What does the procedure involve?
This is a procedure to correct curvature of the penis during erection. It is a suitable treatment option for men whose penis is too bent to permit penetration. Surgery will not normally be performed without a period of observation of at least 12 months to ensure that the curvature is not progressing.
What are the alternatives to this procedure?
In men who also have erectile dysfunction (impotence) then insertion of a penile prosthesis (implant) may be more appropriate.
What should I expect before the procedure?
You will usually be admitted on the same day as your surgery. After admission, you will be seen by members of the medical team which may include the Consultant, Specialist Registrar, and your named nurse. You will change into a gown and you will be pushed to the operating room on a trolley. The anaesthetist will then put you to sleep, usually by an injection in the back of your hand.
What happens during the procedure?
The curvature will be confirmed by an artificial erection and then corrected by placing stitches to shorten the opposite side to the curvature (Nesbit procedure) or by placing a collagen graft to the scarred area (Lue procedure).
What happens immediately after the procedure?
You may experience discomfort for a few days after the procedure but painkillers will be given to you to take home. Absorbable stitches are normally used which do not require removal. You will usually be able to go home on the same day as the operation.
Are there any side-effects?
There will be some shortening of the penis (1-3cm), especially with Nesbit procedure but less likely with the Lue procedure, in addition to the shortening already produced by the disease itself. As a consequence there can be dissatisfaction with the cosmetic or functional result. There will be temporary swelling and bruising of the penis and scrotum which can last for several days. A circumcision may need to be performed during surgery – this happens in approximately 10%.
There may still be some residual curvature, but the aim of the operation is to straighten the penis sufficient for intercourse. Curvature may recur at a later stage.
There is a risk of nerve injury with temporary or permanent numbness of the head of the penis (glans) – this is more likely after a Lue procedure. There is also a risk of developing impotence after surgery. The risk is higher (up to 40%) in men having a Lue procedure.
What should I expect when I get home?
You may return to work when you are comfortable enough and your GP is satisfied with your progress. You should abstain from sexual intercourse for a minimum of 8 weeks to allow complete healing.
What else should I look out for?
If you develop a high temperature, increased redness, throbbing or drainage at the site of the operation, please contact your GP as you may have developed a wound infection and require antibiotics.
Are there any other important points?
A follow-up outpatient appointment will be arranged for you 3 months after the operation. You will receive this appointment either whilst you are on the ward or shortly after you get home.
