The P-Long® Protocol:
A revolutionary approach to enhance male sexual performance
A comprehensive deep-dive — including the complete 20-minute physician explanation by Dr. Lamia Gabal, the published clinical evidence, and how PMG customizes the protocol for men with ED.
“The P-Long Protocol represents one of the most studied, evidence-based approaches to natural male enhancement — and the complete 20-minute video below walks through everything you need to know.” — Dr. Lamia Gabal, MD
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 a modified 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 comprehensive program that also includes a starter kit with the AFFIRM Nitric Oxide Booster, the AndroDEEP Traction Device, and your choice of Dr. Joel Kaplan or Vaxaid Vacuum Device — together creating a multi-modal approach to natural male enhancement.
The Complete Physician Explanation
Watch Dr. Lamia Gabal — Board-Certified Urologist and Certified P-Long Provider — explain the science, technique, patient selection, and expected outcomes in detail. This is the single most comprehensive explanation available from PMG.
Dr. Lamia Gabal, Board-Certified Urologist at Prestige Medical Group — the complete 20-minute explanation.
Four Coordinated Components
The protocol’s strength lies in how four distinct elements work together — each amplifying the others’ effects over the six-month regimen.
Administered once a month for six months under ultrasound guidance. PRP injections promote tissue regeneration and stimulate growth for real measurable gains.
This nutritional supplement supports erectile health by naturally boosting nitric oxide levels, improving blood flow, and enhancing performance. Available in-office at PMG.
Designed for daily at-home use, the traction device applies gentle, consistent force to promote tissue expansion and maximize PRP effectiveness.
Choose Dr. Joel Kaplan or Vaxaid pump based on preference. Aids in achieving firmer, fuller erections while improving blood flow throughout the protocol.
When Will You See Results?
Setting the right expectations is one of the biggest predictors of success. Here’s what actually happens month-by-month.
The most common reason men don’t see optimal results isn’t the protocol — it’s quitting during the early cellular regeneration phase when nothing looks like it’s happening. Stay the course.
Clinical Evidence and Expectations
The effectiveness of the P-Long Protocol is supported by published clinical research. In the Brandeis et al. 2023 study, healthy men experienced significant gains in both length and girth after completing the six-month regimen — averaging 0.805 inches in length and 0.469 inches in girth, with 100% reporting improved erectile function and zero adverse events.
Results may vary based on individual factors, but long-lasting improvements in size and function are anticipated. Unlike temporary solutions such as fillers, the P-Long Protocol stimulates actual tissue remodeling — providing lasting benefits for sexual wellness.
P-Long + ED Enhancement
While the primary goal of P-Long is size enhancement, 100% of participants in the published study reported improved erectile function. At Prestige Medical Group, we routinely treat men with erectile dysfunction using a customized P-Long approach.
Based on your SHIM score at consultation, Dr. Gabal may recommend adding complementary treatments:
- ShockWave Therapy — often added for mild ED to improve blood flow
- Apex RF — radiofrequency treatment for enhanced tissue quality
- Exosome Therapy — advanced regenerative option for select candidates
- Priapus Toxin (Bocox) — botulinum toxin therapy for ED support
The right combination is determined case-by-case at your consultation — one of the ways PMG’s P-Long program is uniquely positioned to help men with ED, not just enhancement candidates.
Addressing Common Questions
The procedure involves two injections into the shaft of the penis. Discomfort is minimized with numbing medication. Additional options like Pronox (nitrous oxide) are available for those seeking a more comfortable experience.
Yes. 100% of participants in the published clinical study reported improved erectile function. At PMG, we customize the protocol for men with ED — potentially adding ShockWave Therapy, Apex RF, or Exosome Therapy based on your SHIM score.
The first 6 weeks are a cellular regeneration phase with no visible changes yet. Most patients begin seeing visible results around month 4, with peak results at the 6-month study endpoint.
Mild swelling or bruising may occur, but most patients return to normal activities the same day. Zero adverse events were reported in the published clinical study.
In the published Brandeis et al. 2023 study, every participant had positive results — averaging 0.805 inches length gain and 0.469 inches girth gain over 6 months. See our before & after photos for real PMG patient outcomes.
Good candidates are healthy adult men committed to daily traction and vacuum device use, willing to be nicotine and marijuana-free during treatment. Dr. Gabal evaluates each patient individually — including SHIM score assessment for men with ED concerns.
Why Choose PMG?
P-Long is not a DIY protocol or a technique any office can replicate. Prestige Medical Group is a certified P-Long provider with a direct relationship with Dr. Brandeis’s office — the developer of the protocol. This ensures you receive the authentic protocol as researched, published, and continuously refined by its originator.
Ready to Learn if P-Long Is Right for You?
Schedule a confidential consultation with Dr. Lamia Gabal in Tustin or Santa Ana to discuss the P-Long Protocol, review your eligibility — including SHIM score assessment for ED patients — and develop a personalized treatment plan.
Brandeis J, Lu S, Runels C. (2023). Increasing Penile Length and Girth in Healthy Men Using a Novel Protocol: The P-Long Study. Andrology: Open Access. 12:293. DOI:10.35248/2167-0250.23.12.293
