Erectile Dysfunction

Dr. Leonardo was personally trained by Dr. Runels who developed the P-shot procedure.


Dr. Leonardo is one of the first certified P Shot providers in Canada, first to be certified in Ontario back in 2016.


Priapus Shot Provider Directory, maintained by Dr. Runels, the inventor of the procedure.


His video on the P Shot is featured on the PRIAPUS SHOT® official website.


Dr. Leonardo is an official provider of GAINSWave, He is one of two physicians enlisted in GAINSWave directory of Gainswave providers in Ontario, Greater Toronto Area GTA.

Visit Dr. Leonardo's profile on GAINSWave.com

Erectile Dysfunction (ED) or impotence is defined as the inability to get or keep an erection firm enough for sexual activity. As men age, erectile function is compromised to varying degrees for one reason or another. One does not have to be completely impotent to suffer from ED. The fact that you are no longer achieving optimal firmness may be enough to cause self-esteem issues that impact your relationships and sense of worth.

Current treatment options include use of vacuum pumps, prescription medication, and surgery. Vacuum pumps can assist in achieving erections, however, they can be cumbersome and interfere with spontaneity. Vacuum pumps basically expand pre-existing blood vessels and do not promote formation of new circulation. Prescription medications like Viagra and Cialis (PDE5 inhibitors) work well, but can be expensive and require planning as most would rather not waste an expensive pill unless they have a high certainty of having a sexual encounter. There may also be associated undesired side effects like flushing, congestion, visual changes, headache, and dizziness. Drug interactions with these medications are also a concern, particularly with nitrate drugs used to treat hypertension. The combination of PDE5 inhibitors and nitrates may result in a severe and potentially fatal drop in blood pressure. Surgery is invasive and may require general anesthesia. The postoperative recovery period may require time off from work and physical activities. In addition, surgical procedures may result in unsightly scars.

Dr. Leonardo offers the latest treatment for ED, the Priapus Shot® (P-Shot®), which developed from Platelet Rich Plasma (PRP) Treatments. The P-Shot® is a nonsurgical option to strengthen erections. Patients who have had success with Viagra and Cialis may no longer need those medications or will require a lower dose. There is more spontaneity when the mood strikes to be able to achieve firmer erections. The penis is rejuvenated as more blood vessels and penile tissue develop from the procedure. Patients get all the benefits of improved erectile function without unwanted side effects, the risk of drug interactions, and minimal to no recovery period.


Dr. Leonardo explains the Priapus Shot (P-Shot): Erectile Dysfunction Treatment using PRP Therapy


Priapus Shot (P Shot):
Priapus Shot (P Shot) is a nonsurgical option to strengthen erections, which developed from Platelet Rich Plasma (PRP). Patients who have had success with Sildenafil may no longer need those medications or will require a lower dose. There is more spontaneity when the mood strikes to be able to achieve firmer erections. The penis is rejuvenated as more blood vessels and penile tissue develop from the procedure. Patients get all the benefits of improved erectile function without unwanted side effects, the risk of drug interactions, and minimal to no recovery period. We now offer the latest exciting treatment for Erectile Dysfunction and Peyronie's Disease.

Peyronie's Disease:
Peyronie's Disease is a form of erectile dysfunction that causes a bend in the penis that can make erections quite painful. The problem is caused by scar tissue, called a plaque, that forms inside the penis. It can make the penis bend upward or to the side.

The cause of Peyronie's Disease is unknown but many researchers believe that the plaque forms after trauma that causes bleeding inside of the penis. However, many are unaware of injury or trauma. There is a genetic component as it is less frequent in Asian men. Smoking greatly increases the risk. Men with Peyronie's have increased incidence of antibodies to collagenase. Therefore, they are more prone to scar formation.

Treatment usually entails injecting medication into the penis or even surgery. Our approach, however, is multimodal. We utilize a protocol with low risk and as natural as possible in that we are using the body's own ability to heal itself via the Priapus Shot® (P-Shot®). The P-Shot® is ideal in this application as its effects are anti-scarring. In addition, the P-Shot® promotes increased circulation to the penile tissue. Protocol calls for up to a series of 3 treatments, one shot every 6-8 weeks.

We recommend concomitant use of a pump or traction device. We also recommend daily supplements of Vitamin E 1200 IU, Vitamin C 3000mg, CoQ10 300mg, and B-Complex. In addition, we would like to increase circulation and recommend walking at least 21 miles per week. Cialis 2.5-5mg daily is also prescribed to improve erectile function in combination with the effects of the P-Shot®. We strongly emphasize the importance of smoking cessation

gains-wave

What is GAINSWave®?
GAINSWave is a proven protocol for men that improves sexual performance, treats ED and keeps the penis healthy. GAINSWave will benefit any man seeking to enhance his sexual pleasure and performance.

How does GAINSWave work?
GAINSWave works by using high-frequency acoustic waves to open existing blood vessels in the penis, stimulate the growth of new blood vessels, and eliminate micro-plaque. The result is increased blood flow in the penis resulting in stronger, harder, and more sustainable erections.

Is this new?
This therapy has been used in Europe for over 15 years with great success.

How many treatments are required?
Depending on your goals anywhere from 6-12 treatments are recommended. We also have a preventative maintenance and performance package to maintain results and optimize performance.

What are the advantages of GAINSWave over other ED medications and treatments?
  • Is drug and surgery-free
  • Is completely non-invasive, and has no known side effects
  • Is a simple in-office procedure, with each treatment taking only 20-30 minutes
  • Provides long-lasting results with no downtime
  • Only protocol that actually addresses the root cause of ED, poor blood flow.
  • Enhances erections
  • Improves sexual performance
  • Increases sensation in the penis
  • More spontaneous erections
  • Better orgasms
Is there clinical research?
Numerous studies show this is the most effective ED treatment available. Visit GAINSWave.com to see all the clinical data.

Is GAINSWave covered by insurance?
No - GAINSWave is not covered by insurance. Please check with your certified GAINSWave provider on treatment packages and pricing.