Alaa aglan operation is a new procedure consists of two parts. First part is cutting bulbospongiosus muscles bilaterally, and 2nd part is cutting of elliptical part of frenular delta(Fig1). It is the most sensitive area in penis and excision of its central part decreases penis sensitivity. The operation has its own prediction test that allows us to know the expected time post operatively and if the operation is option or not. It is easy just spraying local anesthesia (procomail ®) at coronal ridge (inhibits glans-bulbospongiosus reflex) and at frenular delta (temporary excision) 30 minutes before having sex. The operation could be reversed by repairing the muscle again.

1050 Cases were operated between 1/1/2015 and 3/10/2015 follow up was done at 1, 3,6,12 month’s intervals then yearly (5 years duration). 47 Cases didn't complete the 5 years duration but none of them have any complain.

Satisfaction rate 99.6% due to prediction test application, in our early trials beyond this study Satisfaction rate was 71% (without 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 from neuroma due to adhesions post operative, Adhesiolysis was done, total relief of pain reported by patient immediately post operative, 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 at peno-scrotal area during ejaculation. Many patients reported absence or decrease in number of wet dreams post operative.

Alaa aglan operation is safe, Immediate, Curative technique for premature ejaculation provided that prediction test shows good response.