madman
Super Moderator
EFFECT OF BULBOSPONGIOSUS MUSCLES CUTTING WITH FRENULAR DELTA EXCISION FOR TREATMENT OF PREMATURE EJACULATION (ALAA AGLAN OPERATION) (2022)
Alaa Aglan
Introduction: Alaa aglan operation consists of two parts. Cutting bulbospongiosus muscles bilaterally, And excision of elliptical part of the frenular delta. The operation has its own prediction test. It is easy just spraying local anesthesia ( Procmail 10%®) at the coronal ridge ( inhibits glans-bulbospongiosus reflex ) and at the frenular delta ( temporary excision ) 30 minutes before having sex. The operation could be reversed by repairing the muscles again.
Methods: 1050 Cases were operated between 1/1/2015 and 3/10/2015 follow up was done at 1,3,6,12 months intervals then yearly (5 years duration).
Results: The satisfaction rate was 99.6% due to the prediction test application, in our early trials beyond this study Satisfaction rate was 71% (without the prediction test). Side effects were minimal, No regression in results in any patient during the following up period. Only 4 patients were not satisfied although the operation was successful. 1st patient complained of neuroma due to adhesions post-operative, Adhesiolysis was done, total relief of pain was reported by the patient immediately postoperative, 2nd patient reported that the distance of expulsion of semen from penile orifice decreased in comparison to that before surgery. 3rd patient-reported hematoma, Evacuation was done without complications. 4th patient reported that he lost the sensation of repetitive contraction of muscles in peno-scrotal area during ejaculation. Many patients reported an absence or decrease in the number of wet dreams post-operative.
Conclusion: Alaa aglan operation is a safe, immediate, curative technique for premature ejaculation treatment provided that the prediction test shows a good response.
Alaa Aglan
Introduction: Alaa aglan operation consists of two parts. Cutting bulbospongiosus muscles bilaterally, And excision of elliptical part of the frenular delta. The operation has its own prediction test. It is easy just spraying local anesthesia ( Procmail 10%®) at the coronal ridge ( inhibits glans-bulbospongiosus reflex ) and at the frenular delta ( temporary excision ) 30 minutes before having sex. The operation could be reversed by repairing the muscles again.
Methods: 1050 Cases were operated between 1/1/2015 and 3/10/2015 follow up was done at 1,3,6,12 months intervals then yearly (5 years duration).
Results: The satisfaction rate was 99.6% due to the prediction test application, in our early trials beyond this study Satisfaction rate was 71% (without the prediction test). Side effects were minimal, No regression in results in any patient during the following up period. Only 4 patients were not satisfied although the operation was successful. 1st patient complained of neuroma due to adhesions post-operative, Adhesiolysis was done, total relief of pain was reported by the patient immediately postoperative, 2nd patient reported that the distance of expulsion of semen from penile orifice decreased in comparison to that before surgery. 3rd patient-reported hematoma, Evacuation was done without complications. 4th patient reported that he lost the sensation of repetitive contraction of muscles in peno-scrotal area during ejaculation. Many patients reported an absence or decrease in the number of wet dreams post-operative.
Conclusion: Alaa aglan operation is a safe, immediate, curative technique for premature ejaculation treatment provided that the prediction test shows a good response.
