Correction of chordee. The Nesbit procedure.

Area of Science:

• Urology
• Surgical Techniques
• Penile Reconstruction

Background:

• Chordee, a condition causing penile curvature, can be congenital or acquired.
• The Nesbit operation is a recognized surgical approach for correcting chordee.

Purpose of the Study:

• To describe the Nesbit operation for chordee correction.
• To detail the precise surgical steps for optimal outcomes.

Main Methods:

• The Nesbit operation involves deliberate shortening of the convex surface of the corpora cavernosa.
• Artificial erection is used to identify the point of maximal curvature.
• A transverse elliptical segment of the tunica albuginea is removed, avoiding underlying erectile tissue.
• Neurovascular bundle or urethra/corpus spongiosum elevation is performed for ventral or dorsal chordee, respectively.

Main Results:

• The procedure allows for complete correction of chordee.
• Minimal disturbance of normal penile tissue is achieved.
• The technique ensures accurate and effective chordee repair.

Conclusions:

• The Nesbit operation is a valuable surgical option for correcting penile chordee.
• Precise surgical technique is crucial for successful outcomes.
• This method offers effective correction with minimal complications.