Abstract

MOYANO CALVO, José Luis et al. Our experience witn the Nesbit technique for the treatment of Peyronie's disease. Arch. Esp. Urol. [online]. 2006, vol.59, n.5, pp.511-515. ISSN 0004-0614.

Objectives: The Nesbit technique is the reference technique for the surgical correction of the penile incurvation of Peyronie’s disease. We report our experience at the Centro Urológico San Ignacio. Methods: 68 patients with stable penile incurvation who requested surgical correction. Correction of the curvature is defined as ≥80% rectification of the pathologic angle. Mean patient age was 44 years (31-77). 53% of the patients presented dif.culties for penetration, 20% partner`s discomfort on intercourse, and 27% requested surgery for aesthetic reasons. Penile deviation was dorsal in 42% of the patients, to the left in 46% and to the right in 12%. The curvature angle was less than 30 ° in 28%, between 30º-45 ° in 36%, between 45 °-60 ° in 37% and 60 ° in 7%. Results: Mean follow-up of the series was 36 months. 20% of the patients had a penile shortening longer than 1.5 cm. 85% of the patients are satisfied with the results. The most frequent complaint was penile shortening. Correction was achieved in 92% of the patients. Four patients were reoperated: two of them for significant phimosis three months after surgery, and the other two for curvature recurrence. Conclusions: The Nesbit technique is a simple technique, with a low complication rate, and good results both in curvature correction and patient satisfaction

Keywords : Nesbit; Peyronie; Penis; Incurvation.

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