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Correction of Angulation (Nesbitt Procedure)
What is
Correction of Angulation (Nesbitt Procedure)?
The
Nesbitt procedure removes tissue opposite to the
curve to straighten the penis.
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Effects
of Correction of Angulation (Nesbitt Procedure)
Penis
curvature, congenital or acquired, can often be
corrected surgically. We have found the modified
Nesbitt procedure to be a relatively simple and
safe technique for penis straightening.
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Candidates for Correction of Angulation (Nesbitt
Procedure)
This
procedure is ideal for men who experience penis
curvature. Penis curvature is a very common
condition that can be either congenital or
acquired. It can occur anywhere along the penis
shaft and can deviate in any direction.
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Your Consultation
In the
early stages of the condition there may be some
penile pain, especially during erections but
this usually settles within the first few weeks
or months. The curvature can continue to develop
for up to 1 year and surgical treatment is
therefore usually deferred until the condition
has been present for at least 1 year. Peyronies
disease can cause the part of the penis beyond
the scar to lose some rigidity during erection
(distal flaccidity). Peyronies disease does not
usually cause failure of erection although this
can also be present. If Peyronie's disease is
diagnosed, ask about the treatment options
available. If your doctor can't answer your
questions, ask for a referral to a consultant
with a special interest in male sexual health
problems or to a special clinic.
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The
Correction of Angulation (Nesbitt Procedure)
Procedure
The
standard treatment for the curvature is surgery.
The commonest operation in the UK is probably
Nesbitt's procedure. This involves placing
stitches on the opposite side of the penis to
the scarring therefore preventing that side of
the penis increasing to its full length during
an erection and causing the penis to straighten.
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Recovery
The
early results are promising but we do not yet
know if the improvement in curvature will be
maintained in the long term.
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Risks
This
operation does produce some penile shortening
(approximately 1mm for every 10° of curvature
corrected) and rarely can cause some loss of
sensation at the end of the penis.
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Frequently Asked Questions
Q:
What is Peyronie's disease?
A:
Peyronie's disease is when a fibrous plaque
develops within the shaft of the penis. This
plaque will feel like a small hard lump
underneath the skin. When erect, the penis bends
and looks angular. In some men the bending is so
marked that it makes sexual intercourse
impossible.
The exact cause of Peyronie's disease is
unknown. It's not a sign of an underlying
serious condition and it's not a sexually
transmitted infection. It's currently thought
that some men may have a genetic disposition to
the condition.
Any man can develop Peyronie's disease. The
average age is 50 for it to develop but it can
happen in men as young as 18. About 80,000 men
in the UK have the condition.
Q: What are the symptoms of Peyronie's disease?
A:
The three main symptoms of Peyronie's disease
are:
-
a
hard lump (fibrous plaque) within the shaft of
the penis
-
pain
with erections
-
bending of the penis when erect
The
fibrous plaque causes pain, which can in turn
lead to impotence. The penis may bend to the
left or to the right, although in most cases it
bends upwards. You may not notice the bend
immediately as it tends to develop over one to
three months. It will usually only be noticeable
once the penis is erect.
Q:
What are the causes of Peyronie's disease?
A:
The
cause of Peyronie's disease is not certain but
may relate to minor degrees of penile trauma,
during sexual intercourse, causing scarring in
the body of the penis.
Q:
What are the treatments available for this
condition?
A:
In the early stages of the disease penile pain
may be problem although as stated this usually
resolves spontaneously and often requires no
treatment. Various drugs have been used to try
and reduce pain and/or scarring, including
Potaba and Tamoxifen, but these are not
effective for everyone.
The standard treatment for the curvature is
surgery such as the Nesbitt's procedure or other
more complex procedures involving excision of
the scar and replacement with a graft from
elsewhere on the body. A new alternative to
surgical treatment is extracorporeal shock wave
therapy (see ESWL). A shock wave is focused onto
the scarred area, using special equipment and is
thought to soften it.
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The following list of Urology procedures are
performed at Beverly Hills Medical Group -
please click the links to find out more:
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