Advanced men’s sexual wellness. Discreet. Effective.
At Prestige Medical Group, we specialize in treating men’s sexual health concerns with advanced, personalized treatments — addressing the physical causes of sexual dysfunction with the most innovative options available in Orange County.
Personalized care for real concerns
Sexual dysfunction affects a significant percentage of men and can have profound effects on confidence, relationships, and quality of life. The good news: the majority of cases have effective, evidence-based solutions.
At Prestige Medical Group, Dr. Lamia Gabal and her team offer a comprehensive range of treatments specifically designed to address the physical causes of erectile dysfunction, premature ejaculation, low libido, and performance concerns — without relying solely on oral medications.
Every consultation is completely private. Dr. Gabal takes the time to understand your specific concerns, health history, and goals before recommending a personalized treatment plan. Many treatments are performed in-office with no downtime and minimal discomfort.
11 advanced treatments. One trusted practice.
Each treatment is physician-administered in our Tustin or Santa Ana office. Most require no general anesthesia and allow you to return to normal activity the same day. Curious about pricing? View and purchase directly through the Prestige App.
P-Shot® (Priapus Shot)
The P-Shot is a natural treatment using platelet-rich plasma (PRP) derived from your own blood — concentrated growth factors that, when injected into targeted areas of the penis, stimulate tissue regeneration, improve blood flow, enhance sensitivity, and strengthen erections. Results typically appear within weeks and can last 12–18 months.
- Improves erectile function
- Treats Peyronie’s disease
- No downtime, in-office procedure
P-Long® Enhancement Protocol
P-Long® is a non-surgical protocol combining PRP, traction, and complementary therapies to safely increase penile length and improve overall sexual performance over time — a physician-supervised, evidence-based enhancement approach without surgery.
- Increases penile length progressively
- No surgery, no implants
- Physician-supervised protocol
P-Thick™ Penile Girth Enhancement
P-Thick™ uses a specialized filler technique to enhance penile girth — increasing circumference for improved confidence, sensation, and satisfaction. Performed in-office with local anesthesia; results are immediately visible with minimal downtime.
- Immediate visible girth increase
- Local anesthesia — minimal discomfort
P-Max™ — Maximum Enhancement
P-Max™ pairs P-Thick™ girth enhancement with P-Long® lengthening for a maximum boost in size, blood flow, and sexual health — a comprehensive approach addressing both dimensions of enhancement and erectile quality in a single integrated protocol.
- Combines length and girth enhancement
- Premium integrated protocol
ShockWave Therapy for ED
Low-intensity shockwave therapy (LiSWT) uses focused acoustic waves to stimulate new blood vessel growth in the penis — directly addressing the vascular root cause of most erectile dysfunction. Typically 6 sessions over several weeks. Can be combined with the P-Shot for enhanced results.
- Addresses root vascular cause of ED
- No needles, no medications
Apex RF by InMode
Apex RF is a non-invasive treatment for erectile dysfunction that combines radiofrequency (RF) energy with electrical muscle stimulation (EMS) — designed to support healthy blood flow and pelvic floor muscle tone through a series of comfortable in-office sessions.
- Combines RF energy with EMS
- Complements ShockWave and P-Shot
Bocox™ (Priapus Toxin) for ED & PE
Bocox™ uses botulinum toxin precisely injected into penile tissue to relax smooth muscle and increase blood flow — addressing erectile dysfunction at its mechanical root, and relaxing the bulbospongiosus muscle to significantly delay ejaculation for premature ejaculation as well.
- Relaxes muscle to increase blood flow
- Results within days of treatment
P-Cox™ — Priapus Toxin + P-Shot
P-Cox™ combines Priapus Toxin™ with the P-Shot in a single integrated treatment protocol — botulinum toxin relaxes penile smooth muscles and improves circulation while the PRP rejuvenates tissue, addressing both erectile function and ejaculatory control simultaneously.
- Addresses ED and PE together
- Comprehensive dual-action protocol
PT-141 Peptide Therapy
PT-141 (Bremelanotide) is a melanocortin receptor agonist that activates sexual desire and arousal through the central nervous system — rather than simply increasing blood flow like PDE5 inhibitors. Works for both men and women.
- Activates desire via the nervous system
- Available for men and women
UroSculpt™ Penile Filler
UroSculpt™ uses hyaluronic acid filler to safely and precisely enhance penile girth — providing immediate, natural-looking results with no surgery and no downtime. Biocompatible, gradually absorbed over time, and reversible.
- Immediate results, no downtime
- Biocompatible, reversible filler
BioTE® Hormone Therapy for Men
BioTE® uses pellets inserted under the skin to deliver a consistent, physiological dose of testosterone optimized for your individual lab values — addressing the hormonal root of low libido, ED, fatigue, mood changes, and muscle loss. Pellets last 3–6 months.
- Restores testosterone naturally
- 3–6 month duration per insertion
The Prestige difference
Orange County’s most comprehensive men’s sexual health program — delivered by a board-certified urologist with discretion, expertise, and genuine care.
All consultations and treatments are conducted with absolute discretion in a comfortable, judgment-free environment.
Dr. Gabal is a dual board-certified urologist and FPMRS specialist with 25+ years of experience — a Top Doctor for 18 consecutive years.
The most comprehensive range of men’s sexual health treatments in Orange County — including Bocox, P-Cox, Apex RF, and P-Long.
Every consultation begins with a thorough evaluation and a customized treatment plan based on your goals.
Most treatments are performed with local anesthesia — no hospital stay, back to normal the same day.
View treatment pricing and book appointments directly through the Prestige Medical Group app.
2-minute wellness check-in
Not sure where to start? Answer five quick questions and Dr. Gabal’s team will follow up with you. This is a self-assessment, not a diagnosis.
Thank you
Your check-in has been submitted, and a confirmation has been sent to your email. Dr. Gabal’s team will be in touch. Questions before then? Call (949) 825-7650.
View pricing & book through the Prestige App
Curious about pricing for men’s sexual health treatments? View costs, read about each service, and book your appointment directly through the Prestige Medical Group app — private, convenient, and available 24/7.
Men’s sexual health questions answered
Have a question not answered here? Call (949) 825-7650 — all inquiries are completely private.
What treatments are available for erectile dysfunction?
We offer multiple evidence-based ED treatments: ShockWave therapy, Apex RF, P-Shot®, Bocox™, P-Cox™, PT-141, and BioTE hormone therapy. A personalized combination plan is often most effective.
What is the P-Shot and does it work?
The P-Shot uses platelet-rich plasma (PRP) from your own blood — concentrated growth factors injected into the penis to stimulate tissue regeneration, improve blood flow, and enhance sensitivity. Results appear within weeks and typically last 12–18 months.
What is Apex RF and how does it compare to ShockWave?
Apex RF uses radiofrequency energy combined with electrical muscle stimulation — a different mechanism than ShockWave’s focused acoustic waves. Both are non-invasive, drug-free ED treatments. Dr. Gabal will help determine which — or which combination — is best for you.
Is shockwave therapy painful?
Most patients describe it as a mild tingling or tapping sensation, not painful. No anesthesia is required. Sessions take about 20–30 minutes, typically 6 sessions over 3–6 weeks.
How does Bocox work for ED and PE?
For ED, it relaxes the smooth muscle of the penis to increase blood flow. For PE, it relaxes the bulbospongiosus muscle to delay ejaculation. Results typically appear within days, with no daily medication required.
Are these treatments covered by insurance?
Most men’s sexual health treatments are considered elective and not typically covered by insurance. Diagnostic evaluation for ED may be billable. CareCredit financing is available.
Can I have more than one treatment done at the same visit?
Yes. Combination protocols are common — P-Max™ combines P-Long and P-Thick, while P-Cox™ combines the P-Shot with Priapus Toxin. Dr. Gabal will recommend whether a combination approach fits your goals.
Take the first step toward better sexual health.
Schedule a private, confidential consultation with Dr. Gabal in Tustin or Santa Ana. No judgment, no pressure.