictions after PRP injections allowing the patient to return to daily activities almost immediately.
The patient should NOT touch, press, rub or manipulate the treated area(s) for at least 12 hours after the treatment.
AVOID: Aspirin, Motrin, ibuprofen, Aleve (all non-steroidal and steroidal anti-inflammatory agents), curcumin, turmeric, Gingko biloba, garlic, flax oil, cod liver oil, vitamin A, vitamin E, or any other essential fatty acids at least 1 week prior to and after their treatment. Remember, we are creating inflammation, so any drugs or foods that have anti-inflammatory properties must be avoided, including pain gels such as Voltaren and Salonpas, etc.
If the patient experiences discomfort or pain, they may take Tylenol or other acetaminophen products.
Heat may be applied, to the injected area for 20-30 minutes after the procedure, but it would preferable if they can refrain from this. Ice or cold packs should never be applied to the treated area!
The patient should not wash or take a shower for at least 6 hours after their treatment.
They should not use any lotions, creams, or make-up for at least 6 hours after their treatment.
AVOID: Vigorous exercise, sun, and heat exposure for at least 3 days after your treatment.
AVOID: Alcohol, caffeine, and cigarettes for 3 days before and after your treatment.
Smokers do not heal well, problems recur earlier, and results may take longer.
Patients should drink plenty of water for 2 weeks (10 cups per day).
They can return to physical therapy 7 days after treatment.
They may return to the gym 10 days after treatment.
It is normal to experience: bruising, redness, itching, soreness, and swelling that may last from 3-10 days following their procedure. Important reminder: There should be no fever or purulent discharge (pus) from the site. If there is, have the patient contact you immediately.
