Peyronie’s disease is a condition marked by penile curvature, indentation and loss of penile length upon erection. Dr Katelaris talks about the different surgery options available as treatment for Peyronie’s Disease.
In this video, Dr Katelaris explains Nesbit’s Plication as a treatment option for a less severe form of Peyronie’s Disease.
Mild Peyronie’s disease is very common.
Men with Peyronie’s disease who have a good erection and yet a bent erection, are good candidates for reconstructive surgery.
If a man has a good, rigid erection and a bend and has maintained good erectile length, we can do a relatively straightforward operation known as Nesbit’s plication.
This involves going into hospital for a day, general anaesthetic.
What we do is de-glove the skin of the penis, we do an erection test under the anesthetic to show where the bend is and we then straighten the erection by plicating, or shortening, the tissue immediately opposite the bend.
This operation has the advantage of being quite straight forward, very few side effects and a prompt return to erectile activity generally within a month.
The operation can minimally shorten the erection and the patients need to be counselled about this.
Generally speaking the shortening is not evident, it’s not a functional problem but we do tend to select men with good length before recommending the Nesbit’s operation.