Platelet Rich Plasma and the O-Shot

A crash course in PRP for the lay person

The next few newsletters will cover non-surgical feminine wellness topics such as these:

• Are you leaking urine and do not want surgery?

• Are you lacking sensitivity and not achieving orgasms easily or at all?

• Is your skin so thin and itchy that it bleeds down there?

For historical perspective I wrote an article in April of 2013 with Cheryl Iglesia and Ladin Yurteri-Kaplan called “Female genital cosmetic surgery: a review of techniques and outcomes.” Turned out to be quite a landmark article for the International Urogynecology Journal. In August of 2016 I wrote another article with Navneet Magon called “Female Cosmetic Genital Surgery: Delivering What Women Wants” for The Journal of Obstetrics and Gynecology of India. Then in 2018 I worked with Aylin Gunes to publish “A mini-review of aesthetic gynecology and leading gynecology associations’ approaches to this issue.” The description of the specialty is covered. Go here to request the articles if you want the full scientific article.

Lots of details can be found in my textbook “Female Cosmetic Genital Surgery: Concepts, classification and techniques” from Apple Books or Amazon. Christine Hamori and Paul Banwell are co-editors. This is the Bible for Cosmetic Gynecologists. It is now also in Spanish, Chinese, and Polish.

I have had incredible support from friends around the world in regards to this book. I want to thank them all for supporting the growth of the specialty. Here is a picture Jack Pardo Schranz sent me from Santiago, Chile, when the Spanish version was released in Latin America. Thanks Jack!

Here goes:

Platelet Rich Plasma (PRP) therapy for feminine restoration: Blood is obtained from the patient, placed in a test tube, spun in a centrifuge. What is left is the yellow Platelet-Poor Plasma above (lots of growth factors and anti-inflammatory agents called cytokines) with little to no inflammatory white cells, the middle layer of The Buffy Coat, and the lower layer of red cells which is thrown out (no current function for Aesthetica or Functional Medicine as it its inflammatory). The Buffy Coat is actually where all the Platelet Rich Plasma (PRP) is located along with white cells. This is more inflammatory than Platelet-Poor Plasma which lacks the white cells. Most PRP injections combine the Platelet-Poor Plasma with the Buff Coat and then call it “Platelet Rich Plasma” or PRP. This yellow stuff is then injected into various body parts for the desired effect of using Growth Factors to stimulate cells or to reduce inflammation by injecting just the Platelet-Poor Plasma high in anti-inflammatory cytokines without the Buffy Coat. In cosmetic gynecology PRP is injected into the clitoris, the vulva and perineum, the mid-urethral and “G-Spot.” It is the O-Shot invented/taught/popularized by Charles Runels, MD.

My friend Prabhu in India states that “over the last 20 years PRP has been used as an effective treatment for various indications including maxillofacial surgery, wound treatment, orthopedic, soft tissue injuries, gastrointestinal surgeries, scars, burns, gynecologic disorders, and in cosmetic procedures. PPR with the growth factors and cytokines stimulate fibroblast collagen synthesis.” I summarize the contents of PRP and PPP here:

Three basic layers. The top tow matters most. The bottom is thrown out.