Congenital and Acquired Penile Curvatures: Diagnosis and Outcome with the Nesbit Procedure

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Abstract
A surgical correction according to Nesbit was performed in 9 patients with congenital penile curvature as well as 5 patients with acquired penile curvature in the context of Peyronie''s disease and 1 case after an old penile fracture. Dynamic cavernosography with simultaneous passive erection and photographic decumentation of the curvature in 2 planes served as basic preoperative diagnostic methods. Besides the recording of a local report, the postoperative results were evaluated by means of a detailed questionnaire in all patients. Eight patients in the group of congenital curvatures as well as 3 patients of the group with acquired penile curvatures were shown to be completely satisfied with the functional result of the surgical correction. With the knowledge of the result of the operation, 13 out of 14 patients would indeed agree to the opertion if asked again. This experience indicates that treatment according to Nesbit is justified in the therapy of both congenital and acquired penile curvatures.