Nesbit Operation for Peyronie's Disease: A 7-years Experience

“Background” Peyronie’s disease which refers to an acquired penile deformity / curvature which occurs during erection may or may not be associated with pain. Peyronie’s disease is quite often a cause of worry to both the patient and his female partner. A number of treatment modalities have been available for the management of peyronie’s disease including: wait and see; oral medications; the now abandoned extra-corporeal shock wave therapy and surgical operations including Nesbit operation (Nesbit procedure). “Aims” To review our limited experience with patients who have undergone Nesbit procedure in order to find out our success rate with regard to improvement in: (a) penile pain, (b) penile curvature, (c) sex life as well as penile shortening post operatively. “Patients and Methods” 15 patients with a mean age of 42.3 years who underwent Nesbit procedure at North Manchester General Hospital between 1999 and 2006 for peyronies disease were reviewed and regarding their experience Nesbit procedure to document their pre-operative symptoms including pain/no pain, extent of penile curvature, sex life pre-operatively and post –operatively to see if there has been any change and to document any complications. The mean follow-up time was four and half years. “Results” 6 out of 7 patients who had pain associated with their penile curvature did no have any more penile pain after Nesbitt operation. 12 out of 15 patients (80%) had almost 100% straightening of their penis and another patient had improvement in penile curvature making it a total of 86.67% who either had improvement in their penile curvature or complete straightening of their penis during erection. 11 out of 15 patients (73.33%) had improvement in their sex lives 8 out of 15 patients (53.33%) noticed shortening in their penile length post-operatively.. “Conclusions” Nesbit procedure is a useful and effective treatment modality in the management of Peyronie’s disease. In our experience 86.67% of patients had reported improvement in penile curvature with 80% reporting full straightening of penis; however 53.3% of our patients noticed that they had developed shortening of their penis post operatively. Patients therefore need to be informed pre-operatively about the high possibility of penile shortening as has been observed by other authors.