Nesbit's Procedure for Penile Curvature

Between January 1982 and June 1992 83 patients with penile curvature due to Peyronie's disease or congenital curvature underwent a modified Nesbit's procedure for coital difficulties. This represented approximately 23% of the total number of patients referred to the male sexual dysfunction clinic with penile deformity. A confidential postal questionnaire was sent to all of the operated patients in order to determine the longterm results of surgery. Seventy‐eight of the 83 patients were contacted, aged 16–71 years (mean = 48 years). Sixty‐two of the 78 (79%) were satisfied with the result of surgery and would be prepared to have the operation again. Twenty‐two of the 78 were not having intercourse. As a result of this survey we have identified a group of people with initial satisfactory results who have since developed erectile failure. These have been offered either self injection therapy with a vasoactive agent or penile prostheses if they do not respond or do not wish to self inject.