Previous slide
Next slide


Female & Male Urologists located in Miramar, FL; Aventura, FL & West Palm Beach, FL

At Gouse Urology we pride ourselves in bringing the best Urologic care to our male and female patients. Gousse Urology, headed by Dr. Angelo Gousse, specializes in both male and female voiding dysfunction and reconstruction. Dr. Gousse has been a pioneer in the development of third line treatments of overactive bladder. Dr. Gousse was the first to perform Axonics Sacral Nerve Modulation in South Florida for the treatment of overactive bladder. He pioneered the usage of Botox (Botulinum Toxin A) in the treatment of overactive bladder and neurogenic bladder. The clinical trials he led as principal investigator resulted in numerous scientific publications and contributed to the first FDA approval of Botox for urologic use in August 2011. READ MORE

Our accurate diagnosis is the key to your clinical success.

Leading Provider of The Priapus Shot® or P-Shot®

Injecting your Own Blood in The Penis Might Treat Your Erection Problems: The Promise of Platelet Rich Plasma (PRP). P-Shot

In sexual medicine, PRP P-shot is  also used as an alternative treatment option for:

How does it work?

Our blood is made of four different components: red blood cells, white blood cells, plasma, and platelets.

Plasma (mostly contains salt, nutrients, and water) is the liquid part of your blood and makes up about half of its volume. Platelets are tiny cells critical for helping your blood clot after an injury. It is now being discovered that platelets also contain large amount of proteins called growth factors that help speed up healing and regenerate tissues damaged by trauma or aging.

The benefit of PRP for ED is to make the spongy tissue and blood vessels in the penis (corpora)  healthier and easier to dilate. A healthier corpora increases blood flow and renders the penis harder and larger.

To prepare PRP, Dr Gousse takes a small sample of your blood ( similar to  a regular phlebotomy – blood draw )  and spins it in a machine called a centrifuge. The centrifuge separates the plasma and platelets from the other parts of your blood.

The resulting PRP mixture has a much higher concentration of platelets than regular whole blood. We are now concentrating platelets up to 6 times (6X) the normal whole blood concentration in our PRP mixtures.  Once the PRP mixture is properly prepared, it’s directly injected into your anesthetized penis by Dr Gousse (A Board-certified Urologist). The injections are virtually painless. This is commonly called the Priapus Shot, or P-Shot.

The P-Shot is a quick procedure ( less than 5 minutes ) , and you’ll likely be able to leave the clinic in about an hour or less . You also don’t have to do anything to prepare in advance for the procedure. You may drive home yourself. You can return to work immediately. It can even be done during lunch time. The procedure is very discrete. No scars are created, and minimal penile swelling is noted on the day of the procedure.

Using PRP for ED is very promising – It has a very strong scientific basis – currently it is under scientific review and many peer reviewed articles have been published on the subject. .

So far, the scientific studies have not reported any major adverse reactions to PRP therapy.

The researchers concluded that PRP has the potential to be a useful treatment option for ED.

Common Current ED treatments include:

  • Medications. ED medications allow the blood vessels in the penis to dilate and increase blood flow. Example Sildenafil (Viagra ), Tadalafil (Cialis)
  • Lifestyle changes. Becoming more physically active, eating a healthier diet, and quitting smoking all have the potential to improve ED.
  • Vacuum Erection Devices : Vacuum pumps
  • Vasoactive penile Injections: Trimix and Prostaglandin
  • Implant of Penile Prosthesis: As surgical procedure

How much does PRP cost?

No insurance plans currently cover PRP- It is considered cosmetic treatment. The cost of the P-Shot can range widely among clinics. Gousse Urology charges $ 1900.00 for the P-Shot treatment. This is consistent with national rates and Cellular Medicine Association (CMA) recommendations.

If you’re interested in having PRP treatment for ED, call our office. Our friendly staff will answer all your questions about PRP and introduce you to Dr Angelo Gousse who performs the P-Shot treatment himself. Globally, there are at least 683 registered clinics that can administer PRP for ED. Registered PRP clinics tend to provide superior results.  The Cellular Medicine Association certifies clinicians who are entitled to perform the procedure. Dr Angelo Gousse, a reputable nationally recognized urologic surgeon, is a CMA certified P-Shot infector

Risks and side effects 

The 2020 review mentioned earlier found no major PRP adverse effects in the study participants.

PRP is unlikely to cause an allergic reaction or blood borne transmission since the substance being injected is coming from your body. However, as with any type of injection, there’s always a small risk of complications.

If you’re having trouble getting an erection, it’s a good idea to talk to your doctor. You might have an underlying medical or psychologic cause. Do not suffer in silence with ED. Get the proper help. Consider new and non-invasive options such as P-Shot. They might change your life.