Correction of complex penile deformities by modified Nesbit procedure asymmetric tunica albuginea excision

Purpose: Penile angulation combined with penile torsion is an uncommon find ing in case of congenital or acquired penile curvature. We describe our tec hnique for treatment of complex penile curvature by the excision of asymmet ric ellipses of tunica albuginea. Materials and Methods: During the last 4 years, 4 patients with complex pen ile curvature underwent surgical correction by the excision of asymmetric e llipses of tunica albuginea. 3 patients had Peyronie's disease and 1 had co ngenital penile deviation. They ranged in age from 27 to 63 years. Results: Convalescence was uneventful with good cosmetic correction of the penile torsion and lateral curvature in all patients. 1 patient reported sh ortening of the penis of about 2 cm, postoperatively. 2 patients reported d ecreased penile sensation, which resolved after 3 months. Erectile failure did not occur postoperatively in any case. Conclusions: During the last years many Authors have modified the original surgical procedure in an attempt to correct penile deformity. Unfortunately there are very few reports about correction of penile deformities combined with penile torsion. Our modified Nesbit surgical technique for complex de formities differs from the others with regard to the shape of the incision. In this manner, by shortening the longer corporeal body and creating a tor que on the penis, it is possible to correct both problems: penile angulatio n and torsion. The technique is simple, bloodless, safe and reliable. In ou r experience good cosmetic and functional results have been achieved withou t complicated surgical interventions. Copyright (C) 2000 S. Karger AG. Base l.