Treatment of congenital penile curvature due to disparate corpora cavernosa by the Nesbit technique: a rule of thumb for the number of wedges of tunica required to achieve correction.
Treatment of pure congenital penile curvature due solely to asymmetry of the corpora cavernosa as described by Nesbit lacks precision. Intraoperative verification of Nesbit correction by artificial erection after wedge excision may be impossible because leakage through the sutured corporeal incisions prevents full erection. We present a rule of thumb to calculate the number of 1 cm. wedges of tunica albuginea to be excised to correct an individual deformity. The number of such wedges required is equal to the measured difference in centimeters between the lengths of the asymmetric, concave and convex surfaces of the affected penis, between the pubis and mid glans. Results of application of this principle in 6 patients are presented.
Sislow
J G
JG
Department of Urology, University of Washington, Seattle.
Ireton
R C
RC
Ansell
J S
JS
D000328:Adult; D006801:Humans; D008297:Male; D008722:Methods; D010410:Penile Erection; D010413:Penis / Q000002:abnormalities* / Q000601:surgery