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. 2025 Mar 27;25(1):60.
doi: 10.1186/s12894-025-01748-0.

Long-term results of modified Nesbit corporoplasty with medial neurovascular bundle dissection approach for ventral congenital penile curvature from a high-volume center

Samet Senel  1 , Ilker Teke  1 , Rifat Burak Ergul  1 , Resat Aydin  1 , Ahmet Halil Sevinc  1 , Murat Dursun  1 , Ates Kadioglu  2
Affiliations

Long-term results of modified Nesbit corporoplasty with medial neurovascular bundle dissection approach for ventral congenital penile curvature from a high-volume center

Samet Senel et al. BMC Urol. .

Abstract

Background: Modified Nesbit corporoplasty with medial or lateral neurovascular bundle (NVB) dissection approach is one of the surgical methods aiming to correct the deformity of congenital penile curvature (CPC). We aimed to present the postoperative outcome and complications of patients undergoing modified Nesbit corporoplasty with medial NVB dissection approach for ventral CPC.

Methods: One hundred five patients who underwent modified Nesbit corporoplasty procedure with medial NVB dissection for ventral CPC between 2007 and 2024 were included in the study. Preoperative (age, curvature type and degree) and postoperative (follow-up period, anatomical success, penile length loss, curvature recurrence, bothersome bumps and/or knots, penile and/or glans sensory loss, de-novo erectile dysfunction) data of all patients were recorded.

Results: The mean age of patients was 23.8 ± 5.2 years. The mean degree of curvature was 54.8 ± 13.1°. Median penile length loss was two (IQR:1-3) cm. Anatomical success was achieved in ninety-five (91.5%) patients. The mean postoperative follow up period was 9.8 ± 4.5 (IQR:45-60) years. Recurrence rate and presence of bothersome bumps and/or knots were 4.8% and 6.7%, respectively. None of the patients reported penile and/or glans sensory loss and four (3.8%) patients had de-novo erectile dysfunction during the follow-up period.

Conclusion: The present study has a large series demonstrating that Modified Nesbit corporoplasty with medial dissection could be an alternative approach in correcting ventral CPC with high anatomic and functional success rate and low recurrence rate.

Clinical trial number: Not applicable.

Keywords: Congenital penile curvature; Corporoplasty; Medial neurovascular bundle dissection; Modified nesbit.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: This study was performed in accordance with the principles of Helsinki Declaration and was approved by the Clinical Research Ethics Committee of Ankara City Hospital (approval number: TABED 1-24-252). All methods were performed in accordance with the Declaration of Helsinki, relevant guidelines and regulations. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Modified Nesbit corporoplasty with medial neurovascular bundle dissection approach for ventral congenital penile curvature. a. Buck’s fascia was incised over the deep dorsal vein. b. Two inch of deep dorsal vein was excised at the most prominent location of the curvature. c. One or more diamond-shaped, 4–5 mm deep portion from the area marked by the trace of the Allis clamp were excised. d. The residual defect was repaired transversely with nonabsorbable no. 0 polyester sutures, using an inverted stitch technique to bury the knots under the TA. e. Artificial erection of the penis before before the procedure. f. Ariticial erection of the penis after the procedure
See this image and copyright information in PMC

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