Comparison
Evidence status: MixedP-Shot vs Shockwave Therapy for Erectile Dysfunction
What is the difference between P-Shot and shockwave therapy?
P-Shot is an injection of platelet-rich plasma from your own blood and is experimental for ED. Shockwave therapy (EdSWT) applies low-intensity shockwaves without injection and is intended mainly for vasculogenic ED, with a weak guideline recommendation for selected men. Neither is a universal best choice. The most appropriate treatment depends on the underlying cause of ED.
Key fact: The 2026 EAU guideline reports a mild average improvement from low-intensity shockwave therapy and gives a weak recommendation for selected men with vasculogenic ED. (European Association of Urology, 2026; page updated )
Private & confidential enquiry. You do not need to call.
P-Shot vs shockwave at a glance
| Aspect | P-Shot (PRP) | Shockwave (EdSWT) |
|---|---|---|
| Concept | Injected platelet concentrate from your blood | Low-intensity shockwaves applied to the penis |
| Invasiveness | Minimally invasive (blood draw and injection) | Non-invasive, no injection |
| Typical candidate | Selected men with organic ED after assessment | Vasculogenic ED, including some partial responders to tablets |
| Course | Protocol varies; confirmed at assessment | Clinic protocol: 12 sessions (6, 3-week interval, 6) |
| Evidence status | Experimental. The 2026 European Association of Urology (EAU) guideline says intracavernosal PRP for erectile dysfunction should be used only in a clinical-trial setting. | Emerging. Weak EAU recommendation for selected men |
| Assessment required | Yes | Yes, with patient selection and often Doppler |
How a urologist chooses
- The likely cause of ED, including whether blood flow is the main issue.
- What you have already tried, and how tablets were used.
- Your health, medicines and preferences, including comfort with injections.
- The strength of evidence and the risks of each option.
Can they be combined?
Some clinics combine PRP and shockwave. There is not enough high-quality evidence to say a combination is better, so it is treated as investigational. No treatment can be guaranteed to work for every man, and suitability and expected benefit vary between patients.
Read the full guides
Your physician
Dr. Niyazi Umut Özdemir
Urological Surgeon, UZ Clinic Antalya
Responsible for assessment and treatment planning at the clinic, with a clinical focus on male sexual health and penile rehabilitation.
Rated 4.5 on Google (47 reviews, as of 2 Oct 2026)Qualifications
- • Medical education at Ege University
- • Specialisation in urology
- • Turkish Association of Urology board certification
- • Clinical practice in Antalya, Turkey
Clinical focus
- • Erectile dysfunction assessment and treatment planning
- • Penile rehabilitation
- • Vasculogenic (blood-flow related) erectile dysfunction
- • Shockwave therapy, PRP and regenerative approaches
Education and roles
- • Ege University Faculty of Medicine (2000); urology specialisation, Ege University (2005)
- • Head of the Antalya branch, CİSED
Professional memberships
- • Turkish Urological Association
- • Society of Urological Surgery (Ürolojik Cerrahi Derneği)
- • European Association of Urology (EAU)
- • Turkish Andrology Association
- • Aegean Urological Association (Ege Üroloji Derneği)
- • Ankara Urologists Association
Ask the urologist about your case
Send your history and the clinic will advise which options may be relevant. Suitability is decided after medical assessment.
Frequently asked questions
Which is better, P-Shot or shockwave?
Neither is universally better. The most appropriate treatment depends on the underlying cause of ED.
Is shockwave therapy less invasive?
Yes. It involves no injection or blood draw.
Can I have both?
Sometimes discussed, but evidence for the combination is limited.
Sources
- EAU Guidelines on Sexual and Reproductive Health: Management of Erectile DysfunctionEuropean Association of Urology, 2026 · Guideline
- Platelet-rich Plasma for the Treatment of Erectile Dysfunction: A Randomised Placebo-controlled TrialThe Journal of Urology / PubMed, 2023 · Randomised trial
- PRP Intracavernosal Injections for Primary Organic ED: Systematic Review and Meta-analysisInternational Journal of Impotence Research / PubMed, 2024 · Systematic review
Related guides
Send your case for confidential review
You do not need to know which treatment you need. Share a few details and the clinic can advise which options may be relevant to your case.
- 1. Send your caseAbout 2 minutes, private.
- 2. Coordinator contacts youBy WhatsApp, phone or email.
- 3. Doctor assessmentThe urologist decides suitability.
Private & confidential enquiry. You do not need to call.
This page provides general information and does not diagnose ED or decide whether a treatment is suitable for you. Suitability and expected benefit vary between patients and are decided after medical assessment. Treatments described as experimental or investigational are discussed with full informed consent. Seek urgent care for chest pain, new neurological symptoms, penile injury or an erection lasting more than four hours.