Nesbit's procedure for penile curvature.

Between January 1982 and June 1992 83 patients with penile curvature due to Peyronie's disease or congenital curvature underwent a modified Nesbit's procedure for coital difficulties. This represented approximately 23% of the total number of patients referred to the male sexual dysfunction clinic with penile deformity. A confidential postal questionnaire was sent to all of the operated patients in order to determine the longterm results of surgery. Seventy-eight of the 83 patients were contacted, aged 16-71 years (mean = 48 years). Sixty-two of the 78 (79%) were satisfied with the result of surgery and would be prepared to have the operation again. Twenty-two of the 78 were not having intercourse. As a result of this survey we have identified a group of people with initial satisfactory results who have since developed erectile failure. These have been offered either self injection therapy with a vasoactive agent or penile prostheses if they do not respond or do not wish to self inject.