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Published on: May 5, 2020
[Experience of treating Peyronie's disease by plaque thinning with carbide burs and improved Nesbit technique]
Ji-Hong Liu1, Xiao-Dong Song, Tao Wang
1Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, China.
Objective:
To investigate the efficacy of plaque thinning with carbide burs and improved Nesbit technique in the treatment of Peyronie's disease.
Methods:
Follow-up studies were made on 11 patients with Peyronie's disease treated by plaque thinning with carbide burs and the improved Nesbit technique.
Results:
Satisfactory results were achieved in all the cases. Nine cases without ED could now complete sexual intercourse. Of the 8 cases with penile curvature, only 2 failed to be completely corrected. And of the 5 cases with erectile pain, only 2 still had slight intermittent pain during erection. However, neither the incompletely corrected curvature nor the slight intermittent pain affected the patients' sexual life.
Conclusions:
Plaque thinning with carbide burs and improved Nesbit technique for the treatment of Peyronie's disease have many advantages, such as easy manipulation, good short-term results, few complications, and rare recurrence, while its long-term results are not yet clear.

