A 24-French Olympus continuous flow resectoscope was introduced in the urethra and advanced under direct vision into the bladder.  Following emptying of the bladder, the bladder was re-examined and urethral orifices were well visualized.  Following complete examination of the bladder the obstructing prostatic tissue was resected from the bladder neck to the verumontanum and down to the prostatic capsule.  First the median lobe was resected, then the left lobe, and then the right lobe.  After completing the resection the bladder was emptied of all the prostatic chips using an Ellik evacuator and bulb syringe.  The bladder was once again examined for any retained prostatic chips, none were found. Hemostasis was achieved with spot cauterization followed by roller ball electrode.  The bladder was once again examined for any retained chips, none were found.  Hemostasis was confirmed.  Bladder was left full.  The resectoscope was removed and replaced with a 24-French 3-way Foley catheter balloon of which was inflated with 45 cc of water.  The patient had a bimanual exam performed at the end of the procedure, which revealed soft abdomen and bladder was not distended.  It was not fixed. Prostate felt firm and benign.  The patient had continuous bladder irrigation started in the operating room and was transferred to the recovery room in satisfactory condition.