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Treatments of Peyronie’s – The Nesbit Procedure

The Nesbit Procedure is a surgical procedure designed to correct severe bending of the penis. It is the most widely used method for straightening congenital curvature of the penis, especially cases featuring moderate bending of the penis, because it is less likely to cause erectile dysfunction than tissue grafting. However, the procedure causes a shortening of the penis in all patients and results in permanent sensory loss or erectile dysfunction in less than 2 percent of cases. On the other hand, more than 90 percent of patients, both those suffering from Peyronie’s and those with congenital bending, are happy with the results.

The procedure itself is quite simple. The penis is filled with a sterile physiologic salt solution in order to cause an artificial erection. The surgeon gathers with a clamp the outer side of the bend, which forces the Tunica Albuginea to straighten the penis. The direct consequence of this procedure is a slight shortening of the surface of the penis. The suture points may ooze for a day or two after the operation, but this is to be expected. The patient should avoid sex until the wound is healed and no more pain is experienced.