Sexual Health · Blog Published February 21, 2024 · Updated December 23, 2025

P-Long® Protocol:
A revolutionary approach to enhance male sexual performance

A natural, non-surgical pathway to improvements in length, girth, and erectile function — combining PRP therapy, supplementation, and at-home devices over a six-month regimen developed by Dr. Judson Brandeis.

Many men look for safe and effective ways to improve sexual performance, including concerns about size, sensation, and erectile function. The P-Long® Protocol offers a natural solution — without surgery or risky procedures. Created by board-certified urologist Dr. Judson Brandeis, this innovative treatment uses Platelet-Rich Plasma (PRP) injections, along with specialized devices and supplements, to help increase length, girth, and overall sexual wellness.

Understanding the P-Long Protocol

The P-Long Protocol centers around the P-Shot — a treatment that uses Platelet-Rich Plasma (PRP) from your own blood. PRP is injected into specific areas of the penis to boost blood flow and support tissue growth, which can lead to increased size and better erectile function.

This treatment is part of a full program that also includes a starter kit with the AFFIRM Nitric Oxide Booster, a Traction Device, and the Dr. Joel Kaplan Vacuum Device — together creating a comprehensive, multi-modal approach to natural male enhancement.

Watch: An overview of the P-Long® Protocol

See Real Results
Browse before & after photos from P-Long patients

Key components of the P-Long Protocol

The protocol’s strength lies in how four distinct elements work together — each amplifying the others’ effects over the six-month regimen.

1
Platelet-Rich Plasma (PRP) Injections

Administered once a month for six months, PRP injections promote tissue regeneration and stimulate growth — potentially resulting in gains of up to an inch in length and half an inch in girth.

2
AFFIRM Nitric Oxide Booster

This supplement supports erectile health by naturally boosting nitric oxide levels, improving blood flow, and enhancing overall sexual performance.

3
Traction Device

Designed to be used at home, the traction device applies gentle traction to the penis — promoting tissue expansion and maximizing the effects of the PRP injections.

4
Dr. Joel Kaplan Vacuum Device

A vacuum device that aids in achieving firmer and fuller erections — contributing to improved sexual satisfaction and performance as the protocol progresses.

Clinical evidence and expectations

The effectiveness of the P-Long Protocol is supported by clinical trials, where healthy men experienced significant gains in both length and girth after completing the six-month regimen.

Results may vary based on individual factors, but long-lasting improvements in size and function are anticipated. Unlike temporary solutions such as fillers, the results of the P-Long Protocol are expected to be permanent — providing lasting benefits for sexual wellness.

A Lasting Result
Unlike temporary fillers, P-Long results are expected to be permanent — the protocol stimulates real tissue growth, not temporary volume.

Addressing common questions

Does it hurt?

The procedure involves two injections into the shaft of the penis, but discomfort is minimized with numbing medication. Additional options like Pronox laughing gas are available for those seeking a painless experience.

Does it help with erectile dysfunction?

While the P-Long Protocol primarily focuses on penis growth, it can also contribute to improved erectile function. Additional treatments like ShockWave Therapy may be recommended for individuals with ED.

How fast will I see results?

Most individuals begin to notice a difference around months 2-3, with continued improvement over the course of the treatment.

Is there downtime?

Mild swelling or bruising may occur, but patients can resume normal activities immediately after the procedure.

Ready to learn if P-Long is right for you?

Schedule a confidential consultation with Dr. Gabal in Tustin or Santa Ana to discuss the P-Long Protocol, review your eligibility, and develop a personalized treatment plan.

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