General

When Peyronie’s disease is recognized and requires surgical correction, the great majority of insurance companies will cover the cost for the surgery. Fees vary by region and surgeon, but I have seen surgeon charges ranging from $1500.00 to $9000.00 for penile straightening with plication or grafting.

The Nesbit procedure is used in general to describe a variety of plication operations. This means that if the penis is curved in one direction, the tunica is shortened on the opposite side. As an example, if the penis is curved downward, then shortening would occur on

Your statement is true that younger men tend to heal better and have better underlying erectile function. The experts on Peyronie’s disease would likely not be reluctant to perform surgical correction on the young man (under 40 years old) with stable Peyronie’s disease who has a curvature

It seems that you have a rather severe degree of Peyronie’s disease with a 90-degree downward or ventral bend. The fact that you have a hinge-effect suggests that there may also be some indentation which is destabilizing the penile shaft resulting in the ability to flex the

The surgeries are designed to correct the erect deformity. Irregularities in the flaccid condition are not felt to be clinically significant and may not be correctable as the tissues are soft and naturally take on different shapes. All men have some irregularities in the shape of the

Penile plication is the preferred surgical approach for straightening the penis, for congenital curvature. The sensory nerves supplying the shaft and the head of the penis run on the top or dorsal surface of the penis. Therefore, if you had a downward curve, it is likely those

This type of curvature is best treated with surgery. The type of surgery depends upon several factors. If there is Peyronie’s disease which has caused substantial shortening, or the penis is already short then there is likely to be further shortening when correcting a downward (ventral) curvature.

The question is clearly a good one and important to recognize that the indications for surgical correction depend upon several factors, and first and most importantly that the deformity of the penis interferes with sexual activity enough that it is difficult or impossible to perform penetrative sex.

Loss of length depends upon the direction of curvature and the degree of curvature particularly in performing a plication operation such as the Nesbit procedure. In this operation, the loss of length has been reported to range from 0-5 cm. In a published report from January 2006

The best case scenario is clearly satisfactory functional straightening of the penis to less than 20 degrees, preservation of sensation, length and erectile capacity. In men who have good erections preoperatively, 95% can expect this type of result. In men who have borderline erections, upwards of 30%