Priapus Toxin™ (Bocox) for Erectile Dysfunction in Tustin, CA | Prestige Medical Group
Erectile Dysfunction Treatment · Tustin & Santa Ana, CA

Botulinum toxin for ED.
Restore blood flow naturally.

Priapus Toxin™ (Bocox) is a minimally invasive treatment that uses precise botulinum toxin injections to relax penile smooth muscle, widen arteries, and improve blood flow — restoring firmer, more sustainable erections without daily medications.

Schedule a Private Consultation How It Works
10–15 minute in-office procedure
Results in 1–2 weeks
Lasts 3–6 months
No daily medication
What Is Priapus Toxin™

A new approach to
erectile dysfunction

Priapus Toxin™ — also known as Bocox — is a minimally invasive treatment that involves injecting 100 units of botulinum toxin into the corpus cavernosum of the penis (50 units on each side of the muscle).

This treatment works by relaxing the smooth muscle within the penile tissue, allowing the penis to fill with blood more effectively during arousal. By improving blood flow and reducing excessive muscle tension, Priapus Toxin™ may help restore sexual vitality and improve erectile function.

Many men report stronger erections, improved firmness, and greater confidence in intimate situations after treatment. The procedure takes just 10–15 minutes in our private Tustin or Santa Ana office, with minimal discomfort and little to no downtime.

Precise Clinical Dosing
100 units of botulinum toxin — 50 units on each side of the corpus cavernosum

Watch: Priapus Toxin™ (Bocox) Introduction

Watch: How Priapus Toxin™ improves erections

Key Benefits

Benefits of Priapus Toxin™

Priapus Toxin delivers multiple benefits across erectile function, appearance, and confidence — often where oral medications have fallen short.

Improved Erectile Function
Priapus Toxin™ may help improve erectile performance by enhancing blood flow and relaxing penile smooth muscle — leading to firmer, more sustainable erections.
Enhanced Flaccid Size
Many patients notice an improvement in flaccid hang, which may reduce the appearance of penile shrinkage and improve overall confidence and self-image.
Reduced Premature Ejaculation
Some men experience improved ejaculatory control as a secondary benefit, due to the relaxation of penile smooth muscle from the botulinum toxin.
Improved Sexual Confidence
Stronger erections and improved function can help restore confidence and enhance intimacy — many patients report a noticeable improvement in their overall quality of life.
The Science

How botulinum toxin improves erections

Botox® has been used for many years to relax smooth muscle in medical treatments such as bladder spasm and muscle tension disorders. Researchers believe the same mechanism may benefit erectile function.

When botulinum toxin is injected into the corpus cavernosum, it helps relax the smooth muscle surrounding penile blood vessels. As these muscles relax, arteries widen, blood flow increases, and the penis fills more effectively during arousal — leading to firmer and more sustainable erections.

Botulinum toxin is also known to migrate along nerve pathways (a phenomenon observed in migraine treatment). This migration may influence nerve signaling and potentially increase parasympathetic activity, which plays a key role in erection physiology.

Clinical research indicates that botulinum toxin injections may particularly help men who do not respond well to oral medications such as Viagra or Cialis — offering a promising alternative when traditional ED medications have lost effectiveness.

Mechanism of Action
Relaxes Smooth Muscle
Botulinum toxin relaxes the smooth muscle arterioles surrounding penile blood vessels — releasing chronic tension that restricts arousal
Widens Arteries
As muscles relax, the arteries widen and allow significantly greater blood flow into the penis during arousal
Improves Blood Flow
Improved arterial blood flow allows the penis to fill more effectively, supporting firmer and more sustainable erections
Enhances Nerve Signaling
May migrate along nerve pathways to influence parasympathetic activity — the nervous system signaling that drives erection physiology
Reduces Sympathetic Overactivity
Decreases the overactive sympathetic nervous system signals that can interfere with proper erectile response
The Procedure

What to expect during treatment

Priapus Toxin is a quick, in-office procedure that most patients find comfortable and straightforward. Here’s exactly what happens.

1
Consultation with Dr. Gabal
Private review of your medical history, symptoms, and goals. Dr. Gabal confirms whether Priapus Toxin is the appropriate treatment for you.
2
Cleansing & Preparation
The treatment area is thoroughly cleansed and prepared in a sterile clinical setting. Topical numbing may be applied for added comfort.
3
Precise Injection
Dr. Gabal precisely injects 100 units of botulinum toxin into the corpus cavernosum — 50 units on each side — using careful technique.
4
Return to Normal Activity
Patients return to normal activities shortly after treatment. Most experience minimal discomfort and little to no downtime.
Procedure at a Glance
Treatment Time10–15 minutes
Total Dose100 units botulinum toxin
Placement50 units per side
AnesthesiaTopical numbing (optional)
DiscomfortMinimal
DowntimeLittle to none
Initial Results1–2 weeks
Duration3–6 months
SettingPrivate in-office
Pricing: View Priapus Toxin pricing and book directly through the Prestige App.
Results & Duration

When you’ll see results

Results may begin to appear within 1–2 weeks as the botulinum toxin takes effect. Patients typically notice progressive improvement over this initial period.

Day of Treatment
10–15 minute in-office procedure complete. Return to normal activity the same day. Minimal discomfort or downtime expected.
1–2 Weeks — Initial Results Appear
Botulinum toxin takes effect. Patients notice improved erection firmness, improved blood flow, and enhanced erectile response.
3–6 Months — Sustained Benefits
Results typically last 3–6 months. Many patients report meaningful improvements in confidence, performance, and intimate quality of life throughout this period.
Maintenance Treatments
After 3–6 months, repeat treatments may be recommended to maintain benefits. Many patients schedule maintenance every few months to sustain results.
What Patients Notice

Reported improvements

As the treatment takes effect, patients commonly report the following improvements in the weeks following Priapus Toxin treatment.

Improved Erection Firmness
Stronger, more reliable erections both spontaneously and in response to arousal
Improved Blood Flow
Better penile circulation supports sustained erectile quality
Enhanced Erectile Response
Faster, more reliable response to sexual stimulation
Greater Confidence
Reliability and performance translate directly to confidence in intimate situations
Am I a Candidate?

Who is a good
candidate for Priapus Toxin?

Priapus Toxin may be beneficial for many men. During a consultation, Dr. Gabal will evaluate your medical history and symptoms to determine if this treatment is appropriate for you.

You experience mild to moderate erectile dysfunction
You have reduced response to Viagra or Cialis
You want a non-surgical treatment option
You experience vascular erectile dysfunction
You want to improve erectile quality & confidence
You prefer not to take daily ED medications
Safety & Side Effects
A minimally invasive treatment

Priapus Toxin™ is considered a minimally invasive procedure when performed by an experienced physician. Possible side effects are typically mild and resolve quickly.

Mild swelling at injection sites — resolves within days
Temporary soreness — typically very mild
Minor bruising — uncommon and short-lived
Performed by Dr. Gabal — board-certified urologist with 25+ years of experience
Personal consultation required before any treatment
Combination Therapy

Priapus Toxin works even better combined

Priapus Toxin is often combined with other regenerative treatments for enhanced results. Many patients achieve significantly better outcomes with a combination approach tailored to their specific goals.

+ P-Shot® (PRP)
Combining Priapus Toxin with PRP injections addresses both vascular relaxation and tissue regeneration simultaneously — known as the P-Cox protocol.
↑ Vascular + cellular benefits
Learn about P-Shot →
+ ShockWave Therapy
Combining Bocox with low-intensity shockwave therapy stimulates new blood vessel growth while relaxing existing vessels — comprehensive vascular ED treatment.
↑ Maximum vascular improvement
Learn about ShockWave →
+ Regenerative Therapies
Priapus Toxin can be combined with broader regenerative protocols including IV stem cell therapy for whole-body health that supports sexual wellness.
↑ Systemic regenerative support
Learn about IV Stem Cell →
Common Questions

Priapus Toxin™ questions answered

Have a question not answered here? Call us at (949) 825-7650 — all inquiries are completely confidential.

Ready to get started?
Book your private consultation
Same-day appointments available. Tustin & Santa Ana, CA.
Schedule Now
Want a deeper dive on this treatment? Read our article on the rise of Bocox →
Is Priapus Toxin the same as Bocox? +
Yes. Bocox is a nickname commonly used for botulinum toxin injections used to treat erectile dysfunction. The terms Priapus Toxin™ and Bocox refer to the same treatment — injecting botulinum toxin into the corpus cavernosum to relax penile smooth muscle and improve erectile function.
How long does Priapus Toxin last? +
Most patients experience results lasting 3–6 months, although this may vary based on individual response, lifestyle, and underlying health. Repeat treatments may be recommended every few months to maintain benefits.
Can Priapus Toxin be combined with other treatments? +
Yes. Priapus Toxin is often combined with treatments such as PRP (P-Shot), shockwave therapy, and other regenerative therapies. The Priapus Toxin + P-Shot combination is known as P-Cox.
Is the treatment painful? +
Most patients report minimal discomfort during the procedure. Topical numbing may be applied for added comfort. The treatment takes only 10–15 minutes and patients return to normal activity the same day.
Who performs Priapus Toxin at Prestige Medical Group? +
Priapus Toxin treatments are performed by Dr. Lamia Gabal at Prestige Medical Group in Tustin and Santa Ana, California. Dr. Gabal is a board-certified urologist with over 25 years of experience and specialized expertise in regenerative sexual health treatments. She has been recognized as a Top Doctor by the Orange County Medical Association for 17 consecutive years.
How does Priapus Toxin actually improve erections? +
Priapus Toxin works by relaxing the smooth muscle within the corpus cavernosum. When these muscles relax, the arteries widen, blood flow increases, and the penis fills more effectively during arousal — resulting in firmer, more sustainable erections. Botulinum toxin may also migrate along nerve pathways, potentially increasing parasympathetic activity that supports erection physiology.
When will I see results? +
Results typically begin to appear within 1–2 weeks as the botulinum toxin takes effect. Patients notice improved erection firmness, improved blood flow, and enhanced erectile response during this initial period.
Is Priapus Toxin a good option if Viagra or Cialis isn’t working? +
Yes. Clinical research suggests that botulinum toxin injections may particularly help men who do not respond well to oral medications such as Viagra or Cialis. For patients experiencing reduced effectiveness from traditional ED medications, Priapus Toxin offers a promising non-surgical alternative that works through a completely different mechanism.
Related Treatments
P-Cox — Bocox + P-Shot
The combination of Priapus Toxin with the P-Shot in a single protocol — addresses vascular relaxation and tissue regeneration simultaneously
Learn more →
P-Shot® (Priapus Shot)
PRP injections for erectile dysfunction, sensitivity, and tissue health — natural regenerative therapy from your own blood
Learn more →
ShockWave Therapy for ED
Non-invasive acoustic wave therapy to stimulate new blood vessel growth — no needles, no medications, no downtime
Learn more →
PT-141 Peptide Therapy
Melanocortin receptor agonist that activates sexual desire and arousal through the central nervous system — alternative to PDE5 inhibitors
Learn more →
BioTE® Hormone Therapy
Bioidentical testosterone pellet therapy to restore hormonal balance — improves libido, energy, and erectile function from the inside out
Learn more →
All Men’s Sexual Health Treatments
View the complete menu of men’s sexual wellness treatments at Prestige Medical Group — from PRP to hormones to peptides
View all →

Restore your confidence today.

Schedule a private, confidential consultation with Dr. Gabal in Tustin or Santa Ana. We’ll evaluate your specific concerns, answer all your questions, and determine whether Priapus Toxin is the right treatment for you — with complete discretion.

Request a Consultation (949) 825-7650