There were no patients in whom water intoxication developed or who needed transfusions perioperatively. Bladder neck contracture, which developed three to four months postoperatively, was the most frequent complication (49 cases, ). Other complications included pubic osteitis (2 cases), bladder tamponade (2 case), acute epididymitis (3 case), pulmonary embolism (1 case), and rectourethral fistula (1 case). Erectile function was preserved after the first operation in 26 () of the evaluated 38 sexually active patients. After the second operation only 1 out of 9 patients preserved erectile function probably due to the injury of the neurovascular bundle by excessive resection and fulguration during TUR-PCa. Figure 6 shows an urethrocystogram 3.