Correction of chordee. The Nesbit procedure.

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.