Treatment / Nesbitt’s Operation for Peyronie’s disease

Correction of Peyronie’s Disease: Surgical and Non-Surgical Treatments

Introduction:

Peyronie’s disease is characterized by the formation of fibrous scar tissue inside the penis, leading to a noticeable and sometimes painful bend or curvature during erections. This condition can make sexual activity challenging or impossible. Thankfully, various treatments, both surgical and non-surgical, can address and correct the curvature caused by Peyronie’s disease.

Surgical Procedures for Correcting Peyronie’s Disease:

1. Nesbit Procedure (Plication Surgery):

   • Description: Removal or pinching of tissue from the side of the penis opposite the plaque, which cancels out the bending effect.
   • Advantages: Simpler procedure with a high success rate.
   • Indications: Best for men with a bend less than 60 degrees and adequate erectile function.

2. Incision or Excision and Grafting:

   • Description: The plaque is either incised or excised, and the resultant gap is filled with a graft.
   • Advantages: Can correct more severe curvatures.
   • Indications: Typically used for larger plaques or bends more than 60 degrees, especially when plication might result in significant shortening.

3. Penile Implants:

   • Description: Devices are implanted within the penis to provide rigidity. Can straighten the penis and provide an erection.
   • Advantages: Offers a solution for both curvature and erectile dysfunction.
   • Indications: Best for men with Peyronie’s disease who also have erectile dysfunction.

Non-Surgical Treatment Options:

1. Medications:

   • Various oral medications, such as Potaba, Vitamin E, Colchicine, and others, have been tried with varying degrees of success.

2. Injections:

   • Collagenase (Xiaflex): An enzyme that breaks down the scar tissue, allowing the penis to straighten.
   • Interferon: Breaks down fibrous tissue and reduces the curvature.
   • Verapamil: Helps break down scar tissue and decrease curvature.

3. Traction Devices:

   • Description: Devices that hold the penis in a straightened position for prolonged periods.
   • Advantages: Non-invasive way to reduce curvature and lengthen the penis.

4. Shockwave Therapy:

   • Description: High-frequency sound waves break down the plaque tissue.
   • Advantages: Non-invasive and can improve erectile function.

5. Therapeutic Ultrasound:

   • Uses sound waves to break down scar tissue, reducing curvature.

Conclusion:

Peyronie’s disease, while challenging, has various treatments to help affected men. The best method depends on the degree of curvature, plaque location, erectile function, and individual patient needs. Regular consultation with a urologist or medical specialist will guide the journey to a more confident and satisfying intimate life