Many procedures were introduced to improve the recovery of postoperative sexual function and urinary incontinence: bladder neck suspension or reconstruction (Poon et al., 2000), reconstruction of the rhabdosphincter (Rocco et al., 2007), periurethral suspension of the dorsal vein complex/urethral complex (Patel et al., 2009) and preservation of the neurovascular bundle (Kaiho et al., 2005), but have failed to solve the problems completely until now. The idea of a transurethral approach to resect almost total prostate tissues containing prostate cancer dates back to around 1990 (Valdivia Uría & López López, 1989; Reuter et al., 1991). The technique did not significantly increase the operative morbidity and mortality compared with transurethral resection.
