NESBIT PROCEDURE

The Nesbit procedure is probably the commonest intervention for Peyronie's disease, and is on the whole a very successful operation. It is generally indicated in men with a penile curvature of less than 60 degrees, with reasonable erectile function, and where more conservative options have failed or are not suitable. 

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The procedure is carried out by pulling the skin of the penis back (under general anaesthetic / asleep), and a small section of the penile wall (tunica albuginea) removed - to make it the same length as the opposite (shortened / scarred) side. The correction is tested at the end of the procedure to confirm that the penis is striaght. By definition, there is a small loss of erect length with the Nesbit procedure, but on the positive side it is an very effective treatment that restores sexual functioning in the majority, has minimal complications, and a durable result. Very few patients require any further treatment. A simultaneous circumcision is recommended for a smooth recovery and uncomplicated outcome, but is not essential. 

A dressing is placed on the penis for 24 hrs after the surgery, and once removed there is no need for any special dressings. The recommendation is to take a week off work, and to avoid intercourse for a month. Patients are usually reviewed in clinic 6 weeks after the operation to ensure that all is well. 

Peyronie's disease

Nesbit procedure