The Nesbit Procedure

The Nesbit Procedure is a surgical procedure usually adopted to correct Peyronies disease.

Essentially, it is an operation to straighten a bent penis.

In most cases, the penis is bent at an angle that makes sexual intercourse difficult or uncomfortable for the man and /or his partner.

As this is a surgical procedure that will take around one hour to perform, you will be given a general anesthetic. In most cases, you can home hoke on the same day as the surgery.

With the Nesbit technique, a wedge incision is made on the longer side of the penis. This will make the penis straight once again.

You should know that the Nesbit procedure will result in shortening of the penis after the surgery. This will be around one to two inches in most cases. At your consultation, the Urologist will be able to give you a better idea of the amount of shortening the surgery will have on your penis. Generally speaking, the worse the curvature the more the shortening.

After the Nesbit procedure, you should arrange to take some time off work. You will have swelling and bruising to the penis and you will need to avoid sexual activity for around six weeks. Similarly, you should avoid strenuous exercise for six weeks.

The Nesbit procedure is a successful procedure in terms of penile straightening, but one should be aware of the impact on penile length and understand this evitable consequence of this operation.

We see men here at Moorgate Andrology who come for penis enlargement surgery after having the Nesbit procedure because they underestimated the impact on their penile size post-surgery.

When considering the Nesbit procedure it may also be worth investigating other procedures to correct Peyronie’s disease such as the Stage Technique and plaque incision and grafting surgery. These procedures can also straighten the penis but are considered length preserving procedures.

If you have a penile curvature then the best place to start is a consultation with a Urologist with experience of all techniques to correct Peyronies disease. You will then be able to make an informed decision as to the best way to make your penis straight again.

Want to learn more?

If you are interested in finding out more, make an appointment for an initial consultation today. We can go through some facts and figures with you and explain all the different options that we offer.

Frequently Asked Questions

What is the Nesbit Procedure

The Nesbit procedure is a surgical procedure to cure Peyronies disease.

Peyronies disease is a very distressing condition that affects many men. It described an unnatural curvature to the penis when the penis is erect. The penis typically bends upwards or to the left or right. The curvature varies from patient to patient from the very mild to the severe. In severe cases sexual intercourse can be very difficult or impossible, causing pain for the man and/or his partner.

The Nesbit procedure is performed widely on the national health service. In many cases, men are asked to try more conservative treatments such as a penis pump or penis traction device. If these do not work then the Nesbit procedure may be offered.

In Peyronies disease when the penis is in full erection it can appear shorter because of the curvature. Essentially, the penis has a long side and a short side.

Whatever is done to the penis to make it straight, the two sides of the penis must be of the same length.

With the Nesbit procedure, a wedge is cut from the long side of the penis to make it straight. This is done on the long side of the penis.

Following the surgery, the penis will be straight again.

The whole procedure takes around one to one and a half hours and is performed under general anaesthetic. In most cases, patients can go home on the same day.

Following surgery patients must take some time off work, up to two weeks depending on the type of work involved. Those with a more physical job will need more time off work than those with a desk bound job, for example.

Expect some bruising and swelling of the penis at first and a sore penis.

You must avoid all sexual activity for six weeks after the surgery to allow time for things to heal

The main drawback with the Nesbit procedure is the shortening of the penis. To get an idea of the shortening it is always a good idea to measure the short side of the penis before the operation. This is because this is likely to be the length of the penis after this operation.

Patients should discuss this aspect with their Urologist in detail before deciding on whether to go ahead with this operation. Other procedures that are length preserving procedures are available such as the plaque incision and grafting surgery and the stage technique.

It is very important to discuss all options in detail because once the Nesbit surgery has been done, then there may be no option to regain the length that has been lost.

What is the recovery time from the Nesbit procedure?

The Nesbit procedure is an operation to correct a bent penis.

Following the surgery, you will be able to go home on the same day, in most cases.

Over the next few days, you should rest and take time to recover from the general anaesthetic. You may feel a little tired in the first few days. Try to avoid driving until you feel confident at the wheel of your vehicle, at least three days without driving is usually recommended. Resting does not mean retiring to your bed though. It’s important to keep moving as part of the recovery process.

You must avoid all sexual activity for six weeks after the Nesbit procedure. This includes penetrative sex and masturbation. Erections are fine and they help with oxygenating the penis and promote healing. You may find that your erections are a bit painful at first. This will resolve in the following weeks.

You will have a compression dressing on the penis after surgery and your Urologist will advise you when it is time to remove it.

You will need to take some time off work. If your job is sedentary then around three days off work should be fine. If your job is more physical then expect to take around one week off.

Try to avoid activities such as riding a bike to the gym for six weeks after the procedure.

You will have a course of antibiotics after the surgery. Make sure that you complete the course, even if you feel better.

Contact Us