The Nesbit Procedure for Peyronies disease

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.

Plaque incision and grafting surgery may be considered in more severe cases of the disease, or where there is a desire to protect the length of the penis. The Nesbit procedure leads to penile shortening. The worse the curvature, the more the shortening

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.