[The surgical treatment of Peyronie's disease by Nesbit's technic]

In 1965 Nesbit described an operative technique for correction of congenital penis distortions. Twenty eight patients with induratio penis plastica and marked erectile deformity were operated and followed up at the Department of Urology. All had previously received conservative therapy without effect. Indication for surgical intervention was the inability to perform coitus. The original method was applied: an elliptical opening was excised in tunica albuginea, contralateral to the distortion. In other cases compensation was performed by plication of tunica albuginea without opening the cavernous space. The result was satisfactory in 75 per cent of the patients and failure in 25 per cent. The latter was attributed to loosening of the correcting sutures or great rigidity of the plaque. The encouraging functional results and the rather uneventful postoperative period allow the authors to recommend Nesbit's operation for treatment of some forms of Peyronie's disease, which are not affected by conservative treatment.