Nesbit surgery question

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bricedu13

Hello.

I have been hesitant for some time to do the nesbit operation to straighten my penis with an upward congenital curvature that I have had since I was a teenager (I have 25).

But I have a question that makes me think a lot about the operation. After several years (3-5 years), is it possible that the sutures are loose?

Ah and also, in erection, for those who have a congenital curvature, you get to put it straight in erection? For my part, this is not possible.

Sorry for my English I am French.

TonySa

How severe is your curve and does it prevent intercourse?
PxD 2 yrs 9/16.  Failed all treatment. 9/11/18: excision, grafting & implant Dr Karpman MtnView Ca, AMS CX 18cm + 3-1cm RTEs.
Pump failed.  2/11/20 Dr Karpman installed Titan 22cm +1cm RTE.

bricedu13

Hi. Yes I can have sex, but it's a bit complicated for positions like doggy style. The problem is that my suspensory ligament is stretched, suddenly in addition to the curve I cannot lower my penis too much. I thune my curve is about 40 ° , I can send you photos by private message if you want.

bricedu13

anyone have an idea for sutures?

oscark

I have never heard that, so I would guess no.  Or if it has ever happened, it is extremely unlikely.
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bricedu13

Ok thank you. And another question: I have a really very hard erect penis, and I never managed to get it straight when I was erect, except that I saw that most of them manage to get it straight during an erection. Is this problematic for the operation?

Dressa

I have exactly the same thoughts. I have always had a curve...it is not possible to straighten it when erect. On top of this I also have peyronies. I think it is a sad mix of congenital upwards curve and peyronies in my case.

bricedu13

Quote from: Dressa on April 26, 2020, 04:31:46 PM
I have exactly the same thoughts. I have always had a curve...it is not possible to straighten it when erect. On top of this I also have peyronies. I think it is a sad mix of congenital upwards curve and peyronies in my case.

I don't think so, just congenital like me.

TonySa

Cogenital curves do not straighten out when erect.  The Nesbit procedure will lessen your length at least to the length of the shortest side.  Also, sometimes ED or loss of sensation can occur.  With a good functioning dick w a cogenital curve it's usually just best to adapt the positions you do.  Remember a curve positioned correctly can specifically target your partners errogenous zones and result in the best sex ever for them!
PxD 2 yrs 9/16.  Failed all treatment. 9/11/18: excision, grafting & implant Dr Karpman MtnView Ca, AMS CX 18cm + 3-1cm RTEs.
Pump failed.  2/11/20 Dr Karpman installed Titan 22cm +1cm RTE.

jan.schaller1958

Quote from: bricedu13 on January 20, 2020, 12:51:20 PM
Hello.

I have been hesitant for some time to do the nesbit operation to straighten my penis with an upward congenital curvature that I have had since I was a teenager (I have 25).

But I have a question that makes me think a lot about the operation. After several years (3-5 years), is it possible that the sutures are loose?

Ah and also, in erection, for those who have a congenital curvature, you get to put it straight in erection? For my part, this is not possible.

Sorry for my English I am French.

God, I'd never have a Nesbitt. That archaic surgery is out of the 50s or 60s and is worthless, unless you don't mind losing half your erect length and having ED. Forget a Nesbitt. It's outdated and mutilating.  
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bricedu13

Quote from: jan.schaller1958 on May 02, 2020, 02:51:43 AM
God, I'd never have a Nesbitt. That archaic surgery is out of the 50s or 60s and is worthless, unless you don't mind losing half your erect length and having Erectile Dysfunction. Forget a Nesbitt. It's outdated and mutilating.

and what do i do now?

TonySa

Jan, you stated surgery would result in loss of half of ones length—I don't think it's helpful to exaggerate when guys are trying to make informed decisions.
PxD 2 yrs 9/16.  Failed all treatment. 9/11/18: excision, grafting & implant Dr Karpman MtnView Ca, AMS CX 18cm + 3-1cm RTEs.
Pump failed.  2/11/20 Dr Karpman installed Titan 22cm +1cm RTE.

redbullmaster

The idea is for the sutures to keep the penis straight and in place so that scare tissue forms and keeps the penis in its new position/shape.
Dissolvable stiches are used and will disappear in 6 months, but I know not every surgeon uses these type of stiches.






 

bricedu13

Quote from: redbullmaster on May 04, 2020, 12:20:22 AM
The idea is for the sutures to keep the penis straight and in place so that scare tissue forms and keeps the penis in its new position/shape.
Dissolvable stiches are used and will disappear in 6 months, but I know not every surgeon uses these type of stiches.

Thank you for your answer. The surgeon I went to see uses non-absorbable wires. On the other hand, it is one of the best in France (he was trained by Dr Lue). The problem is that my penis is not flexible at all in erection

redbullmaster

If you have heathy erections it won't bend or move, it's the same for all men.
Watch on YouTube on how the operation is performed, you see that's not an issue.

As the surgeon degloves the penis, then induces an artefactual erection with an saline solution.
This is to see where the curve is, then marks were to put the stiches.

Deflates the penis and puts in the sutures into the penis, re induces an erection and checks it straight.
Re gloves and the job done, yes the curve can come back, mine did on two operations.

Others on here has had it happen to them too, but lots of other men stay straight or only a small curve comes back.

So your concern not unwarranted, but if you can't have sex due to your curve.

What other choice is there for a congenital curvature, traction might help.
But going to take about 6 to 8hrs a day and your talking probably over a year to two year's even if it does work.

Not saying you should or shouldn't have surgery, you need to weigh up all the risks and go from there.

bricedu13

thanks redbull. you had peyronie or a congenital curvature?

redbullmaster

Hi bricedu13

I had a Congenital curvature

jan.schaller1958

Quote from: bricedu13 on May 03, 2020, 10:14:08 AM
and what do i do now?

Well, sorry to generalize about it. I think what Tony said was essentially correct. That a Nesbit will lessen the length to the length of the shortest side. My understanding is it's just more of a straightening technique than anything else. But, it is one of the older, if not the oldest surgery for Peyroines, and I'm sure better techniques have been developed since, but you really need to consult a Peyroines specialist to know. Everyone's Peyroines is different, and just need to fine the one best suited to you particular needs. If a specialist says a Nesbit is the only way to got, then that might be your best option.  
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Mr man

If it helps you any. According to the British society of urologists. For every 15 degrees corrected. You will loose 1cm of (penis) length.

In my case I have a 30 degree bend. Therefore, I will loose 2cm from my penis length. (Am also due to have the nesbitt procedure).

Personally, I decided to delay surgery. In favour of traction. It is a 6 month course. Traction devices take some getting use too, and I do have to reschedule my life a little. The device requires a visit to the toilet 4-6 times throughout the day. To adjust.

Anyway, 1and a half month in. Girth and length seemed to have improved. No change to bend. Mine is NOT a congenital bend. It's all Peyronie's.

This is comparison to taking 6 weeks off work. To recover from surgery. I decided it is worth waiting 6 months to see if traction can spare me surgery.
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