[13] Immediate curative and permanent treatment of premature ejaculation (Alaa Aglan operation)

Objective: To present the ‘Alaa Aglan operation’ for immediate curative and permanent treatment of premature ejaculation, as premature ejaculation is a common male sexual disorder and although there are some medications used for this problem there is no definite medical treatment, and current surgical options are not very effective with high recurrence and low success rates. Methods: The present study shows the effectiveness of cutting the bulbospongiosus muscle bilaterally and frenular delta excision for treatment of premature ejaculation to delay the time to ejaculation in normal men. The study was conducted from 06/04/2011 to 06/04/2016 and included 60 men. Results: The operation success rate was 96.6%, with immediate results after the first intercourse, usually 3 weeks after surgery. The intravaginal ejaculation latency time increased 200–1000%, patients with a latency time of 5 min, the latency time increased up to 15–20 min and some reached 30 min following the surgery The result is permanent. Conclusion: The described surgery is an effective treatment for premature ejaculation. In this study we also explain why some patients do not respond to local anaesthesia applied to glans