✦ Peyronie's Disease Treatment

Nesbit Plication / Penile Plication

Q: How much length is lost with Nesbit plication?

Most patients lose 1–2 cm of penile length depending on the degree of curvature corrected; this is usually an acceptable trade-off for straightening.

Q: Will my erections be affected after plication?

Erectile function is generally preserved; plication tightens the tunica but does not compromise cavernous blood flow. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Q: What is the recurrence rate of curvature after plication?

Curvature recurrence occurs in 10–15% of patients at 5 years, particularly if Peyronie's disease remains active. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Surgical Correction of Penile Curvature by Plication on the Longer Side

60–90 min PROCEDURE

Day Care HOSPITAL STAY

>80% SUCCESS RATE

3–4 Weeks RECOVERY

What is Nesbit Plication / Penile Plication?

Nesbit Plication and Penile Plication correct penile curvature in Peyronie's disease by shortening the longer (convex) side of the penis using excision ellipses (Nesbit) or plication sutures (modified Nesbit) opposite to the curvature. This straightens the penis without interfering with the plaque. The technique is simple, reliable, and has low complication rates. It is best suited for men with adequate penile length who can afford a small shortening. The procedure is performed under general or spinal anaesthesia with a hospital stay of Day Care.

Men with stable Peyronie's disease (>12 months), curvature >30 degrees, adequate penile length, and no erectile dysfunction requiring concurrent prosthesis implantation. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.

How the Procedure Works

Penile Degloving & Assessment

Penile degloving under general anaesthesia; artificial erection created to assess curvature degree and location.

Curvature Identification

Point of maximum curvature identified on the dorsal (longer) side.

Nesbit — Ellipse Excision

Nesbit technique: ellipse of tunica albuginea excised; sutures close the defect straightening the penis.

Plication — Suture Technique

Plication technique: multiple plication sutures placed on the longer side without excision of tunica.

Confirmation & Closure

Artificial erection repeated to confirm straightening; wound closed.

Outcomes

60–90 minDURATION

Day CareHOSPITAL STAY

>80%SUCCESS RATE

3–4 WeeksFULL RECOVERY

Who Needs This Treatment?

→Simple procedure with reliable straightening in over 80% of patients.
→Low complication rate — no incision on the plaque side.
→Preserves existing erectile function — suitable for men without ED.
→Day-case procedure with rapid return to normal activities.
→Can be repeated if residual curvature remains after initial plication.
→Short operative time compared to plaque excision and grafting procedures.

"Nesbit plication is elegant in its simplicity — we shorten the long side to match the short side, and the penis straightens. For the right patient, it is a reliable and time-tested solution."

— — Dr. Vipin Reddy, Consultant Urologist, Andrologist & Renal Transplant Surgeon

Common Questions

Frequently Asked

How much length is lost with Nesbit plication?+

Will my erections be affected after plication?+

What is the recurrence rate of curvature after plication?+

Not sure which treatment is right for you?

Book a consultation with Dr. Vipin Reddy and get a personalised treatment plan.

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