Nesbit procedure in the treatment of congenital penile deviation

We reviewed 19 patients presenting erectile deformities of the penis. Sixteen patients with congenital penile deviation were treated with the Nesbit procedure. All patients presented pronounced curvature of the penis and most of them were unable to achieve vaginal penetration. Five patients were submitted to original Nesbit procedure and eleven to a modified Nesbit technique, without excising the tunica albuginea. The modified Nesbit operation gave excellent results in all patients; straightening the penis and permitting patients to resume normal coitus. It was a simpler procedure; there were no complications or postoperative impotence. The length of hospital stay was 24 hours.