{"id":1756,"date":"2026-06-15T17:16:43","date_gmt":"2026-06-15T17:16:43","guid":{"rendered":"http:\/\/vampirebreastlift.com\/members\/why-p-shot-is-likely-best-first-line-treatment-for-peyronies-disease-jcpm2026-06-02\/"},"modified":"2026-06-15T17:16:43","modified_gmt":"2026-06-15T17:16:43","slug":"why-p-shot-is-likely-best-first-line-treatment-for-peyronies-disease-jcpm2026-06-02","status":"publish","type":"post","link":"https:\/\/vampirebreastlift.com\/members\/why-p-shot-is-likely-best-first-line-treatment-for-peyronies-disease-jcpm2026-06-02\/","title":{"rendered":"Why P-Shot\u00ae is Likely Best First Line Treatment for Peyronie&#8217;s Disease | JCPM2026.06.02"},"content":{"rendered":"<div id=\"jcpm-post\" style=\"font-family: Arial,Helvetica,sans-serif; font-size: 12pt; line-height: 1.55; color: #000;\">\n<div title=\"header\">\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.46in; direction: ltr; background: transparent;\" align=\"left\"><span style=\"font-size: xx-large; font-family: Impact, serif; color: #252525; background-color: transparent; letter-spacing: 0.3pt;\">JCPM2026.06.02<\/span><\/p>\n<\/div>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; margin-top: 0.06in;\" align=\"left\"><span style=\"color: #000000;\"><span style=\"font-family: Calibri, serif;\">The following is an edited transcript of the <\/span><\/span><span style=\"color: #000000;\"><span style=\"font-family: Calibri, serif;\"><i>Journal Club with Pearls &amp; Marketing<\/i><\/span><\/span><span style=\"color: #000000;\"><span style=\"font-family: Calibri, serif;\"> (JCPM) of June 2, 2026, with Charles Runels, MD. <\/span><\/span><\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; margin-top: 0.06in;\" align=\"left\"><span style=\"color: #0563c1;\"><u><a href=\"https:\/\/cellularmedicineassociation.org\/wp-content\/uploads\/2026\/06\/JCPM2026.06.02-edited.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-family: Calibri, serif;\">&gt;-&gt; The PDF transcript of this live journal club can be seen here &lt;-&lt;<\/span><\/a><\/u><\/span><\/p>\n<div style=\"padding: 56.25% 0 0 0; position: relative;\"><iframe style=\"position: absolute; top: 0; left: 0; width: 100%; height: 100%;\" title=\"JCPM2026.06.02 | Peyronie's Tx in Men Who have Sex with Men | Microneedling &amp; Blood\/Brain\" src=\"https:\/\/player.vimeo.com\/video\/1201425066?badge=0&amp;autopause=0&amp;player_id=0&amp;app_id=58479\" frameborder=\"0\"><\/iframe><\/div>\n<p><script src=\"https:\/\/player.vimeo.com\/api\/player.js\"><\/script><\/p>\n<h2 style=\"color: #b35e06; line-height: 115%; text-align: left; page-break-inside: avoid; orphans: 2; widows: 2; margin-top: 0.33in; margin-bottom: 0; direction: ltr; background: transparent; page-break-after: avoid; font-family: 'Impact', serif; font-size: 14pt; font-weight: bold;\" align=\"left\">Topics Covered<\/h2>\n<ul>\n<li>\n<p style=\"line-height: 100%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.04in; direction: ltr; background: transparent;\" align=\"left\"><span style=\"color: #1b587c;\"><i><b>Every Week I Look for Bad News About PRP \u2014 and It Never Comes<\/b><\/i><\/span><\/p>\n<\/li>\n<li>\n<p style=\"line-height: 100%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.04in; direction: ltr; background: transparent;\" align=\"left\"><span style=\"color: #1b587c;\"><i><b>Microneedling, the Skin Barrier, and Delivery Across Two Barriers<\/b><\/i><\/span><\/p>\n<\/li>\n<li>\n<p style=\"line-height: 100%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.04in; direction: ltr; background: transparent;\" align=\"left\"><span style=\"color: #1b587c;\"><i><b>Peyronie\u2019s Disease in Men Who Have Sex with Men: Xiaflex Fracture Risk<\/b><\/i><\/span><\/p>\n<\/li>\n<li>\n<p style=\"line-height: 100%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.04in; direction: ltr; background: transparent;\" align=\"left\"><span style=\"color: #1b587c;\"><i><b>Peyronie\u2019s Surgery: 15 Years of Data and New-Onset Erectile Dysfunction<\/b><\/i><\/span><\/p>\n<\/li>\n<li>\n<p style=\"line-height: 100%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.04in; direction: ltr; background: transparent;\" align=\"left\"><span style=\"color: #1b587c;\"><i><b>PRP Is Not a Drug: Giving the Tissue Time to Grow<\/b><\/i><\/span><\/p>\n<\/li>\n<li>\n<p style=\"line-height: 100%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.04in; direction: ltr; background: transparent;\" align=\"left\"><span style=\"color: #1b587c;\"><i><b>Photothermal Biomodulated PRP and the Many Ways to Change Your PRP<\/b><\/i><\/span><\/p>\n<\/li>\n<li>\n<p style=\"line-height: 100%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.04in; direction: ltr; background: transparent;\" align=\"left\"><span style=\"color: #1b587c;\"><i><b>When You Can\u2019t Buy the Paper: Secret-Shop Your Own Practice<\/b><\/i><\/span><\/p>\n<\/li>\n<li>\n<p style=\"line-height: 100%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.04in; direction: ltr; background: transparent;\" align=\"left\"><span style=\"color: #1b587c;\"><i><b>Trichotillomania, Attention Deficit, and the Overactive Bladder Connection<\/b><\/i><\/span><\/p>\n<\/li>\n<\/ul>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; margin-top: 0.06in;\" align=\"left\"><a href=\"https:\/\/runels.com\/\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" alt=\"Charles Runels, MD, reading a book\" src=\"data:image\/jpeg;base64,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\" width=\"169\" height=\"134\" name=\"Picture 2\" align=\"left\" border=\"0\" hspace=\"12\" \/><\/a><\/p>\n<p style=\"line-height: 100%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\"><span style=\"color: #f07f09;\"><span style=\"font-size: small;\"><b>Charles Runels, MD<br \/>\nAuthor, researcher, and inventor of the Vampire Facelift\u00ae, Orchid Shot\u00ae (O-Shot\u00ae), Priapus Shot\u00ae (P-Shot\u00ae), Priapus Toxin\u00ae, Vampire Breast Lift\u00ae, and Vampire Wing Lift\u00ae, &amp; Clitoxin\u00ae procedures.<\/b><\/span><\/span><\/p>\n<p style=\"line-height: 100%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.21in; direction: ltr; background: transparent; letter-spacing: 0.3pt; border-top: none; border-bottom: 1pt solid #f07f09; border-left: none; border-right: none; padding: 0 0 0.06in 0;\" align=\"left\"><span style=\"color: #252525;\"><span style=\"font-family: Impact, serif;\"><span style=\"font-size: xx-large;\">Transcript<\/span><\/span><\/span><\/p>\n<h2 style=\"color: #b35e06; line-height: 115%; text-align: left; page-break-inside: avoid; orphans: 2; widows: 2; margin-top: 0.33in; margin-bottom: 0; direction: ltr; background: transparent; page-break-after: avoid; font-family: 'Impact', serif; font-size: 14pt; font-weight: bold;\" align=\"left\">Every Week I Look for Bad News About PRP \u2014 and It Never Comes<\/h2>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">Welcome to our journal club. Into a new month, into the summer now \u2014 June the 2nd. Hope you\u2019re enjoying the summertime. And we\u2019ve had some studies lately talking about sunshine and recovery of skin, and today we\u2019ve got, I think, interesting studies that support what we\u2019re doing. Every week when I read the research, I think, \u201cOh, man, what if we find the study that says PRP is now some dangerous, horrible thing?\u201d<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">And it just never happens. This logarithmic growth in indications and safety with PRP is just phenomenal. Thank you for being here, and I\u2019ll plan to keep it to 30 minutes or less today, if we can. We\u2019ll start with this one, about microneedling technology.<\/p>\n<h2 style=\"color: #b35e06; line-height: 115%; text-align: left; page-break-inside: avoid; orphans: 2; widows: 2; margin-top: 0.33in; margin-bottom: 0; direction: ltr; background: transparent; page-break-after: avoid; font-family: 'Impact', serif; font-size: 14pt; font-weight: bold;\" align=\"left\">Microneedling, the Skin Barrier, and Delivery Across Two Barriers<\/h2>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">I picked this one because I think all of us \u2014 and especially me, now that I\u2019ve passed 60 years old \u2014 would really like to keep our brains.<a style=\"font-size: 57%;\" href=\"#sdfootnote1sym\" name=\"sdfootnote1anc\"><sup style=\"vertical-align: super; font-size: 0.9em; font-weight: bold; line-height: 0;\">1<\/sup><\/a> I had a dad who was so brilliant, so smart. And then I saw him: he was there, but his brain was gone. William Osler talked about that.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">Where does the person go when they\u2019re sitting there, but their brain is gone?<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">I don\u2019t want that to happen to me. So I\u2019m always looking for something new to prevent it, and it just so happened that this study \u2014 which is open source, and I\u2019ll put it in your handout before we hang up \u2014 is a narrative review about delivery of drugs to the brain.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">It\u2019s not original data, but <i><b>they\u2019re talking about systems engineered to take drugs across two barriers at once: the stratum corneum and, downstream, the blood-brain barrier.<a style=\"font-size: 57%;\" href=\"#sdfootnote2sym\" name=\"sdfootnote2anc\"><sup style=\"vertical-align: super; font-size: 0.9em; font-weight: bold; line-height: 0;\">2<\/sup><\/a><\/b><\/i><\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">If you think about it, that\u2019s really the purpose of our skin. Of course, one of its purposes is to protect us.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">I remember working in my ER days, when a man had come in \u2014 I can\u2019t remember exactly what had happened, but there was a cut on his face from a beer bottle, and there was gravel, and he had HIV, and I was suturing him. That was a pretty common thing to have happen as an ER doctor.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">I never really sweated it that much. I think the last time I looked at a study, there was only a one-in-a-thousand chance of transmission from a needle stick. But on your skin \u2014 even blood on your skin \u2014 because of that stratum corneum, we\u2019re protected from so many pathogens.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">I just got through swimming laps today, and I\u2019m looking at it from my old ER\/lifeguard\/chemistry background. I\u2019m pretty sure that this fancy pool in a cool club wasn\u2019t up to par as far as chlorine and such.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">But whatever \u2014 if I\u2019m not drinking it and I have a stratum corneum, I\u2019m protected. So, just a reminder: we know this, but it\u2019s worth bringing to the table: the main idea behind microneedling is that you break down that stratum corneum, so you\u2019re able to have things absorbed that normally wouldn\u2019t be absorbed through the skin.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\"><span style=\"color: #0563c1;\"><u><a href=\"https:\/\/cellularmedicineassociation.org\/events\/\" target=\"_blank\" rel=\"noopener\">=&gt;Next Hands-On Workshops with Live Models&lt;=<\/a><\/u><\/span><\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">And if you can combine that with delivering drugs, that could also help. If it could help get them through the blood-brain barrier, then you might be able to treat Alzheimer\u2019s disease. I\u2019m not going to go too deep into that \u2014 I don\u2019t think any of us are going to try to treat dementia with our RejuvaPen today.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">But I like to keep track because there are so many people in our group developing their own intellectual property \u2014 their own books, their own franchises, all sorts of things (many of whom started by taking <span style=\"color: #0563c1;\"><u><a href=\"https:\/\/cellularmedicineassociation.org\/prp-training-runels\/\" target=\"_blank\" rel=\"noopener\">my hands-on workshops where I teach marketing\/innovation<\/a><\/u><\/span>). So this is just food for thought; it\u2019s open source, so I\u2019ll put it in there.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">As far as our procedures go, it\u2019s just a reminder that it aligns with the logic of applying PRP to freshly microneedled skin, as we\u2019ve done with our <span style=\"color: #0563c1;\"><u><a href=\"https:\/\/vampirefacial.com\/\" target=\"_blank\" rel=\"noopener\">Vampire Facial\u00ae procedure<\/a><\/u><\/span>. So it\u2019s not some hokey, black-magic thing to think you could get the growth factors from platelets to where they need to go by using microneedling.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">That\u2019s the carryover lesson from this paper, I think, as far as we\u2019re concerned.<\/p>\n<h2 style=\"color: #b35e06; line-height: 115%; text-align: left; page-break-inside: avoid; orphans: 2; widows: 2; margin-top: 0.33in; margin-bottom: 0; direction: ltr; background: transparent; page-break-after: avoid; font-family: 'Impact', serif; font-size: 14pt; font-weight: bold;\" align=\"left\">Peyronie\u2019s Disease in Men Who Have Sex with Men: Xiaflex Fracture Risk<\/h2>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">This next paper is about Peyronie\u2019s disease in men who have sex with men.<a style=\"font-size: 57%;\" href=\"#sdfootnote3sym\" name=\"sdfootnote3anc\"><sup style=\"vertical-align: super; font-size: 0.9em; font-weight: bold; line-height: 0;\">3<\/sup><\/a> They\u2019re looking at Xiaflex, or Clostridium histolyticum \u2014 which is basically a chemical surgery on the fibrotic tissue that\u2019s causing the curvature \u2014 and asking what the results are, and how they change compared with the treatment of men who have sex with women. They had five centers.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">It\u2019s a retrospective cohort of men treated with intralesional Xiaflex.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">Xiaflex is FDA-approved, but I\u2019ve never gotten an answer (that feels satisfactory to me) to the following question: <i><b>if it\u2019s so wonderful, why was it pulled from the market in Japan, across Europe, and in Canada?<\/b><\/i> I can\u2019t find a major country where it\u2019s still approved other than the US.It\u2019s pulled from their formulary.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">I don\u2019t really know why, but I\u2019ve always been a little bit worried about the fracture rate. It\u2019s okay \u2014 you get a penile fracture; you get an implant; the world doesn\u2019t stop turning.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">But it\u2019d be nice to avoid that if possible. And then, to add to that argument, almost 10 years ago, Ronald Virag published a study in which he injected the plaque of men with Peyronie\u2019s disease with a variation of our <span style=\"color: #0563c1;\"><u><a href=\"https:\/\/priapusshot.com\/\" target=\"_blank\" rel=\"noopener\">P-Shot\u00ae procedure<\/a><\/u><\/span> (using PRP) and demonstrated better outcomes than seen with Xiaflex.<a style=\"font-size: 57%;\" href=\"#sdfootnote4sym\" name=\"sdfootnote4anc\"><sup style=\"vertical-align: super; font-size: 0.9em; font-weight: bold; line-height: 0;\">4<\/sup><\/a><\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">So in this one, they thought, \u201cOkay, what\u2019s the difference?\u201d<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">They broke them out by group, and there was a significantly higher fracture rate in men who have sex with men \u2014 <i><b>11.5% versus 1.3% in men who have sex with women<\/b><\/i>. Now, the rate of fractures requiring operative repair didn\u2019t differ significantly between the groups, so they\u2019re appropriately cautious about what this means; it\u2019s a relatively small number of events.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">It\u2019s three out of 26. But it\u2019s still \u2014 that worries me.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">Okay, if that\u2019s all you have (Xiaflex), then great; let\u2019s do it. But to me, Xiaflex should be second-line, not first-line. Ronald Virag\u2019s study was in 2017 \u2014 I\u2019ll include a link to it when I shoot out the email. He treated 90 men, with significant improvement: roughly a 40% reduction in the curvature. And other studies have since reported similar results, with zero major adverse events.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">Zero!<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">A positive side effect was that they had a better erection \u2014 it went up around seven on that scale.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">So when you put those two papers together: if I\u2019m a man who has sex with men, I\u2019m shooting for the P-Shot\u00ae. But I don\u2019t know \u2014 I have to temper that, because I\u2019m combining two different studies. Still, if it\u2019s my penis and I have sex with men, I\u2019m going with the P-Shot\u00ae.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">One other thing: if you\u2019re going with Xiaflex, of course, it\u2019s multiple treatments, and if you\u2019re paying out of pocket, it\u2019s about $21,000 \u2014 versus quite a bit less for our P-Shot\u00ae, even if you did a series like Ronald Virag did.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">For your patients who are men who have sex with men, they should see this study. (And this one was open source, too.) When you look at the number of people who have Peyronie\u2019s, it\u2019s surprisingly high \u2014 Population-based prevalence estimates are approximately 3\u20139%, increasing with age and exceeding 6% among men older than 70 years.<a style=\"font-size: 57%;\" href=\"#sdfootnote5sym\" name=\"sdfootnote5anc\"><sup style=\"vertical-align: super; font-size: 0.9em; font-weight: bold; line-height: 0;\">5<\/sup><\/a><\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">And it\u2019s the sort of thing that can really disrupt your life, because there\u2019s pain \u2014 and I feel blessed that we have a procedure that can help with it. Okay, let\u2019s see what we want to talk about next.<\/p>\n<h2 style=\"color: #b35e06; line-height: 115%; text-align: left; page-break-inside: avoid; orphans: 2; widows: 2; margin-top: 0.33in; margin-bottom: 0; direction: ltr; background: transparent; page-break-after: avoid; font-family: 'Impact', serif; font-size: 14pt; font-weight: bold;\" align=\"left\">Peyronie\u2019s Surgery: 15 Years of Data and New-Onset Erectile Dysfunction<\/h2>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">Oh, this one \u2014 another Peyronie\u2019s disease article.<a style=\"font-size: 57%;\" href=\"#sdfootnote6sym\" name=\"sdfootnote6anc\"><sup style=\"vertical-align: super; font-size: 0.9em; font-weight: bold; line-height: 0;\">6<\/sup><\/a><\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">A<a href=\"https:\/\/botoxclass.com\/\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" alt=\"Dr. Runels' Botulinum Blastoff Course book cover\" 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\" width=\"233\" height=\"332\" name=\"Image2\" align=\"left\" border=\"0\" hspace=\"12\" \/><\/a> nd this one, again, is about surgery. If this is all I have left, let\u2019s do it. Let\u2019s say we\u2019ve tried Xiaflex and it didn\u2019t work \u2014 hopefully, I tried the P-Shot\u00ae before that \u2014 and now it\u2019s down to surgery. This is open source, and it\u2019s strong data: 15 years of experience from a high-volume center.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">There were 325 patients tabulated over 15 years. But the part that bothers me is that <i><b>new-onset erectile dysfunction occurred in 22% of the men who were potent beforehand<\/b><\/i>.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">Now, among men with pre-existing ED, 35% improved after surgery. But if you started with good function, you had a 1-in-5 chance of developing new-onset ED!<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">On a multivariate regression, the main predictor was cardiovascular and metabolic comorbidity \u2014 not graft size, and not deformity complexity.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">Those are your numbers right there. As far as we\u2019re concerned, it reinforces our P-Shot\u00ae story, because erectile function, of course, is a window into your vascular health.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">And now you have this 325-patient study showing comorbidity, and you\u2019ve got a one-in-five chance that the surgery will make you impotent if you weren\u2019t when you started.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">So again, I think we come out as a first-line therapy with our P-Shot\u00ae for the treatment of Peyronie\u2019s disease.<\/p>\n<h2 style=\"color: #b35e06; line-height: 115%; text-align: left; page-break-inside: avoid; orphans: 2; widows: 2; margin-top: 0.33in; margin-bottom: 0; direction: ltr; background: transparent; page-break-after: avoid; font-family: 'Impact', serif; font-size: 14pt; font-weight: bold;\" align=\"left\">PRP Is Not a Drug: Giving the Tissue Time to Grow<\/h2>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">This is not a drug, so you have to wait for things to grow and remodel on a cellular level.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">I got this question again just this week: \u201cSomething didn\u2019t work after three days \u2014 what do I do?\u201d<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">Well, you wouldn\u2019t plant seeds in your garden and after three days say, \u201cThese are dead seeds.\u201d<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">You give it time to grow. And the best I can tell \u2014 from combining wound care, soft-tissue studies, and our own studies \u2014 full effect probably takes\u2026 I used to say 12 weeks, but it may actually be more like 18 to 24 weeks.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">But at least 12 weeks for full effect. Probably 80% of the effect is there at eight weeks. For most people, though, you\u2019re really not even starting to see effects until around three weeks out. Before that, what you\u2019re seeing is most likely local effects from the volume of what you injected, and not so much from growth.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">At least, that\u2019s my impression from the research I\u2019ve read; more studies may show it to be different. With Peyronie\u2019s specifically: in the Virag study, they treated much more frequently than that.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">They have work \u2014 it\u2019s not just financial, they have other things to do \u2014 so in my opinion, it\u2019s best to space the treatments about eight weeks apart (they may be flying in to see you). And always put them on the vacuum pump, because that alone was shown to be beneficial enough that 51% of men canceled their surgery just with twice-a-day pumping.<a style=\"font-size: 57%;\" href=\"#sdfootnote7sym\" name=\"sdfootnote7anc\"><sup style=\"vertical-align: super; font-size: 0.9em; font-weight: bold; line-height: 0;\">7<\/sup><\/a><\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">It\u2019s a long way of saying that <i><b>we now have two studies showing noticeable downsides to surgery and to Xiaflex that we don\u2019t have with our P-Shot\u00ae.<\/b><\/i> So you could share both of these open-source papers with your patients and give them more reasons to come see you.<\/p>\n<h2 style=\"color: #b35e06; line-height: 115%; text-align: left; page-break-inside: avoid; orphans: 2; widows: 2; margin-top: 0.33in; margin-bottom: 0; direction: ltr; background: transparent; page-break-after: avoid; font-family: 'Impact', serif; font-size: 14pt; font-weight: bold;\" align=\"left\">Photothermal Biomodulated PRP and the Many Ways to Change Your PRP<\/h2>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">I\u2019m still not doing this myself, but I don\u2019t want to skip it, because some of you are.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">I admit I don\u2019t have first-hand experience with it, but this is photothermal biomodulated PRP \u2014 that\u2019s what the acronym PTBM stands for.<a style=\"font-size: 57%;\" href=\"#sdfootnote8sym\" name=\"sdfootnote8anc\"><sup style=\"vertical-align: super; font-size: 0.9em; font-weight: bold; line-height: 0;\">8<\/sup><\/a> They did 3D imaging \u2014 objective imaging \u2014 for the fine lines, looking at crow\u2019s feet and the periorbital areas, and this PTBM PRP showed significant, durable reductions over six months.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">While both worked, this PTBM-preconditioned PRP seemed to work better. So I don\u2019t know if any of you are doing that.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">Raise your hand so you can tell us what you\u2019re doing. This is just one example, but there are so many ways to change your PRP. Of course, there\u2019s aerobic exercise right before it. How you activate it, and what you activate it with, changes the profile \u2014 and then there\u2019s the patient\u2019s nutritional status and the other drugs they might be on.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">There are so many variables. I always tell the patient: we\u2019re all different, and we\u2019re going to optimize things the best we can. But you have to love it. I can\u2019t promise you a result, and if you don\u2019t love it, I won\u2019t keep your money. That\u2019s what I tell people. And I\u2019m not going to decide at three days that it\u2019s not working.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">Ideally, I would space them out every 12 weeks, but people get anxious and don\u2019t want to wait that long. They\u2019ll give you eight weeks, though, before they decide whether you\u2019ve helped them or not. But I don\u2019t want them just liking it \u2014 I want them to love it. Otherwise, I either repeat it or I don\u2019t keep their money.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">=&gt;<a href=\"https:\/\/cellularmedicineassociation.org\/procedures\/\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #0563c1;\"><u><span style=\"color: #c00000;\"> Apply for <\/span><\/u><\/span><span style=\"color: #0563c1;\"><u><span style=\"color: #c00000;\"><i>Online Training for Multiple PRP Procedures<\/i><\/span><\/u><\/span><\/a>&lt;=<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">That keeps my reputation up. This next one I just wanted to mention. It\u2019s one of those where I spent five minutes trying to figure out how to buy it.<\/p>\n<h2 style=\"color: #b35e06; line-height: 115%; text-align: left; page-break-inside: avoid; orphans: 2; widows: 2; margin-top: 0.33in; margin-bottom: 0; direction: ltr; background: transparent; page-break-after: avoid; font-family: 'Impact', serif; font-size: 14pt; font-weight: bold;\" align=\"left\">When You Can\u2019t Buy the Paper: Secret-Shop Your Own Practice<\/h2>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">It wasn\u2019t open source, and I gave up. If you\u2019ve never secret-shopped yourself, you could \u2014 one of my pet peeves is when people make it hard for me to give them money.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">And I\u2019ve caught that happening in my own business more than once. If you have trouble giving me money, please do me a favor and let me know. Here\u2019s a favorite test of mine: I was once a partner in an internal medicine group \u2014 not for very long \u2014 and I\u2019m about to tell you why.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">It was right after I quit the ER, and I thought, \u201cI\u2019ll try joining up with a big group.\u201d<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">There were multiple members in the group, and I was there one afternoon \u2014 a Friday afternoon, right after lunch \u2014 and there were no patients. None at all. This made no sense. So I called my brother-in-law at the time and said, \u201cI want you to call my office, tell them you have a fever of 103, a sore throat, and you\u2019re having trouble swallowing, and ask if you can come see the doctor.\u201d<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">He did, and they told him they might be able to work him in the following Wednesday \u2014 while I was sitting there with nothing to do. They wanted to go home early on that Friday afternoon.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">So that\u2019s an extreme example; anyway, I got off track. I tried to buy this paper and couldn\u2019t. But I have seen this happen: people with attention deficit disorder \u2014 I don\u2019t know why \u2014 will pick at their hair, and of course, people on meth do it to the extreme.<\/p>\n<h2 style=\"color: #b35e06; line-height: 115%; text-align: left; page-break-inside: avoid; orphans: 2; widows: 2; margin-top: 0.33in; margin-bottom: 0; direction: ltr; background: transparent; page-break-after: avoid; font-family: 'Impact', serif; font-size: 14pt; font-weight: bold;\" align=\"left\">Trichotillomania, Attention Deficit, and the Overactive Bladder Connection<\/h2>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">There\u2019s a whole syndrome associated with this but just keep it in mind. When you see someone with alopecia and attention deficit disorder, remember there could be a physical reason for it \u2014 and unless you think about it, your PRP isn\u2019t going to work, so you really want to think about why.<a style=\"font-size: 57%;\" href=\"#sdfootnote9sym\" name=\"sdfootnote9anc\"><sup style=\"vertical-align: super; font-size: 0.9em; font-weight: bold; line-height: 0;\">9<\/sup><\/a><\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">And then this one, again \u2014 I had a lot of trouble buying it \u2014 but it brought up the idea that overactive bladder management is still a problem, and they talked about intravesical injections of botulinum toxin.<a style=\"font-size: 57%;\" href=\"#sdfootnote10sym\" name=\"sdfootnote10anc\"><sup style=\"vertical-align: super; font-size: 0.9em; font-weight: bold; line-height: 0;\">10<\/sup><\/a><\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">Just watch \u2014 hopefully you\u2019ll see a paper come out from my brilliant wife about how we saw this happen in our Clitoxin\u00ae study. It was only a small part of it; it wasn\u2019t in all our patients, because we were looking at sexual function. But I think you\u2019re going to see it with our <span style=\"color: #0563c1;\"><u><a href=\"https:\/\/clitoxin.com\/\" target=\"_blank\" rel=\"noopener\">Clitoxin\u00ae procedure<\/a><\/u><\/span>. If you haven\u2019t tried it yet, try it for someone with an overactive bladder, and I think you\u2019ll be pleased.<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\"><span style=\"color: #0563c1;\"><u><a href=\"https:\/\/acrobat.adobe.com\/id\/urn:aaid:sc:US:bf4a1bbd-ce92-4d8f-a909-47a7d2395a0d\" target=\"_blank\" rel=\"noopener\">=&gt;Benefits of the Cellular Medicine Association&lt;=<\/a><\/u><\/span><\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">=&gt;<a href=\"https:\/\/cellularmedicineassociation.org\/procedures\/\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #0563c1;\"><u><span style=\"color: #c00000;\"> Apply for <\/span><\/u><\/span><span style=\"color: #0563c1;\"><u><span style=\"color: #c00000;\"><i>Online Training for Multiple PRP Procedures<\/i><\/span><\/u><\/span><\/a>&lt;=<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\"><span style=\"color: #0563c1;\"><u><a href=\"https:\/\/cellularmedicineassociation.org\/events\/\" target=\"_blank\" rel=\"noopener\">=&gt;Next Hands-On Workshops with Live Models&lt;=<\/a><\/u><\/span><\/p>\n<h2 style=\"color: #b35e06; line-height: 115%; text-align: left; page-break-inside: avoid; orphans: 2; widows: 2; margin-top: 0.33in; margin-bottom: 0; direction: ltr; background: transparent; page-break-after: avoid; font-family: 'Impact', serif; font-size: 14pt; font-weight: bold;\" align=\"left\">References<\/h2>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; text-indent: -0.5in; margin-left: 0.5in;\" align=\"left\"><span style=\"font-family: Arial, Helvetica, sans-serif;\">Braga, Andrea, Howard B. Goldman, Anna Padoa, and Maurizio Serati. \u201cNavigating the Challenges of Overactive Bladder Management in Women.\u201d <\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"><i>World Journal of Urology<\/i><\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"> 44, no. 1 (2026): 400. https:\/\/doi.org\/10.1007\/s00345-026-06471-5.<\/span><\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; text-indent: -0.5in; margin-left: 0.5in;\" align=\"left\"><span style=\"font-family: Arial, Helvetica, sans-serif;\">Kanojia, Neha, Geeta Deswal, Ajmer Singh Grewal, et al. \u201cAdvances in Microneedle Technology for Targeted Therapy in Alzheimer\u2019sand Parkinson\u2019s Disease.\u201d <\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"><i>Current Drug Delivery<\/i><\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"> 23 (April 2026). https:\/\/doi.org\/10.2174\/0115672018425956260117232402.<\/span><\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; text-indent: -0.5in; margin-left: 0.5in;\" align=\"left\"><span style=\"font-family: Arial, Helvetica, sans-serif;\">Levine, Laurence A. \u201cPeyronie\u2019s Disease: Contemporary Review of Non-Surgical Treatment.\u201d <\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"><i>Translational Andrology and Urology<\/i><\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"> 2, no. 1 (2013): 39\u201344. https:\/\/doi.org\/10.3978\/j.issn.2223-4683.2013.01.01.<\/span><\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; text-indent: -0.5in; margin-left: 0.5in;\" align=\"left\"><span style=\"font-family: Arial, Helvetica, sans-serif;\">Miller, Jake A., Muhammed A. Moukhtar Hammad, Lucas G. C. R. De Amorim, et al. \u201cEfficacy and Safety of Collagenase <\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"><i>Clostridium Histolyticum<\/i><\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"> in Men Who Have Sex with Men.\u201d <\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"><i>Sexual Medicine<\/i><\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"> 14, no. 3 (2026): qfag028. https:\/\/doi.org\/10.1093\/sexmed\/qfag028.<\/span><\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; text-indent: -0.5in; margin-left: 0.5in;\" align=\"left\"><span style=\"font-family: Arial, Helvetica, sans-serif;\">Moghalu, Odinachi I., Rupam Das, Joshua Horns, Alexander Campbell, James M. Hotaling, and Alexander W. Pastuszak. \u201cRegional Variation in the Incidence and Prevalence of Peyronie\u2019s Disease in the United States\u2014Results from an Encounters and Claims Database.\u201d <\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"><i>International Journal of Impotence Research<\/i><\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"> 34, no. 1 (2022): 64\u201370. https:\/\/doi.org\/10.1038\/s41443-020-00363-x.<\/span><\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; text-indent: -0.5in; margin-left: 0.5in;\" align=\"left\"><span style=\"font-family: Arial, Helvetica, sans-serif;\">Raheem, Amr Abdel, Giulio Garaffa, Tarek Abdel Raheem, et al. \u201cThe Role of Vacuum Pump Therapy to Mechanically Straighten the Penis in Peyronie\u2019s Disease.\u201d <\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"><i>BJU International<\/i><\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"> 106, no. 8 (2010): 1178\u201380. https:\/\/doi.org\/10.1111\/j.1464-410X.2010.09365.x.<\/span><\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; text-indent: -0.5in; margin-left: 0.5in;\" align=\"left\"><span style=\"font-family: Arial, Helvetica, sans-serif;\">Sarna, Shiv, Karl H. Pang, Andrew N. Christopher, David J. Ralph, Asif Muneer, and Hussain M. Alnajjar. \u201cPlaque Incision and Grafting for Peyronie\u2019s Disease: 15-Year Experience and Functional Outcomes from a High-Volume Andrology Centre.\u201d <\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"><i>International Journal of Impotence Research<\/i><\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\">, ahead of print, June 1, 2026. https:\/\/doi.org\/10.1038\/s41443-026-01296-7.<\/span><\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; text-indent: -0.5in; margin-left: 0.5in;\" align=\"left\"><span style=\"font-family: Arial, Helvetica, sans-serif;\">Vaseli, Hediyeh, Abdul Aziz Abdul Ghafoor, Mahan Maazi, and Jeffrey Donovan. \u201cHair Loss in Patients With Attention-Deficit\/Hyperactivity Disorder: A Systematic Review.\u201d <\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"><i>Journal of Cutaneous Medicine and Surgery<\/i><\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\">, May 31, 2026, 12034754261455477. https:\/\/doi.org\/10.1177\/12034754261455477.<\/span><\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; text-indent: -0.5in; margin-left: 0.5in;\" align=\"left\"><span style=\"font-family: Arial, Helvetica, sans-serif;\">Virag, Ronald, H\u00e9l\u00e8ne Sussman, Sandrine Lambion, and Val\u00e9rie de Fourmestraux. \u201cEvaluation of the Benefit of Using a Combination of Autologous Platelet Rich-Plasma and Hyaluronic Acid for the Treatment of Peyronie\u2019s Disease.\u201d <\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"><i>Sexual Health Issues<\/i><\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"> 1, no. 1 (2017). https:\/\/doi.org\/10.15761\/SHI.1000102.<\/span><\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; text-indent: -0.5in; margin-left: 0.5in;\" align=\"left\"><span style=\"font-family: Arial, Helvetica, sans-serif;\">Wanitphakdeedecha, Rungsima, Ma. Patricia Gertrude Camille Rojas Ollero, Woramate Bhorntarakcharoen, et al. \u201cEfficacy and Safety of Photothermal Biomodulated Platelet-Rich Plasma versus Standard Platelet-Rich Plasma for Facial Rejuvenation: A Prospective Split-Face Randomized Study.\u201d <\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"><i>Scientific Reports<\/i><\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\">, ahead of print, June 1, 2026. https:\/\/doi.org\/10.1038\/s41598-026-54310-9.<\/span><\/p>\n<h2 style=\"color: #b35e06; line-height: 115%; text-align: left; page-break-inside: avoid; orphans: 2; widows: 2; margin-top: 0.33in; margin-bottom: 0; direction: ltr; background: transparent; page-break-after: avoid; font-family: 'Impact', serif; font-size: 14pt; font-weight: bold;\" align=\"left\">Helpful Links<\/h2>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">=&gt; <a href=\"https:\/\/cellularmedicineassociation.org\/events\/\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #0563c1;\"><u><span style=\"color: #c00000;\">Next Hands-On Workshops with Live Model<\/span><\/u><\/span><span style=\"color: #0563c1;\"><u>s<\/u><\/span><\/a> &lt;=<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\"><span style=\"color: #0563c1;\"><u><a href=\"https:\/\/cellularmedicineassociation.org\/prp-training-runels\/\" target=\"_blank\" rel=\"noopener\">=&gt;Next Hands-On Training with Live Models with Dr. Runels (includes marketing)&lt;=<\/a><\/u><\/span><\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\"><span style=\"color: #0563c1;\"><u><a href=\"https:\/\/botoxclass.com\/workshop\" target=\"_blank\" rel=\"noopener\">=&gt;Hands-On Botulinum Toxin Workshop That Teaches Medical &amp; Cosmetic Uses&lt;=<\/a><\/u><\/span><\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">=&gt; <a href=\"https:\/\/botoxclass.com\/\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #0563c1;\"><u>Dr. Runels Online <\/u><\/span><span style=\"color: #0563c1;\"><u><i>Botulinum Blastoff Course<\/i><\/u><\/span><\/a> &lt;=<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">=&gt; <span style=\"color: #0563c1;\"><u><a href=\"https:\/\/cellularmedicineassociation.org\/\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #c00000;\">The Cellular Medicine Association (who we are<\/span><\/a><\/u><\/span><span style=\"color: #c00000;\">) <\/span>&lt;=<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">=&gt;<a href=\"https:\/\/cellularmedicineassociation.org\/procedures\/\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #0563c1;\"><u> Apply for <\/u><\/span><span style=\"color: #0563c1;\"><u><i>Online Training for Multiple PRP Procedures<\/i><\/u><\/span><\/a>&lt;=<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">=&gt; <span style=\"color: #0563c1;\"><u><a href=\"https:\/\/oshot.info\/fsfi-calculator\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #c00000;\">FSFI Online Administrator and Calculator<\/span><\/a><\/u><\/span> &lt;=<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">=&gt; <span style=\"color: #0563c1;\"><u><a href=\"https:\/\/5notes.com\/\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #c00000;\">5-Notes Expert System for Doctors<\/span><\/a><\/u><\/span>&lt;=<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">=&gt;<a href=\"https:\/\/cellularmedicineassociation.org\/password\/\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #0563c1;\"><u><span style=\"color: #c00000;\"> Help with <\/span><\/u><\/span><span style=\"color: #0563c1;\"><u><span style=\"color: #c00000;\"><i>Logging into Membership Website<\/i><\/span><\/u><\/span><span style=\"color: #0563c1;\"><u><span style=\"color: #c00000;\">s<\/span><\/u><\/span><\/a>&lt;=<\/p>\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent;\" align=\"left\">=&gt; <span style=\"color: #0563c1;\"><u><a href=\"https:\/\/ontraport.com\/Cellular-Medicine-Association-\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #c00000;\">The software I use to send emails: ONTRAPORT (free trial)<\/span><\/a><\/u><\/span><span style=\"color: #0563c1;\"><span style=\"color: #000000;\"><span style=\"text-decoration: none;\">&lt;=<\/span><\/span><\/span><\/p>\n<hr \/>\n<div id=\"sdfootnote1\">\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; font-size: 10pt;\" align=\"left\"><sup style=\"vertical-align: super; font-size: 0.9em; font-weight: bold; line-height: 0;\"><a href=\"#sdfootnote1anc\" name=\"sdfootnote1sym\">1<\/a><\/sup><span style=\"font-family: Arial, Helvetica, sans-serif;\">Kanojia et al., \u201cAdvances in Microneedle Technology for Targeted Therapy in Alzheimer\u2019s and Parkinson\u2019s Disease.\u201d<\/span><\/p>\n<\/div>\n<div id=\"sdfootnote2\">\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; font-size: 10pt;\" align=\"left\"><sup style=\"vertical-align: super; font-size: 0.9em; font-weight: bold; line-height: 0;\"><a href=\"#sdfootnote2anc\" name=\"sdfootnote2sym\">2<\/a><\/sup><span style=\"font-family: Arial, Helvetica, sans-serif;\">Kanojia et al., \u201cAdvances in Microneedle Technology for Targeted Therapy in Alzheimer\u2019s and Parkinson\u2019s Disease.\u201d<\/span><\/p>\n<\/div>\n<div id=\"sdfootnote3\">\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; font-size: 10pt;\" align=\"left\"><sup style=\"vertical-align: super; font-size: 0.9em; font-weight: bold; line-height: 0;\"><a href=\"#sdfootnote3anc\" name=\"sdfootnote3sym\">3<\/a><\/sup><span style=\"font-family: Arial, Helvetica, sans-serif;\">Miller et al., \u201cEfficacy and Safety of Collagenase <\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"><i>Clostridium Histolyticum<\/i><\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"> in Men Who Have Sex with Men.\u201d<\/span><\/p>\n<\/div>\n<div id=\"sdfootnote4\">\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; font-size: 10pt;\" align=\"left\"><sup style=\"vertical-align: super; font-size: 0.9em; font-weight: bold; line-height: 0;\"><a href=\"#sdfootnote4anc\" name=\"sdfootnote4sym\">4<\/a><\/sup><span style=\"font-family: Arial, Helvetica, sans-serif;\">Virag et al., \u201cEvaluation of the Benefit of Using a Combination of Autologous Platelet Rich-Plasma and Hyaluronic Acid for the Treatment of Peyronie\u2019s Disease\u201d; Levine, \u201cPeyronie\u2019s Disease: Contemporary Review of Non-Surgical Treatment.\u201d<\/span><\/p>\n<\/div>\n<div id=\"sdfootnote5\">\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; font-size: 10pt;\" align=\"left\"><sup style=\"vertical-align: super; font-size: 0.9em; font-weight: bold; line-height: 0;\"><a href=\"#sdfootnote5anc\" name=\"sdfootnote5sym\">5<\/a><\/sup><span style=\"font-family: Arial, Helvetica, sans-serif;\">Moghalu et al., \u201cRegional Variation in the Incidence and Prevalence of Peyronie\u2019s Disease in the United States\u2014Results from an Encounters and Claims Database.\u201d<\/span><\/p>\n<\/div>\n<div id=\"sdfootnote6\">\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; font-size: 10pt;\" align=\"left\"><sup style=\"vertical-align: super; font-size: 0.9em; font-weight: bold; line-height: 0;\"><a href=\"#sdfootnote6anc\" name=\"sdfootnote6sym\">6<\/a><\/sup><span style=\"font-family: Arial, Helvetica, sans-serif;\">Sarna et al., \u201cPlaque Incision and Grafting for Peyronie\u2019s Disease.\u201d<\/span><\/p>\n<\/div>\n<div id=\"sdfootnote7\">\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; font-size: 10pt;\" align=\"left\"><sup style=\"vertical-align: super; font-size: 0.9em; font-weight: bold; line-height: 0;\"><a href=\"#sdfootnote7anc\" name=\"sdfootnote7sym\">7<\/a><\/sup><span style=\"font-family: Arial, Helvetica, sans-serif;\">Raheem et al., \u201cThe Role of Vacuum Pump Therapy to Mechanically Straighten the Penis in Peyronie\u2019s Disease.\u201d<\/span><\/p>\n<\/div>\n<div id=\"sdfootnote8\">\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; font-size: 10pt;\" align=\"left\"><sup style=\"vertical-align: super; font-size: 0.9em; font-weight: bold; line-height: 0;\"><a href=\"#sdfootnote8anc\" name=\"sdfootnote8sym\">8<\/a><\/sup><span style=\"font-family: Arial, Helvetica, sans-serif;\">Wanitphakdeedecha et al., \u201cEfficacy and Safety of Photothermal Biomodulated Platelet-Rich Plasma versus Standard Platelet-Rich Plasma for Facial Rejuvenation.\u201d<\/span><\/p>\n<\/div>\n<div id=\"sdfootnote9\">\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; font-size: 10pt;\" align=\"left\"><sup style=\"vertical-align: super; font-size: 0.9em; font-weight: bold; line-height: 0;\"><a href=\"#sdfootnote9anc\" name=\"sdfootnote9sym\">9<\/a><\/sup><span style=\"font-family: Arial, Helvetica, sans-serif;\">Vaseli et al., \u201cHair Loss in Patients With Attention-Deficit\/Hyperactivity Disorder.\u201d<\/span><\/p>\n<\/div>\n<div id=\"sdfootnote10\">\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.14in; direction: ltr; background: transparent; font-size: 10pt;\" align=\"left\"><sup style=\"vertical-align: super; font-size: 0.9em; font-weight: bold; line-height: 0;\"><a href=\"#sdfootnote10anc\" name=\"sdfootnote10sym\">10<\/a><\/sup><span style=\"font-family: Arial, Helvetica, sans-serif;\">Braga et al., \u201cNavigating the Challenges of Overactive Bladder Management in Women.\u201d<\/span><\/p>\n<\/div>\n<div title=\"footer\">\n<table width=\"100%\" cellspacing=\"0\" cellpadding=\"7\">\n<tbody>\n<tr valign=\"top\">\n<td style=\"border: none; padding: 0in;\" width=\"83%\">\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.1in; direction: ltr; background: transparent;\" align=\"left\"><span style=\"color: #0563c1;\"><u><a href=\"https:\/\/runels.com\/\" target=\"_blank\" rel=\"noopener\">Charles Runels, MD<\/a><\/u><\/span> 888-920-5311 <span style=\"color: #0563c1;\"><u><a href=\"https:\/\/cellularmedicineassociation.org\/\" target=\"_blank\" rel=\"noopener\">CellularMedicineAssociation.org<\/a><\/u><\/span><\/p>\n<\/td>\n<td style=\"border: none; padding: 0in;\" width=\"17%\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"color: #800080;\"><strong><span style=\"background-color: transparent; font-family: Arial, Helvetica, sans-serif; font-size: 12pt;\">Disclaimer<\/span><\/strong><\/span><\/p>\n<div id=\"jcpm-post\" style=\"font-family: Arial,Helvetica,sans-serif; font-size: 12pt; line-height: 1.55; color: #000;\">\n<div title=\"header\">\n<p style=\"line-height: 115%; text-align: left; orphans: 2; widows: 2; margin-bottom: 0.46in; direction: ltr; background: transparent;\" align=\"left\"><em>*This page is intended solely as professional education for licensed healthcare providers. It is not medical advice, not patient-directed advertising, and not an offer to treat any individual. Nothing here should be used by a member of the public to diagnose or treat any condition; patients should consult a qualified, licensed physician about their own care. The procedures and platelet-rich plasma (PRP) applications discussed are investigational and\/or off-label. They have not been evaluated or approved by the U.S. Food and Drug *Administration (FDA) for the uses described, and the FDA has not approved PRP or these procedures to diagnose, treat, cure, or prevent any disease (<strong>partly because PRP is a blood product that belongs to the patient, not a drug, and is not regulated by the FDA)<\/strong>. References to the O-Shot\u00ae, P-Shot\u00ae (Priapus Shot\u00ae), Clitoxin\u00ae, Vampire Facial\u00ae, Vampire Facelift\u00ae, and other trademarked procedures describe training methods and clinical approaches; they do not imply FDA clearance or guaranteed outcomes.<\/em><br \/>\n<em>*The content reflects a review of the published literature and the clinical opinions and experience of the author. Comparisons to FDA-approved drugs or surgical options (for example, references to a procedure as \"first-line\") represent the author's interpretation of the cited studies and individual clinical judgment \u2014 not established medical consensus or proof of superiority, safety, or efficacy. Individual results vary, and no specific outcome is promised or guaranteed. Statements regarding the absence of reported adverse events reflect the limits of the available evidence base and should not be read as proof of zero risk.<\/em><br \/>\n<em>*Any clinical decision remains the sole responsibility of the treating licensed provider, who must exercise independent professional judgment, obtain appropriate informed consent, and comply with all applicable laws, regulations, and standards of care in their jurisdiction. The author and the Cellular Medicine Association assume no liability for actions taken based on this information.<\/em><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Journal Club, June 2, 2026: why the P-Shot\u00ae procedure is likely the best first-line treatment for Peyronie&#8217;s disease, plus microneedling and the skin barrier.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_hide_featured_image":false,"_jetpack_featured_image_duplicate_dismissed":0,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[137],"tags":[],"class_list":["post-1756","post","type-post","status-publish","format-standard","hentry","category-journal-club"],"jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p8UnjI-sk","jetpack-related-posts":[],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/vampirebreastlift.com\/members\/wp-json\/wp\/v2\/posts\/1756","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vampirebreastlift.com\/members\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vampirebreastlift.com\/members\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vampirebreastlift.com\/members\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vampirebreastlift.com\/members\/wp-json\/wp\/v2\/comments?post=1756"}],"version-history":[{"count":0,"href":"https:\/\/vampirebreastlift.com\/members\/wp-json\/wp\/v2\/posts\/1756\/revisions"}],"wp:attachment":[{"href":"https:\/\/vampirebreastlift.com\/members\/wp-json\/wp\/v2\/media?parent=1756"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vampirebreastlift.com\/members\/wp-json\/wp\/v2\/categories?post=1756"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vampirebreastlift.com\/members\/wp-json\/wp\/v2\/tags?post=1756"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}