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Nesbit's procedure for penile curvature

M N Sulaiman1, J C Gingell

  • 1Department of Urology, Southmead Hospital, Bristol, United Kingdom.

Journal of Andrology
|November 1, 1994
PubMed
Summary
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The modified Nesbit

Area of Science:

  • Urology
  • Andrology
  • Sexual Medicine

Background:

  • Penile curvature, including Peyronie's disease and congenital cases, can cause significant coital difficulties.
  • The modified Nesbit's procedure is a surgical option for correcting penile deformities.
  • Male sexual dysfunction clinics manage a substantial number of patients with penile deformities.

Purpose of the Study:

  • To evaluate the long-term outcomes of the modified Nesbit's procedure for penile curvature.
  • To assess patient satisfaction and functional results after surgery for Peyronie's disease and congenital penile curvature.

Main Methods:

  • A cohort of 83 patients undergoing the modified Nesbit's procedure between 1982 and 1992 were identified.
  • A confidential postal questionnaire was administered to assess long-term surgical results and patient satisfaction.

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  • Follow-up data was collected from 78 of the 83 operated patients.

    • Main Results:

    • Overall, 79% (62 of 78) of patients were satisfied with the surgical outcome and would undergo the procedure again.
    • Twenty-two patients (28%) were not experiencing intercourse post-surgery.
    • A subset of patients with initial success later developed erectile failure, prompting further treatment options.

    Conclusions:

    • The modified Nesbit's procedure offers a high rate of patient satisfaction for correcting penile curvature.
    • Long-term follow-up revealed a need to address subsequent erectile dysfunction in some patients.
    • Management strategies for post-Nesbit's erectile failure include pharmacotherapy and penile prostheses.