The Nesbit Procedure for Peyron

Performed by Prof Ates Kadioglu

The Nesbit Procedure is a surgical intervention primarily employed to address Peyronie's disease. This surgical approach aims to rectify penile curvature and improve overall comfort during sexual intercourse.

Procedure Description:

The Nesbit Procedure focuses on excising or suturing (plicating) the unaffected side of the penis. This involves using small internal "tuck" stitches or removing small tissue segments on the exterior of the curve and then suturing the remaining tissue. This method is most suitable for individuals with robust erections who haven't experienced significant length loss due to Peyronie's disease.

Surgery Details:

The Nesbit Procedure is a surgical operation that typically lasts around one hour and necessitates general anesthesia. In most instances, patients can return home on the same day as the surgery. During the procedure, a wedge incision is made on the longer side of the penis to restore straightness. However, it's essential to note that the Nesbit technique can result in a reduction in penile length, typically around one to two inches, which can vary based on the extent of curvature.

Recovery

Following the Nesbit Procedure, patients should plan for a temporary break from work. Expect some degree of swelling and bruising in the penis, and refrain from sexual activity for approximately six weeks. Likewise, avoid strenuous exercise for the same duration.

Hospital Stay and Follow-Up: Patients typically remain in the hospital for one day following the procedure. A follow-up appointment is usually scheduled within 7-10 days. After six weeks, sexual intercourse can resume. However, this timeline may be adjusted based on your specific case and your doctor's guidance.

The Nesbit Procedure is a surgical operation that typically lasts around one hour and necessitates general anesthesia. In most instances, patients can return home on the same day as the surgery. During the procedure, a wedge incision is made on the longer side of the penis to restore straightness. However, it's essential to note that the Nesbit technique can result in a reduction in penile length, typically around one to two inches, which can vary based on the extent of curvature.

Important Pre-Surgery Considerations:

Before undergoing penile curvature treatment surgery, it's crucial to discuss medication use with your doctor, particularly if you're taking drugs for conditions like diabetes, hypertension, heart disease, or COPD. Medications like blood thinners often need to be discontinued before surgery, so make sure to inform your doctor if you're on such medications. Additionally, inform your doctor of any recent health issues, such as fever, rash, or a cold, as these may lead to surgery postponement.