A New Approach to the Correction of the Penile Deformity in Peyronie’s Disease

Abstract

Nesbit's operation was performed on 23 of 160 patients with Peyronie's disease seen between January 1975 and July 1978. Details of the preoperative treatment and operative technique are provided. Normal sexual intercourse was resumed by 20 of the 23 patients and none had a significant residual deformity. It is suggested that Nesbit's operation is the procedure of choice in patients who do not respond to conservative treatment.

The Nesbit operation for congenital curvature of the penis

“…The surgical technique used has previously been described. 6 A circum-coronal incision was employed allowing the penile skin to be degloved. The majority of the patients were routinely circumcised.…”

Corporeal Plication for Surgical Correction of Penile Curvature

“…Nesbit [5] described surgical correction of curvature by shortening of convexity with small transverse elliptic resections of the tunica albuginea. The Nesbit procedure, initially described in congenital penile curvature, was later used in the treatment of acquired penile curvature in Peyronie’s disease [6, 7, 8, 9, 10]. The convexity of curvature can also be shortened without excision of the tunica albuginea by longitudinal incisions sutured transversally [11].…”

Correction of penile curvature and Peyronie’s disease: why I prefer the Nesbit technique

“…I started to use the Nesbit technique for Peyronie's disease in 1977 with a successful outcome in 20 (87%) of the ®rst 23 men. 11 The big advantage of the Nesbit technique is that there is little disturbance or damage to the underlying erectile tissue.…”