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The Nesbit Procedure with penile lengthening
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Effective Curvature Correction For Peyronies Disease whilst protecting your penile length
At Moorgate Andrology, we now offer an advanced form of the Nesbit procedure for men with Peyronie’s disease and a curvature of 40 degrees or less. This refined technique combines the traditional straightening benefits of the Nesbit with a penile ligament release to help restore lost length — something not typically available on the NHS.
What is the Nesbit procedure and who is suitable
The Nesbit procedure is one of the most established surgical treatments for Peyronie’s disease. It involves shortening the longer (outer) side of the penis to correct the bend and achieve a straighter erection. The results are highly reliable, and the operation is typically completed within 60–90 minutes under general anaesthetic.
At Moorgate We add a penile lengthening procedure by cutting ligaments that are holding penis length back. This is an additional procedure performed at the same time and is not available on the NHS.
The Nesbit Procedure is suitable for men who:
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Have moderate curvature not exceeding 40 degrees
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Are in the stable phase of Peyronie’s Disease (no changes in curvature for 6 months)
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Prefer a proven, reliable method of correction
Your suitability will be determined during a private consultation with one of our expert urologists.
What’s Different About the Nesbit Procedure with Ligament Release?
Our specialist urologist has refined the classic Nesbit technique by combining it with a ligament release. This additional step can:
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Improve the perceived length of the penis
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Reduce the shortening often associated with the standard Nesbit
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Enhance overall cosmetic appearance and confidence after surgery
This combined approach makes the procedure more appealing to men who want both correction and some length restoration, while maintaining a lower risk profile than plaque incision and grafting.
Benefits of the Combined Technique
✅ Lower surgical risk compared with grafting procedures
✅ Straighter, more natural appearance
✅ Shorter recovery time
✅ Potential for improved penile length via ligament release
✅ No graft materials needed
✅ Available privately without NHS waiting lists
Who Is Suitable?
This procedure is ideal for men who:
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Have Peyronie’s disease with a curvature of 40° or less
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Have a stable deformity (no ongoing changes or pain)
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Are seeking a lower-risk surgical correction
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Want to avoid grafting but still explore some degree of length restoration
If you have a more severe curvature or hourglass deformity, your surgeon may recommend plaque incision and grafting instead.
Recovery and Results
Most patients return home the same day. Sexual activity can usually resume after about six weeks. Straightening results are visible immediately, and the ligament release can help improve overall penile appearance and satisfaction post-surgery.
Combining Nesbit with other procedures
Some patients choose to combine Nesbit surgery with other procedures for comprehensive results:
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Penis Enlargement Surgery – restore length and girth
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Circumcision – for foreskin tightness if present
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Scrotoplasty – improve scrotal appearance
If you are experiencing moderate curvature from Peyronie’s Disease, the Nesbit Procedure offers a reliable solution.
The additional lengthening at the same time is only available at Moorgate Andrology
Book a confidential consultation with our expert urologists at Moorgate Andrology to discuss your personalised treatment plan.

Book Your Free peyronies disease Consultation Now
Understanding your treatment options begins with a conversation. By filling in the contact form, you can book a completely free consultation with a Urologist.
During the call, they’ll:
- Answer your questions
- Discuss your goals
- Explain the treatment process
We are committed to giving you clear, expert guidance every step of the way.
Please note that while virtual consultations are free, physical consultations are subject to a non-refundable fee.
Talk To Our TeamBook A Free Urologist Consultation
Frequently Asked Questions
The NHS routinely perform the nesbit procEdure which does lead to loss of penile length. the greater the curvature the more the shortening. Here at Moorgate Andrology we perform the nesbit procedure together with ligamEntosis or penile lengthening techniques at the same time. These help retain some penile length. This procedure is not available on the NHS.
Most men resume normal activities within a week and sexual activity after 6–8 weeks.
Recurrence is uncommon once the disease is stable, but following aftercare guidance is essential.
The procedure is performed under general anaesthetic, and post-operative discomfort is well controlled with medication.
We will carry out a penile lengthening procedure at the same time as the Nesbit procedure. This is not available on the NHS. By cutting the ligaments that are holding back some penile length, we can release an additional one to two inches more of flaccid length. You will also start using a penis extender six weeks after surgery to help with erect length increase
Yes it can help after nesbit surgery. Six weeks after surgery we will give you a stretching device, sometimes called a penis extender. This can help give additional erect length after the surgery.
We do this by cutting ligaments that are holding extra penis length back to your pubic bone. When these ligaments are released we permanently increase flaccid length by one to two inches more.
The curvature needs to be no kore than 40 degrees. If your curvature is more than this then a plaque incision and grafting procedure could be the preferred option.
The procedure takes about 90 minutes under general anaesthetic
The full recovery will take six weeks
Most patients will take around one week off work after the surgery
This procedure is performed by one of our GMC Registered Urologists.
Moorgate has a network of nationwide surgeons and centres , simply find your convenient location below:
64 Harley St, Marylebone, London,W1G 7HB
356 Ecclesall Rd South Sheffield,S11 9PU
Durton Lane, Broughton, Preston PR3 5LD
Westland Avenue, Hornchurch. Essex. RM11 3SD
Frequently Asked Questions
One procedure cannot be said to be better than the other. Much depends on the penile curvature that you present with. If you have a mild penile curvature then the Nesbit procedure could be the right option. If you have a significant curvature with loss of length, or an hourglass deformity, then plaque incision and grafting may be the best option. Loss of penile length is usually a determining factor. The more the curvature the more the shortening with the Nesbit procedure. When we have assessed your curvature either by photos or injection of a medication to induce an erection.
Yes. The procedure is performed under general anaesthetic, and you will be asleep throughout the procedure. The operation itself will take around one hour. You will be able to go home in the same day provided someone takes you home.
There will be some loss of penile length after this procedure. The good news is that most patients have less than 1.5 cm loss. Your assessment with the Urologist will help determine the likely loss of length. There are alternative procedures which may be more appropriate of the loss of length is potentially significant with the Nesbit procedure.
You should avoid all sexual activity including masturbation for six weeks.
If your Peyronie’s disease is having a negative impact on your sex life, then the Nesbit procedure can be a good option. If you have a penile curvature which cannot be improved with more conservative means, then surgery may be the best option. The Nesbit procedure is best suited to mild to moderate penile curvature.
The Nesbit procedure is performed by one of our GMC Specialist registered Urologists
The cost of the Nesbit procedure is £5495. This includes standard pre op tests, all surgery fees and aftercare.
Finance is available subject to status. No deposit options and flexible terms are available. Interest-free finance is also available up to £3500 over one year. We also accept all major debit and credit cards.
Most patients will take around one week off work. You cannot have any sexual activity for six weeks. You should avoid gym and sporting activities for up to six weeks. Avoid driving until you feel comfortable to do so.
Your Peyronie’s disease must be in the stable phase before we can consider this surgery. This means that you will not have seen any changes in the curvature for at least three months. For most patients the disease moves from the acute phase to the stable phase between six and twelve months. It can be a good idea to take photos very four weeks to monitor the progress of your curvature. These can often be helpful for the Urologist too.
You may be able to feel the scar tissue through your penile skin. This scar tissue is called Plaque, and it is the cause of the bending in your erect penis.
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