The role of Nesbit's procedure in surgical reconstruction of penile deviation.
OBJECTIVE
We review our results after surgical reconstruction with the Nesbit's procedure for congenital or acquired penile deviation.


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.


CONCLUSIONS
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.
Department of Urology, St. Georg Hospital Leipzig, Leipzig, Germany.
Christian
C
Martenstein
Department of Urology, St. Georg Hospital Leipzig, Leipzig, Germany.
Julia
J
Peruth
Department of Urology, St. Georg Hospital Leipzig, Leipzig, Germany.
Amir
A
Hamza
Nesbit's procedure; Peyronie's disease; penile deviation; surgical penile reconstruction