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Male Sexual Performance

Priapus Toxin™

Premature ejaculation isn't a character flaw. It's a training problem — the result of the nervous system firing in a pattern it learned. Priapus Toxin™ uses a precise injection of Xeomin® into penile tissue to address that pattern, as well as the vascular tension that contributes to erectile dysfunction and Peyronie's disease. Shannon holds Canadian Clinical Instructor certification for this procedure and is one of a small number of providers in Canada performing it.

Who This Helps

What men address with this procedure

Premature ejaculation
Erectile dysfunction (vascular component)
Peyronie's disease — curvature or plaque
Reduced control over ejaculatory timing
Penile tissue tension or discomfort
Wanting to enhance sexual duration and control

The Science

How this works

Xeomin® (incobotulinumtoxinA) temporarily reduces muscle hyperactivity and vascular tension in the treated tissue. Applied to the penis via the Runels Priapus Toxin™ protocol, it can reduce the smooth muscle hypersensitivity that drives premature ejaculation, and the tissue tension that impairs blood flow in vascular ED and Peyronie's.

This is not a standard cosmetic Botox injection applied to a different location — the product, dosing, technique, injection depth, and clinical rationale are all specific to this application.

Mechanism and Research Priapus Toxin™ applies the same autonomic nervous system mechanism as Clitoxin™ — but to male penile tissue. When Xeomin® is injected into the corpus cavernosum, it is taken up by axonal transport to the ganglia in the pelvic plexus, which signal the arousal center in the hypothalamus, raising the baseline arousal set point. Additionally, botulinum toxin relaxes smooth muscle in penile arterioles, increasing blood flow and engorgement. It also stimulates neovascularization (new blood vessel growth), neurogenesis (new nerve growth), and collagenesis — effects documented in wound-healing research dating to the 1950s. For premature ejaculation specifically: the mechanism is reduction of smooth muscle hyperactivity and penile hypersensitivity that lowers the ejaculatory threshold. Published case series and clinical reports show meaningful improvement in ejaculatory latency in men treated with intracavernosal botulinum toxin. For vascular ED: smooth muscle relaxation increases arterial blood flow to erectile tissue, complementing the regenerative effects of PRP and shockwave therapy. For Peyronie's disease: smooth muscle relaxation in the plaque area may reduce tissue tension and discomfort associated with curvature. Xeomin® (incobotulinumtoxinA) is the only product authorized for this use under our clinical framework — the same product used in the published Runels research. Botulinum toxin has been used millions of times annually in women and men for two decades with a well-established safety record at the dosages used for these procedures.

Off-Label Disclosure

Dosing: Published research used 50 and 100 units of intravernosal Xeomin®. At 100 units, results have been shown to last up to 9–12+ months versus approximately 6 months at 50 units. Current clinical practice at the CMA level favors 100 units as standard. Xeomin® is the only product used — Daxxify has been found clinically to have less effect on the autonomic nervous system pathway relevant to this procedure and is not appropriate.

Priapus Toxin™ is an off-label application of botulinum toxin type A. Off-label use is common, legal in Canada, and accounts for approximately 21–31% of all prescriptions written. Full informed consent including off-label disclosure is obtained at your assessment. Shannon will explain the evidence honestly and tell you whether this procedure is likely to help your specific situation before you make any decision. Only providers listed at pshot.info are certified to perform this procedure under the Runels protocol.

The Procedure

What happens at your appointment

1

Assessment

A full health history and symptom review. Shannon will confirm candidacy and answer all questions before you commit to anything.

2

Numbing

Topical BLT 20/8/8 cream is applied and allowed to work fully. The procedure is significantly more comfortable than most men expect.

3

Injection

Xeomin® is injected into penile tissue per the Runels Priapus Toxin™ protocol. The injection itself is brief.

4

Done

No downtime. Post-procedure instructions reviewed. You leave and resume your day. Follow-up at 4–6 weeks.

What to Expect

Timeline

Procedure Time

45–60 minutes

Downtime

None

Onset

7–14 days

Duration

3–6 months at 50u · 9–12+ months at 100u

Retreatment

No sooner than 3 months

Often Combined With

P-Shot™ (same appointment)

Candidacy

Good fit vs. needs discussion

Likely a good fit

  • Premature ejaculation
  • Vascular erectile dysfunction
  • Peyronie's disease
  • Penile tissue tension
  • No neuromuscular conditions

We'll need to discuss

  • Neuromuscular disease (myasthenia gravis, ALS)
  • Aminoglycoside antibiotic use
  • Botulinum toxin injection within 3 months to any site
  • Active infection at injection site
  • Pregnancy (partner — discuss implications)

Certified Provider — Verify Credentials

Verify Shannon's Priapus Toxin™ certification on the official CMA provider directory.

Verify Certification →

Two or three years is long enough to wait

A free Discovery Call is confidential, no-pressure, and usually clarifies things fast. Most men leave knowing exactly whether this is the right direction for them.

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Individual results vary and are not guaranteed. Priapus Toxin™ is an off-label application of botulinum toxin type A (Xeomin®). All procedures are performed under medical delegation from our Medical Director. Seek emergency care immediately if erection persists beyond 4 hours.
It costs nothing to learn more about what you're going through and how we can help.
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