The Nesbit Procedure is the most widely used surgical procedure that is designed to correct curvature of the penis whether congenital or as a result of disease.
It is especially used in cases where moderate bending of the penis is a problem, because it will generally result in a lower risk of long term erectile dysfunction than other procedures such tissue grafting.
Unfortunately the Nesbit procedure does cause some degree of shortening of the penis in all patients and also results in permanent loss of sensation or a degree of erectile dysfunction in approximately 2 percent of cases.
Thankfully, in more than 90 percent of cases, patients are happy with the results that the procedure brings them in reducing the symptoms of curvature of the penis.
The actual procedure itself is relatively straightforward. The tissue of the penis is inflated with a sterile physiologic salt solution, which causes an artificial erection.
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The surgeon uses a clamp to gather the tissue of the outer side of the bend, and forces the Tunica Albuginea to straighten out the bend in the penis. Sutures are put in place to hold the tissue in place. Unfortunately, this procedure causes a slight shortening of the surface of the penis. Typically, the stitches may ooze for a day or two after the operation is carried out, but this is normal. Once the wound is completely healed, the patient can go back to having sex as normal, and there should be no more pain.
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