“…The majority of the TZ prostatic urethral injuries have a compressive origin from the BPH mass (McNeal, 1978;Roehrborn & McConnell, 2002;Chagas et al;Costa et al), thus, the nodular growth occurs in the TZ in >70% of the cases and compresses the prostatic urethra resulting in bladder outlet obstruction (BOO) (McNeal, 1978(McNeal, , 1990(McNeal, , 1997. It is well known that BOO in BPH results from mechanical obstruction by the enlarged prostate and the tone of the prostate smooth muscles in the prostatic tissue (Caine, 1986;Ichiyanagi et al, 1999).…”