One authorized urologist (.) performed all the operations. We used a standard TURP setup with an irrigation pressure of 80 cmH2O and an irrigation rate of 250 ml/min using D-sorbitol solution. After a rough resection of almost all the transition and central zone, we tried to resect and fulgurate the peripheral zone as completely as possible, especially where cancer was detected by biopsy. The resection was continued until adipose tissue, venous sinus or the external sphincter was identified. But we did not resect prostate tissues until adipose tissue was exposed all around the operative field. We aggressively fulgurated the area adjacent to where adipose tissue was exposed.