August 28, 2011
I am in the Middle East and have been told about the Nesbit. The Doctor here claim there is no such think as a variation of Nesbit. quests: What are the true side effect of the Nesbit. I wish to have work done in U.S.
The issue here is the operation is expensive and when I spoke of you- it went like-
No such thing,who is this doctor. So,I provided your email and name. Tell me your email is true to me?
Lester
August 23, 2011
Good afternoon Lester,
Thank you for your interest in what we do. We do not do the Nesbit but a variation of it which I believe is more physiologic and less complication prone. We use 16 dot plication as propsoed by Dr. Thomas Lue. Cutting the tunica albuginea, the casing for the spongy erectile tissues may create more of a risk for erectile difficulties, versus simply bringing the tunica closer together on the longer side.
After reading the attached, if you believe I am the doctor for you, please initiate a consultation over the phone with our office by sending us your name, address, and telephone number in an envelope along with a check for 250. We’ll get started ASAP. We’ll have a lot to talk about.
Cordially,
Harold M. Reed
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Florida 33154
305-865-2000
August 26, 2011
Good afternoon Lester,
Please read below and I am not sure you will continue to agree with your other physician. This is what I’ve been saying. Surely a Nesbit is a Nesbit, but the other procedures accomplish the same and perhaps offer more.
Or another way is to say, a Nesbit was a good idea in its time.
Sincerely
Harold M. Reed, M.D.
305-865-2000
Taken from http://knol.google.com/k/peyronie-s-disease-acquired-deformity-of-the-penis#
What about surgery for PD?
In cases where medical treatment has failed to reverse the condition and penile deformity makes satisfactory sexual intercourse difficult or impossible, surgical intervention may be required. Most urologists who perform surgery for PD prefer to wait until the curvature has been stable and the patient has been pain free for at least 6 months; in other words, only in chronic phase Peyronie?s Disease. The rationale for this delay is that early intervention before stabilization of disease may result in worse defects. Although this is considered the standard of care, it is based more on expert opinion than on scientific evidence.
There are a number of surgical options for the management of PD. The type of surgery recommended will be based in large part on the degree of curvature, the length of the penis, whether or not ED is present, and the personal preferences of the patient and his physician. Surgeries may be broadly divided into three categories:[41]
- Procedures that shorten the side opposite the curvature: This procedure may be done under a local or general anesthetic and is performed through either a circumcising incision or through an incision made on the side of the penis.
- Penile Plication: In plication procedures, permanent sutures are placed on the side of the penis opposite the curvature. There are a variety of ways to place the sutures; one of the most commonly utilized techniques in the modern era is the called the 16-dot procedure. This procedure is simple to perform, safe, and very effective at reducing or eliminating curvature in almost all cases. It has, however, been associated with penile shortening and complaints of mild pain in up to 10% of cases.[42]
- Nesbit procedure: In this operation, a small ellipse (lens shape) of tissue is excised from the tunica albuginea and the edges are sewn back together. In a large series of patients, results with the Nesbit procedure were generally favorable, with 82% reporting at least satisfactory resolution of curvature. Penile shortening of greater than 2 cm occurred in 5% of men and the majority of men had some degree of shortening.[43]
- Yachia procedure: Similar in some respects to the Nesbit operation, in the Yachia procedure, a longitudinal incision is made on the convex side of the penis and then is sewn closed in a transverse fashion. This has the effect of shortening the conve