The official CMA-sanctioned P-Shot® training in Phoenix. Comprehensive male penile anatomy, PRP preparation, the penile nerve block, the complete multi-site injection protocol for erectile dysfunction and Peyronie's disease, adjunctive therapy protocols, live patient injection, and full CMA provider certification. Taught by Naomi Fayzulayev, FNP-C — an officially certified CMA instructor for the P-Shot®, O-Shot®, and Vampire® procedures.
Questions? Call 480-447-8166 or email clinic@besowb.com
Bundle with O-Shot® for a combined sexual wellness discount.
This is the official P-Shot® curriculum as defined by the Cellular Medicine Association — nine modules spanning male sexual physiology, PRP science, patient selection, nerve block technique, the complete multi-site injection protocol, adjunctive therapies, and practice integration. The morning is structured didactic; the afternoon is supervised hands-on practicum with live consented patients. Every attendee performs the complete P-Shot® protocol.
Anatomy is taught as an injection-planning framework — every structure covered in terms of what it means for your needle placement, target tissue, and the vascular structures you must not compromise.
The penile nerve block is the single most undertaught element in P-Shot® training on the market. This module covers it with full supervised hands-on practice during the afternoon session — including managing incomplete blocks before proceeding to injection.
Demonstrated by Naomi first, then performed by every attendee on live consented patients during the afternoon session.
The most common ED etiology — insufficient arterial inflow due to endothelial dysfunction, atherosclerosis, or diabetes. PRP growth factors stimulate VEGF-driven angiogenesis and smooth muscle remodeling in the corpus cavernosum, supporting improved hemodynamic response over 4–12 weeks.
Fibrous plaque formation causing penile curvature, painful erection, and often psychological distress. PRP's anti-inflammatory cytokines and collagenase-stimulating growth factors address the plaque directly — with injection modified to target the fibrous tissue. Best results in stable (non-acute) disease.
ED following radical prostatectomy, pelvic surgery, or neurological injury where cavernous nerve damage is a primary mechanism. PRP's nerve growth factor and neurotrophin content supports nerve fiber regeneration — typically requiring more patience on outcome timeline and often combined with VED protocol for best results.
Decreased penile sensitivity from aging, medication side effects, or prior circumcision. PRP injection into the glans penis and superficial penile tissue targets nerve fiber density and tissue quality, with patients frequently reporting improved tactile sensitivity and orgasmic intensity alongside erectile improvements.
Early PRP intervention following radical prostatectomy to preserve cavernous smooth muscle, prevent hypoxic fibrosis, and support nerve regeneration during the critical recovery window. Combined P-Shot® + VED protocol increasingly used as a penile rehabilitation strategy in urology-adjacent practice settings.
The P-Shot® and O-Shot® share the same PRP preparation system, CMA infrastructure, and sexual wellness consultation framework. Providers who complete both courses can serve couples — and routinely do, because male patients frequently ask about options for their partners, and vice versa.
Every attendee performs the complete P-Shot® protocol — including PRP preparation, the penile nerve block, and the full multi-site injection sequence — on live consented patients under direct instructor supervision. Not a demonstration. Not a model. The actual procedure.
Official certification from the Cellular Medicine Association designating you as a Certified P-Shot® (Priapus Shot®) Provider. Includes your international provider directory listing — the CMA's patient referral network — and the legal license to use the P-Shot® trademark in your marketing and patient materials.
Access to the official CMA P-Shot® procedure protocol, patient consent form, VED prescription instructions, post-procedure patient handout, patient brochures, and website-ready content — professional materials deployable in your practice the week after training.
Your 3-month introductory CMA membership ($97/month to continue, cancel anytime) includes the provider forum, monthly educational webinars hosted by Dr. Charles Runels, and a peer network of certified P-Shot® providers for clinical Q&A, case consultation, and technique questions.
The dorsal penile nerve block and ring block are trained to clinical competency — not mentioned in a slide deck. You perform the nerve block on live patients under direct supervision, with real-time technique correction, before the injection session begins. This is what makes the difference between a tolerable procedure and a painful one.
You leave with the complete 6-week post-procedure VED protocol and an evidence-based LI-ESWT overview — the tools to maximize P-Shot® outcomes, increase per-patient revenue with adjunctive services, and differentiate your practice from providers offering PRP alone.
MDs and DOs adding a non-surgical, cash-pay male sexual wellness service. Urology and primary care providers find the P-Shot® a natural clinical extension — particularly for the patient who has failed or refused pharmacologic ED treatment. Anti-aging and regenerative medicine physicians use it as a cornerstone of a men's health service line.
NPs and PAs expanding into men's sexual health and regenerative medicine. In Arizona, NPs with full practice authority can offer and direct the P-Shot® independently. PAs require a supervising physician relationship. The course covers scope of practice documentation in both contexts.
RNs can offer the P-Shot® under written standing orders from a qualified medical director. The course covers the standing order structure and documentation applicable to RN injectors performing intracavernosal procedures in Arizona. Ask about our medical director services if you need one established.
Practices already treating low testosterone frequently encounter patients with ED — and the P-Shot® is the logical complement to TRT for the patient whose erectile function hasn't fully recovered with hormonal correction. The course addresses when to offer PRP alongside, before, or after hormonal optimization.
The P-Shot® course is designed for licensed providers ready to integrate this procedure into active clinical practice. Prior PRP experience is helpful but not required — the course covers PRP science and preparation from the ground up.
Substituting another licensed attendee is always free with no notice required.
The P-Shot® and Priapus Shot® are trademarked procedures. Only CMA-certified providers with active membership are legally authorized to use these names in marketing and patient materials. Our course provides everything required to practice as a fully compliant, licensed P-Shot® provider from day one — including the trademark license that non-CMA training cannot give you.
Naomi Fayzulayev is a board-certified Family Nurse Practitioner with 15+ years of clinical experience across regenerative medicine, hormone optimization, and sexual wellness for both men and women — and one of a limited number of providers in Arizona officially certified by the Cellular Medicine Association to teach the P-Shot®, O-Shot®, and Vampire® procedures. She is the founder and owner of Beso Wellness & Beauty in Phoenix, an active medspa where she performs the P-Shot® on patients regularly.
That combination — active clinical practice, multi-procedure CMA certification, and a training facility where live patients attend the afternoon session — is not common. Most instructors in this space are either active clinicians who don't teach, or educators who stopped practicing. Naomi does both, and the curriculum reflects it: the dosing ranges, the nerve block protocol, the patient communication approach, the outcome follow-up structure are all drawn from current clinical practice, not a course built once and delivered unchanged.
P-Shot®, O-Shot®, and Vampire® procedure certifications — one of a limited number of CMA-authorized instructors in Arizona for all three procedures.
Including active PRP sexual wellness procedures at Beso Wellness & Beauty — the same clinical environment where the hands-on training takes place.
Across injectables, sexual wellness, hormone optimization, PRP, and hair restoration. The P-Shot® course is built to the same hands-on standard as every Beso Provider Hub course.
Intracavernosal injection — injecting into the erectile tissue of the penis — is not a procedure where a demonstration video and a mannequin are adequate preparation. The nerve block that makes it tolerable for the patient is genuinely difficult to perform well the first time, the injection depth and angulation require anatomic precision in a vascular-dense structure, and the complication you most need to understand (priapism, though rare with PRP) has zero margin for delayed recognition.
Every attendee performs the complete P-Shot® protocol on live consented patients — nerve block, full injection sequence, VED instruction, post-procedure documentation. Naomi watches your block placement, your needle angulation, your patient communication during injection. That real-time feedback is not available in a group observation format with 20 attendees watching one instructor inject.
The CMA certification is not a marketing add-on. It is the legal prerequisite for using the P-Shot® and Priapus Shot® trademarks in your marketing. Without it, you can offer PRP injection to the penis — you cannot call it a P-Shot®, list it on the official directory, or access the patient education materials that make patient acquisition possible.
The P-Shot® and Priapus Shot® are registered trademarks. CMA certification from our course gives you the legal license to use both names in your marketing, your website, and your patient materials — and activates your listing on the official provider directory that sends patients to certified providers.
The dorsal nerve block and ring block are the skill that separates a tolerable P-Shot® experience from a patient who never comes back and leaves a one-star review. We teach the technique fully, with supervised hands-on practice on live patients during the afternoon session, including what to do when the block is incomplete.
The VED protocol and LI-ESWT overview are a dedicated module — not a slide at the end. You leave with the specific 6-week VED protocol and an evidence-informed framework for combining shockwave therapy with PRP, giving you multiple revenue streams and better outcomes from a single patient visit.
Full refund with 21+ days notice. Full credit at 7–20 days. 50% credit under 7 days or no-show. Substituting another licensed attendee is always free. We publish the policy because it should be the standard in clinical training — not a discovery at the point of cancellation.
The P-Shot® Training & Certification course is $1,999 — comprehensive didactic and hands-on training, all supplies, official CMA P-Shot® Provider Certification, 3-month introductory CMA membership with directory listing and trademark license, course manual, and lunch all included. Cohorts are small and scheduled regularly; spots fill in advance. Bundle with the O-Shot® for a combined sexual wellness training discount.
Inquire & Enroll →