Long-Term Peyronie's Surgery Study Compares Nesbit and Yachia Patient

A long-term retrospective study comparing Peyronie’s surgery techniques found that while both Nesbit excisional corporoplasty and Yachia incisional corporoplasty can achieve strong anatomical straightening, patient dissatisfaction remains common years later. The single-surgeon cohort reviewed 101 consecutive men with acquired penile curvature from stable Peyronie’s disease of at least six months, excluding congenital curvature. Between 2015 and 2021, 31 men underwent Nesbit and 70 received the Yachia modification; allocation was non-randomized, with baseline differences including younger age in the Nesbit group (median 55.0 vs 59.7, p=0.02) and greater baseline deformity (55° vs 45°, p=0.01). Both techniques used similar operative steps, including intraoperative saline artificial erection testing, but differed in excision versus longitudinal incision and closure method.