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.
Post-Surgery 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.
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.
Preparing for Surgery:
On the day of the surgical procedure, follow these guidelines:
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Abstain from eating or drinking for at least six hours before surgery.
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Consider taking a bath the night before or on the morning of the surgery, but avoid cleaning the hair in the surgical area at home.
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Bring your ID, insurance card, and any prescribed medications with you, along with personal items such as credit cards, glasses, and canes in a bag. Leave jewelry and valuables at home.
On the Surgery Day: On the surgery day, there are several steps to follow:
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Undergo hospitalization procedures to confirm your personal information.
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Settle into your hospital room, where vital signs will be measured, and hair in the surgical area will be trimmed.
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Discuss anesthesia options with your doctor and provide approval for the chosen type.
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Change into an operating room gown before entering the operating room under supervision.
Post-Surgery Guidelines:
After penile curvature surgery, remember these important post-operative points:
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Keep the surgical area clean and dry. Wash your hands before touching the incision area.
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Swelling or redness at the incision site is normal.
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Follow your doctor's guidance on bathing after surgery.
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Report any severe swelling, pain, bleeding, or discharge at the incision site to your doctor.
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Patients are typically scheduled for wound healing follow-ups within 7-10 days and can resume sexual intercourse after six weeks. However, these timelines may vary based on individual cases and medical advice.