Shawn Todd, DO - Account Suspended

The O-shot (PRP) that was injected into the Grafenberg spot and into the clitoris can cause some swelling. This varies from patient to patient and depends on each patients own amount of plasma. This swelling is from the volume of PRP and slowly gets reabsorbed and should not cause any pain during intercourse. It is difficult to be accurate of concerns without a proper physical exam. I hope this helps. 

It does appear to resemble PPP from this picture.

Pearly penile papules (PPP) are white/pink, dome shaped, closely spaced, small papules located on the glans penis and distal shaft. Histologically, these lesions are angiofibromas, which is just a collection of collagen and blood vessels. They are not contagious. It is not a STD. These are normal and found in large portion of the male population. No treatment is required, however, they can be removed for cosmetic purposes in the office setting.  

Thanks for the question. Current surgical option to increase length of penis include:  division of the suspensory ligament of penis. This is the most widely used technique to gain some length at the expense of slight instability.  The average lengthening is around 1cm and despite low complication rate,  large portion of patients remain unhappy.  A silicone buffer can be placed in the space created by the ligament division and anchored to the base of the pubis. Other penile augmentation procedures include subcutaneous fat injection (increase girth) and ventral phalloplasty (consist of detaching the scrotal skin attached to the ventral portion of penis, to give visual impression of larger penile shaft). The AUA does not believe these procedures to be safe and efficacious.The only option for naturally increasing the strength and duration of erection without surgeries, is injection of PRP into the shaft of the penis utilizing the Priapus technique (P-Shot). 

WHO: Women who are experiencing vaginal dryness, painful intercourse, vaginal laxity, loss of sexual sensitivity, urinary incontinence, mild pelvic organ prolapse, orgasmic disorders. Also, women who have experienced childbirth and/or going through menopause. WHAT: The worlds first and only Hybrid Fractional Laser, to provide independent levels of ablation and coagulation, as well as varying levels of density. This allows the provider to customize the treatment based on the patient’s desired results.


RESULTS: The result is an increase in the thickness and elasticity of the vaginal wall, an increase in vaginal moisture and an increase in sexual satisfaction. The diVa also can resolve problems with leakage of urine during exercise, running, laughing, and coughing.

ACTUAL PROCEDURE: It takes 3-5 minutes, minimal discomfort (pain score of 3/10), and minimal down time. Patients are able to return to work same day. 

DIFFERENCES BETWEEN LASERS: CO2 and Er:YAG 

diVa selected and utilized 2940nm (Er:YAG) and 1470nm (diode) wavelengths because:

A. Er:YAG has very high absorption of water. Water is the main chromophore in human mucosal tissues. CO2 is Not as highly absorbed in water as Er:YAG. 

B. Ability to create controlled column of ablation surrounded by tunable layer of coagulation. This leads to increased healing, and less downtime. 

Interestingly, erbium:YAG is so flexible that it can be tuned to give a pulse almost exactly like CO2.  Additionally, adding 1470 diode to erbium creates even more coagulation than CO2 alone at most fluences, a fact proven by histology.

Chris Rob said it best: "In the end, it is the user not the tool. A simple pencil in an artists hands is much greater than a whole painting studio to a novice."

Thanks for the question. Current options include: subcutaneous fat injection (increase girth), division of the suspensory ligament of penis (increase length), ventral phalloplasty (consist of detaching the scrotal skin attached to the ventral portion of penis, to give visual impression of larger penile shaft). This is a topic the American Urological Association (AUA) has reviewed in the past, specifically, subcutaneous fat injection (increase girth) and division of the suspensory ligament of penis (increase length). The AUA does not believe these procedures to be safe and efficacious. The ligament cutting, does not really lengthen the penis, it really just reveals the hidden portion of the penis, similar to if an overweight person loses belly fat, and they can visualize more of the penile shaft. The only option for naturally increasing the strength and duration of erection without medications/surgeries, is injection of PRP into the shaft of the penis utilizing the Priapus technique. I have many patients with post-surgical ED who opt for P-shot as way to buy some time until they need  inflatable penile implant. The patients have seen significant improvement and satisfaction with P-shot.