✅ Medically reviewed
You booked the appointment and sat through the injections. Then you drove home the same afternoon. Now each morning brings one quiet question: is anything happening yet?
That question sits behind almost every P shot before and after search. Most men don’t just want to know whether the Priapus Shot works. Instead, they want to know when it works, because they need a calendar rather than a sales pitch.
Here is the truth many guides skip: the P Shot rewards patience, and it rewards men who know what to look for.
The treatment uses platelet-rich plasma from your own blood. Once it reaches the penile tissue, its growth factors start a slow repair process. Over the following weeks, fresh blood vessels form, nerve fibers renew and tissue quality improves. However, none of that happens overnight, so the calendar really matters.
For that reason, this guide takes a different route. Rather than promising vague “results in a few weeks”, it walks you through every checkpoint, from your first consultation to the twelve-month mark. At each stage, you’ll learn what you may notice, what to do and what to ask.
Every detail below also follows the treatment protocol at Dr SNA Clinic London, where Dr Syed Nadeem Abbas performs each P-Shot personally on Wimpole Street. So, let’s start the clock.
Before the Clock Starts: Your Consultation
Your timeline doesn’t begin with a needle. Instead, it begins with a private consultation lasting 30 to 45 minutes.
During this visit, Dr Abbas looks at your medical history, current concerns, medications and baseline erectile function. You can also ask anything about what the treatment can and cannot do. Better still, you don’t have to commit to anything on the day.
That baseline matters more than most men realise, because without a clear “before”, you can’t judge your “after”.
Questions Worth Asking on Day Zero
Before you arrive, jot down a few questions. For example:
- What is most likely causing my symptoms?
- Would the standard session or the shockwave combination suit me better?
- Could any of my medications affect my suitability?
- Which change should I expect to notice first?
Equally important, the clinic doesn’t treat everyone. An active genital infection, a bleeding or platelet disorder, or ongoing cancer treatment in the pelvic region rules you out. Similarly, anticoagulant use rules you out unless your prescribing doctor clears it. A known allergy to local anaesthetic also needs discussion first.
Treatment Day: How It Actually Feels
Many men worry about this part most, yet the visit is shorter than you might think. From arrival to departure, the full appointment usually takes 30 to 45 minutes.
First, the team numbs the area with cream. If you’d like extra comfort, you can also request a penile nerve block. Next, the team takes a small blood sample from your arm, much like a routine test.
While a centrifuge spins your sample twice to concentrate the platelets, you simply relax in the treatment room. After that, Dr Abbas prepares the plasma himself and maps each injection site around your anatomy. Finally, he places the injections with ultra-fine needles, usually in four or five spots.
Thanks to the numbing, most patients notice little more than a brief sense of pressure. Afterwards, you can drive, head back to your desk and carry on with your day. If you’d like to see how a full P-Shot appointment runs from start to finish, the treatment page covers every stage.
Days 1 to 5: The Quiet Settling Period
The First 48 Hours
For a day or two, you may notice slight swelling or tenderness. That’s perfectly normal, and it fades without any help. In fact, most men show no visible sign of treatment at all.
Why Intimacy Waits a Few Days
Give intimacy a short break, since the clinic suggests holding off for around four to five days. That window lets the treated tissue settle properly before it starts any real work.
Where it’s clinically appropriate, Dr Abbas also provides a medical-grade vacuum device for home use. If you follow his instructions, it supports blood flow to the area during early healing.
Think of this short pause as part of the treatment, not a delay to it.
Weeks 1 to 2: Patience Over Panic
This is often the stage where doubt creeps in. Beneath the surface, the growth factors have already started work, although you may not feel much yet.
Some men sense a gentle lift in sensitivity. Meanwhile, others notice nothing at all, and both responses are completely normal. One verified reviewer even described feeling changes from day one, whereas many men need longer.
A Simple Habit That Pays Off
To make progress easier to judge, keep a private weekly note. Once a week, write down three things:
- How often you wake with a morning erection
- How firm erections feel on a simple 1–10 scale
- Any change in sensation
Small notes today become your clearest P shot before and after evidence at follow-up. After all, memory blurs from week to week, but written notes stay sharp.
Weeks 3 to 4: The First Real Signals
According to the clinic’s own comparison, results typically begin to show at around three to six weeks. So, around week four, many patients start to pick up early signs.
For instance, you might find that touch feels more vivid than before. Likewise, you may wake with firmer morning erections more often. Inside the tissue, meanwhile, new blood vessels continue to develop.
For many men, that first stronger morning erection is the moment the treatment starts to feel real.
What If Week Four Feels Flat?
Don’t panic. A quiet week four doesn’t mean the treatment has failed, because the main results window still lies ahead. Until then, keep your notes going and bring them to your first review.
Week 6: Your First Progress Review
Your package includes a follow-up consultation at six weeks, which gives you your first proper check-in since the injections.
So, make it count. Share your weekly notes, then describe what has changed and what hasn’t. Together, you and your doctor will review your progress and discuss whether a complementary approach could help later.
This visit turns guesswork into a clear plan.
Weeks 8 to 12: The Biggest P-Shot Before and After Changes
For most patients, this stretch brings the strongest results so far. Typically, erections start to feel more dependable and stay firmer. At the same time, sensation often sharpens, and confidence tends to follow close behind.
If curvature from Peyronie’s disease brought you to the clinic, this is also when some men find the bend eases or causes less discomfort. On top of that, collagen stimulation may support tissue quality, and some men may see girth improve over time. Still, outcomes in this area vary widely, so expect an honest conversation about them from your first visit.
For a wider look, read our guide to realistic P-Shot outcomes.
The Twelve-Week Review
Your package also covers a second follow-up at twelve weeks. By now, you and your doctor can compare your before and after picture properly. Then, together, you’ll decide whether a further session or a maintenance plan makes sense.
Month 12 and Beyond: Keeping Results Going
On average, results last for 12 months or more. However, your age, circulation and lifestyle all shape how long yours hold.
Most men begin with a single session. After that, the clinic tailors any maintenance to your personal goals, and plenty of patients book a yearly top-up to protect their progress. You can also explore P-Shot results over time on the treatment page.
The best outcomes don’t end at month twelve; instead, they continue with a plan.
What Shapes Your Personal Timeline
No two journeys look the same, because several factors can speed progress up or slow it down.
Your Underlying Cause
Erection problems arise from many sources, including reduced blood flow, age-related tissue changes, medication side effects, diabetes and psychological factors. Of these, men whose issues come mainly from blood flow, at a mild to moderate level, usually respond most consistently. Meanwhile, the clinic reviews men recovering from prostate surgery or pelvic radiotherapy individually and with extra care.
Your Overall Health
Age, circulation and lifestyle all play a part. In short, better general health gives the growth factors better conditions to work in.
Your Chosen Package
Alternatively, the Enhanced P-Shot adds low-intensity shockwave therapy in the same visit. During this step, acoustic waves boost cellular uptake and further encourage new blood vessels. For that reason, the clinic recommends it when poor blood flow drives the problem.
Quick Answers to Common Timeline Questions
Can I Go Straight Back to Work?
Yes. Because the treatment involves no downtime, most men return to driving and desk work the same day.
Will I Need More Than One Session?
Usually not at first. Most men start with one session, and then the clinic plans maintenance around their goals.
When Should I Judge the Final Result?
Ideally, wait until your twelve-week review. Before then, your body is still building new tissue, so early impressions rarely tell the full story.
Price, Appointment Times and Clinic Details
Dr SNA Clinic lists every price openly, so you know the full cost before you decide:
- Standard P-Shot: £1,250, with your consultation fee credited towards treatment
- Enhanced P-Shot + Shockwave: £1,350 (previously £1,750)
Both packages also include:
- A consultation with Dr Abbas
- Dual-spin PRP processing
- Numbing cream or a nerve block
- Injections performed personally by Dr Abbas
- Follow-ups at six and twelve weeks
If you’d rather spread the cost, 0% finance is available. To learn more, call the team on the number below.
Clinic details:
- Address: 48 Wimpole Street, Marylebone, London W1G 8SF
- Opening hours: 10:00 – 18:00 (UK time)
- Primary line: +44 7955 836986
- Office line: +44 20 3846 7111
- Email: info@drsnaclinic.com
Additionally, the clinic holds a 4.9-star rating on Google from 36 reviews and 4.2 stars on Trustpilot from 6 reviews. When you’re ready to book, visit the official page for the Priapus Shot in London.
See It Before You Book
Reading helps, although watching often helps even more. The clinic films patient stories and doctor explanations at its London premises, so you can watch them on our YouTube channel before your consultation.
Hearing other men describe their journey often makes your own first step easier.
Final Thoughts
A p shot before and after the journey isn’t a single moment. Rather, it unfolds in stages: a settling phase, early signals, a main results window and long-term maintenance. Once you understand those stages, the waiting stops feeling like guesswork.
So, track your progress and use both follow-ups. Ask direct questions, and above all, give the biology time to work.
The men who gain the most from the P-Shot are usually the ones who understand the timeline before they start.
If you feel ready to find out whether the treatment suits you, book a consultation for P-Shot treatment at Wimpole Street. There, Dr Abbas will give you an honest answer, with no pressure and no hard sell.
Dr Syed Nadeem Abbas, MBBS, MRCSEd, MSc Aesthetic Plastic Surgery (Distinction) Medical Director, Dr SNA Clinic 48 Wimpole Street, Marylebone, London W1G 8SF GMC Registered | CQC Regulated | Monday to Saturday 10:00–18:00 +44 7955 836986 | info@drsnaclinic.com
