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Nesbit procedure

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Nesbit procedure

Facts about Nesbit procedure

Erectile dysfunction following the surgery

Up to 23%

Straightening of the penis

58-100%

Shortening of the penis

41-90%

The two sides of penile curvature

Visualising the curvature through diagrams can help understanding the issue better.
There are two sides to penile curvature: a longer one (convex) and a shorter one (concave).

– The two sides of penile curvature –
The short “concave side” and the long “convex side”

The plaque, which causes the curvature, is located on the shorter/concave side. It reduces elasticity of the erectile tissue which can then no longer extend accordingly. This leads to the development of the penile curvature, indentations and subsequently a loss of penis length.
The longer/convex side of the curvature is not affected by Peyronie’s disease. This side usually retains the original penis length as prior to the onset of the disease.

The Nesbit procedure

During the Nesbit procedure, the longer/convex side on the curvature is shortened until the penis is straight. Inevitably, straightening the penis causes a loss of length.

– The Nesbit procedure –
The penis is being shortened until it is straight

If the curvature is not very pronounced, the loss of length is limited. However, more severe cases might suffer more loss.
The Nesbit procedure is a great and safe method for treating penile curvature. It is necessary to consult a doctor with experience and expertise, to succeed in straightening the penis.
Risks of the procedure are: erectile dysfunction, recurrence of the curvature, insufficient straightening and the loss of penis length, which can be perceived as bothersome.

The Nesbit & Plication procedure

Straightening of the penis 58-100%
Shortening of the penis 41-90%
Recurrence of the curvature, following the surgery 10-27%
Somatosensory dysfunction 2-21%
Erectile dysfunction following the surgery 2-23%

Source: EAU Guidelines 2017

To decrease risks and the loss of penis length during the surgical procedure, the technique has been continuously modified. Dr. Kuehhas has contributed in the development of the so-called STAGE technique (Superficial Tunica Albuginea Geometric-Based Excision). It is mainly applied in treating congenital penile curvature, however, it can also beneficial in the treatment of Peyronie’s disease.

  • Read more about the STAGE technique for treating Peyronie’s disease
  • If quality of erection is not affected by the penile curvature, the incisions and grafting technique might offer appropriate treatment. The objective of this technique is to straighten the penis while also avoiding loss of penis length
  • If a patient also suffers from severe erectile dysfunction, placement of a penile prosthesis might be necessary to achieve the desired results