Montague D K
Urol Clin North Am. 1986 Feb;13(1):167-74.
In select patients the Nesbit operation is a useful procedure for the correction of congenital or acquired chordee. This operation results in a deliberate shortening of the convex surface of the corpora cavernosa to counterbalance congenital or acquired shortening on the opposite side. Precise placement of the corrective tuck allows complete correction of the chordee with minimal disturbance of normal tissue. An artificial erection should be created to permit precise identification of the point of maximal curvature on the longer (convex) side of the penis. The transverse elliptical segment to be removed should be placed precisely at this point and should be of sufficient width to result in complete correction of the chordee. Care should be taken to remove only a segment of the tunica albuginea without damaging the underlying erectile tissue. In cases of ventral chordee, the corrective procedure will require elevation of the neurovascular bundle. In cases of dorsal chordee, the procedure will require elevation of the urethra and corpus spongiosum. A repeat artificial erection insures that an adequate correction has been obtained.
对于部分患者而言，内斯比特手术是矫正先天性或后天性阴茎弯曲的有效方法。该手术通过故意缩短海绵体凸面，以平衡对侧先天性或后天性的缩短。精确放置矫正折叠可在对正常组织干扰最小的情况下完全矫正阴茎弯曲。应制造人工勃起，以便精确识别阴茎较长（凸）侧的最大弯曲点。要切除的横向椭圆形部分应精确置于该点，且宽度应足够，以实现阴茎弯曲的完全矫正。操作时应注意仅切除白膜的一部分，而不损伤其下方的勃起组织。对于腹侧阴茎弯曲病例，矫正手术需要游离神经血管束。对于背侧阴茎弯曲病例，手术需要游离尿道和海绵体。再次进行人工勃起可确保获得充分矫正。
