We thought that the transurethral approach to treat prostate cancer might bring better clinical results in the era of more improved resectoscope and more sensitive PSA test for the follow-up examination. We applied the transurethral technique to manage prostate cancer with the intention to eliminate almost all prostate tissues that contained localized cancer. As we already reported (Morita & Matsuura, 2009), radical transurethral resection of prostate cancer (RTUR-PCa) against localized prostate cancer has a possibility to minimize the injury to the external sphincter because an operator is able to recognize it clearly during the operation