Penile Straightening (Nesbit or Lue operation)

What is this?

This is a procedure to correct curvature of the penis during erection; it is only indicated if the penis is too bent to permit penetration and the disease. Surgery will not normally be performed without a period of observation of at least 6 months to ensure that the disease is not progressing.

What alternatives are there?

Observation, drugs, shockwave treatment and other surgical approaches.

What to expect before procedure

You will usually be admitted on the same day as your surgery. You will normally receive an appointment for pre-assessment, approximately 14 days before your admission, to assess your general fitness, to screen for the carriage of MRSA, to screen for the carriage of MRSA and to perform some baseline investigations. After admission, you will be seen by members of the medical team which may include the Consultant, Specialist Registrar, House Officer and your named nurse. You will be asked not to eat or drink for 6 hours before surgery and, immediately before the operation, you may be given a pre-medication by the anaesthetist which will make you dry-mouthed and pleasantly sleepy. You will be given an injection under the skin of a drug (Clexane), that, along with the help of elasticated stockings provided by the ward, will help prevent thrombosis (clots) in the veins.

What happens during the procedure?

Either a full general anaesthetic (where you will be asleep throughout the procedure) or a spinal anaesthetic (where you are awake but unable to feel anything from the waist down) will be used. All methods minimise pain; your anaesthetist will explain the pros and cons of each type of anaesthetic to you. The skin of the penis will be reflected using an incision around the head of the penis. The deformity will be confirmed by artificial erection and then corrected by bunching up the opposite side to the curvature (Nesbit’s procedure) or by vein grafting to the scarred area (Lue procedure). In the Lue procedure only, a separate incision is made in front of one ankle bone to obtain a piece of vein for grafting.

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. A catheter may need to be inserted into the bladder for 24-48 hours after the operation to prevent any problems with passing urine. Once the catheter has been removed and you are passing urine normally, you will be able to go home. The average hospital stay is 2 days.

Potential side effects