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Nesbit plication is one type of procedure to suture (plicate) the side of the penis that doesn't have scar tissue. An artificial erection is created from either injection of a saltwater solution or selected medications. The outer skin of the penis is pulled back. The penis is straightened, and the excess tissue on what had been the outer side of the curve is either removed or cinched together. The final penile length will depend on the length of the shorter side.