Operative note 35 Advanced
Nesbit and plaque surgery
What it does: straighten a bent penis (Peyronie's).
- Artificial erection: tourniquet + saline into a corpus. Marks the worst bend point.
- Nesbit: cut an ellipse in the tunica, OPPOSITE the bend. 1 mm width per 10 degrees.
- Close with 0 PDS, knots inside.
- Re-erect. Check straight.
- Plication variant: clamp to straighten, strong stitches, no excision. More recurrence.
- Plaque + graft: H-cut into the plaque. Vein patch sewn in, lining downwards.
- Watch: Some shortening in most. Consent for it.
From the UroRef Operative Quick Guide.