10.3205/IPRS000006
Martenstein, Christian
Christian
Martenstein
Peruth, Julia
Julia
Peruth
Hamza, Amir
Amir
Hamza
The role of Nesbit's procedure in surgical reconstruction of penile deviation
German Medical Science GMS Publishing House
2012
JournalArticle
penile deviation
Peyronie's disease
Nesbit's procedure
surgical penile reconstruction
610 Medical sciences; Medicine
2012-01-09
2012
en
urn:nbn:de:0183-iprs0000064
iprs000006
text/html
GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW; 1:Doc06; ISSN not yet available
Objective: We review our results after surgical reconstruction with the Nesbit’s procedure for congenital or acquired penile deviation.
Patients and methods: Etiology of penile deviation, surgical outcome for straightening the penis, postoperative patient satisfaction and clinical findings were evaluated for 5 patients undergoing Nesbit’s procedure followed by a Medline review of contemporary literature regarding alternative surgical techniques. Follow-up included clinical examination, self-photography on erection and a standardized interview with erectile dysfunction assessment using IIEF-5 questionnaire.
Results: Overall patient satisfaction was 100% in two patients, 2 patients were partly satisfied and 1 patient reported no satisfaction because of severe penile shortening with insufficiency for sexual intercourse postoperatively. Preoperative mean angulation of the penis was 42°. Four patients had Peyronie’s disease and 1 patient’s curvature resulted from an untreated penile fracture during sexual intercourse.
Conclusion: The Nesbit technique can give satisfactory results for mild and moderate penile curvature. However, each technique for the reconstruction of penile deviation has its own advantages and disadvantages. Therefore proper patient selection has a major impact on further outcome.
GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW; 1:Doc06; ISSN not yet available