Experience with the Nesbit procedure in the treatment of penile curvature

Thirteen men who had undergone Nesbit's operation for penile curvature were assessed to determine the efficacy of the procedure. Ten patients had Peyronie's disease and three had a congenital curvature. Follow-up ranged from 8 months to 28 months. The degree of penile curvature was improved in twelve patients at the time of follow-up. The three men with a congenital curvature were all satisfied, whereas only seven of the 10 with Peyronie's disease were satisfied with the results of surgery. Two men believed that the operation had reduced their erectile function and a third man felt that the operation had not improved his penile deformity. Patients with a penile curvature associated with deteriorating erectile function should be counselled that a Nesbit's procedure will not improve their potency and that the insertion of a malleable penile prosthesis may be necessary.