To improve hemostasis in extrabladder retropubic adenomectomy, use was made of catgut nonremovable sutures and displacement by pi-shape sutures of the back semicircular mucosa of the neck of the urinary bladder into the urethral lumen fixing it to the prostatic adenoma bed walls. Surgical results were compared for 317 patients after extrabladder retropubic adenomectomy against 501 patients following transbladder adenomectomy. In the former group early complications were registered in 16.4%, in the former in 22.8% of the cases. The above approach to hemostasis management permitted hemorrhage incidence reduction to 2.1%; postoperative lethality to 2.5% and hospital stay to 16.5 patient days.