(399) Effect of Bulbospongiosus Muscles Cutting with Frenular Delta Excision for Treatment Premature Ejaculation ( Alaa Aglan Operation)

Abstract Introduction Alaa aglan operation is a new procedure consists of two parts. First part cutting bulbospongiosus muscles bilaterally, And 2nd elliptical frenular delta. it the most sensitive area in penis and excision its central decreases sensitivity. The has it's own prediction test that allows us to know expected time post operatively if option or not. It easy just spraying local anesthesia (procomail 10%®) at coronal ridge (inhibits glans-bulbospongiosus reflex) delta (temporary excision) 30 minutes before having sex. could be reversed by repairing muscle again. Objective presentation simple, permanent solution for treatment premature ejaculation with less side effects comparison all other treatments. Methods 1050 Cases were operated between 1/1/2015 3/10/2015 follow up was done 1, 3,6,12 months intervals then yearly (5 years duration). 47 didn't complete 5 duration but none them have any complain. Results There are types patients: type (non-psychic causes patients) gained approximately as each. Second (secondary psychic mixed results much better than tests after 3 months. non- patients improved quickly. we calculate (IVEL) from second intercourse patient usually congested unless he masturbated had wet dreams so avoid 1st .clinically noticed gets final result 1 month day surgery. still constant without change minimal positive few cases weeks resembles improves gradually till 3rd result. Satisfaction rate 99.6% this due application, our early trials beyond study 71% (without test). Side minimal, No regression during following period. Only 4 not satisfied although successful. complained neuroma adhesion (post operative), Adhesiolysis done, total relief pain reported immediately operative, distance expulsion semen penile orifice decreased hematoma, Evacuation complications. 4th lost sensation repetitive contraction peno-scrotal ejaculation. Many absence decrease number operative minimal. Conclusions safe, Immediate, Curative technique provided shows good response. Disclosure