[Our experience with the Nesbit technique for the treatment of Peyronie's disease]. / Nuestra experiencia en la enfermedad de Peyronie con la técnica de Nesbit.

OBJECTIVES: The Nesbit technique is the reference technique for the surgical correction of the penile incurvation of Peyronie's disease. We report our experience at the Centro Urológico San Ignacio. METHODS: 68 patients with stable penile incurvation who requested surgical correction. Correction of the curvature is defined as > or = 80% rectification of the pathologic angle. Mean patient age was 44 years (31-77). 53% of the patients presented difficulties for penetration, 20% partner's discomfort on intercourse, and 27% requested surgery for aesthetic reasons. Penile deviation was dorsal in 42% of the patients, to the left in 46% and to the right in 12%. The curvature angle was less than 30 degrees in 28%, between 30 degrees-45 degrees in 36%, between 45 degrees-60 degrees in 37% and > 60 degrees in 7%. RESULTS: Mean follow-up of the series was 36 months. 20% of the patients had a penile shortening longer than 1.5 cm. 85% of the patients are satisfied with the results. The most frequent complaint was penile shortening. Correction was achieved in 92% of the patients. Four patients were reoperated: two of them for significant phimosis three months after surgery, and the other two for curvature recurrence. CONCLUSIONS: The Nesbit technique is a simple technique, with a low complication rate, and good results both in curvature correction and patient satisfaction.

Nuestra experiencia en la enfermedad de Peyronie con la técnica de Nesbit / Our experience with the Nesbit technique for the treatment of Peyronie´s disease

OBJETIVO: La técnica de Nesbit esa la técnica de referencia en la cirugía correctora de la incurvaciónpenenana en la enfermedad de Peyronie. Presentamos nuestra experiencia en el Centro Urológico san Ignacio.MÉTODO: 68 pacientes con incurvación peneana establey que deseaban corrección quirúrgica de la misma. Se considera corrección de la curvatura cuando la rectificaciónes igual o superior al 80% de la angulación patológica. La edad media de los pacientes es de 44 años (31-77). Un 53% presentaban dificultad para la penetración, un 20% molestias en su pareja, un 27% se intervinieron por razones estéticas. La desviación peneanaera dorsal en el 42%, izquierda en el 46% y derecha en el 12%. El ángulo de incurvación medido en grados era menor de 30º en el 28%, entre 30 y 45 en el 36%, entre 45 y 60 en el 37% y mayor de 60% en el 7%.RESULTADOS: El seguimiento medio de la serie es de 46 meses. Acortamiento peneano superior a 1,5 cm en el 20% de los enfermos. El 85% de los enfermos están satisfechos con los resultados obtenidos. La queja más frecuente es el acortamiento peneano. Se ha corregidola desviación en el 92% de los pacientes. Hemos reintervenido a cuatro pacientes, A dos por fimosis marcadaa los tres meses de la intervención, los otros dos enfermos presentaron recidiva de la curvatura.CONCLUSIONES: La técnica de Nesbit es una técnica sencilla, con escasas complicaciones y buenos resultadostanto en corrección de curvatura como en satisfaccióndel enfermo

OBJECTIVES: The Nesbit technique is the reference technique for the surgical correction of the penile incurvation of Peyronie’s disease. We report our experience at the Centro Urológico San Ignacio.METHODS: 68 patients with stable penile incurvation who requested surgical correction. Correction of the curvature is defined as ≥ 80% rectification of the pathologic angle. Mean patient age was 44 years (31-77). 53% of the patients presented difficulties for penetration, 20% partner`s discomfort on intercourse, and 27% requested surgery for aesthetic reasons. Penile deviation was dorsal in 42% of the patients, to the left in 46% and to the right in 12%. The curvature angle was less than 30 ° in 28%, between 30º-45 ° in 36%, between 45 °-60 ° in 37% and > 60 ° in 7%.RESULTS: Mean follow-up of the series was 36 months. 20% of the patients had a penile shortening longer than 1.5 cm. 85% of the patients are satisfied with the results. The most frequent complaint was penile shortening.Correction was achieved in 92% of the patients. Four patients were reoperated: two of them for significantphimosis three months after surgery, and the other two for curvature recurrence.CONCLUSIONS: The Nesbit technique is a simpletechnique, with a low complication rate, and good results both in curvature correction and patient satisfaction

[Bladder leiomyoma in a 17-year-old male patient]. / Leiomioma vesical en paciente varón de diecisiete años.

OBJECTIVES: Bladder leiomyoma is a rare tumor, its frequency being estimated below 1%. METHODS: We report the case of a 17-year-old mole patient presenting with hematuria and lower urinary tract irritative symptoms whose work up discovered two small bladder tumors. RESULTS: After TUR of the lesions the diagnosis of bladder leiomyoma was established; no recurrences have appeared on follow-up. CONCLUSIONS: Bladder leiomyoma is a benign tumor, therefore surgery should be the most conservative. Bibliographic review of the Spanish urologic journals shows that this is the youngest patient reported to date.