The Nesbit procedure is widely used to correct both congenital and Peyronie’s disease (Fig. 1). Under the skin, the plaque is cut away, and the defect is covered with a patch of tissue from the other side of the penis.
This technique shows good results but can make the penis shorter by, on average, 1 to 1.5 cm. Men with mild or no erectile dysfunction, mild to moderate penile curving, and a long penis are better candidates for this surgery.
The plication procedure is similar to the Nesbit procedure, but it is simpler to perform.
Sutures opposite the plaque are inserted to straighten the penis. The sutures used will not absorb, and so stay in place. Results are comparable to the Nesbit procedure.