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The Nesbit Procedure for Peyronie’s Disease | Moorgate Andrology

The Nesbit procedure is a surgical treatment used to correct penile curvature caused by Peyronie’s disease. This condition occurs when scar tissue, called plaque, forms inside the penis, causing abnormal bending during erections. The Nesbit procedure is usually recommended when the curvature is severe enough to interfere with sexual function.

 

What Is the Nesbit Procedure?

Named after urologist Reed M. Nesbit, the surgery involves removing a small, elliptical section of the tunica albuginea — the fibrous tissue on the side opposite the curve. This shortens the longer side and straightens the penis.

The procedure is typically done under general anaesthesia and takes around 1.5–2 hours. An artificial erection is often induced during surgery to assess the degree of curvature and ensure optimal correction.

Who Is a Candidate?

The Nesbit procedure is most suitable for men who have:

  • A penile curvature of less than 60 degrees

  • Intact erectile function

  • Stable Peyronie’s disease (no progression for at least 12 months)

  • Limited response or unsuitability for conservative treatments

It is generally not recommended for men with severe curvature over 60 degrees or significant erectile dysfunction, as alternative surgical options may be better suited.

Recovery After the Nesbit Procedure

Proper post-operative care is essential for optimal healing:

  • Hospital Stay: Most patients are discharged the same day or after a short stay.

  • Pain Management: Mild pain is normal; over-the-counter medications are usually sufficient.

  • Activity Restrictions: Avoid sexual activity and strenuous exercise for 4–6 weeks.

  • Follow-up Appointments: Necessary to monitor healing and address any concerns.

While some penile shortening is expected, the Nesbit procedure generally provides excellent results in straightening the penis and restoring function.

For detailed guidance on recovery, see our Pre- and Post-Procedure Help article.

Considerations and Risks

As with any surgery, there are potential risks:

  • Slight penile shortening due to tissue removal

  • Residual curvature, sometimes requiring additional correction

  • Rare erectile dysfunction

  • Risk of infection or scarring

It’s important to discuss these risks with a specialist to determine the best treatment for your individual situation.

For more information about Peyronie’s disease, read Understanding Peyronie’s Disease and What Are the Peyronie’s Symptoms?.