Nesbit Plication for Peyronies Disease
A Nesbit plication is used for treatment of the curvature deformity created by Peyronies Disease.The goal is correction of the curvature deformity created by Peyronies disease so a man can be sexually active.
The procedure is performed under general anesthesia in surgery center. The procedure is perfomed by exposure of the corpora caverns of the penis and creation of an erection under anesthesia to reproduce an erection. To correct the curvature permanent plication sutures are placed opposite the side of the peyronies plaque. The suture pull the penis in the direction of the suture equal and opposite to the curvature to correct the curvature.
Men go home same day surgery. The procedure takes 1-2 hours.
Risks include bleeding, bruising, swelling, Infection, failure to resolve the curvature, nerve injury for sensation to the penis, urethral injury, and risk of anesthetic.
This is a procedure best done electively. Men should wait sufficient time after developing a curvature to ensure the Peyronies scarring process has stabilized.
Standard preoperative recommendations for anesthesia clearance , avoidance of blood thinners prior to surgery. Men go home same day. Resuming general activity usually only takes a couple of days. Men should not be sexually active for 6 weeks after surgery.