[Our experience with the Nesbit technique for the treatment of Peyronie's disease].
OBJECTIVE
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 > or = 80% rectification of the pathologic angle. Mean patient age was 44 years (31-77). 53% of the patients presented difficulties 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 degrees in 28%, between 30 degrees-45 degrees in 36%, between 45 degrees-60 degrees in 37% and > 60 degrees 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.
Moyano Calvo
José Luis
JL
Centro Urológico San Ignacio, Sevilla, España. joseluismoyano@ya.com
Sánchez de la Vega
Javier
J
Giraldez Puig
Javier
J
Dávalos Casanova
Guillermo
G
Huesa Martínez
Ignacio
I
Maestro Durán
José Luis
JL
Ramírez Mendoza
Antonio
A
Morales López
Antonio
A
D000328:Adult; D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D010411:Penile Induration / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*