The authors propose a new technique of prostatic sclerosis surgery which makes use of a transperineal approach and is based on the principles underlying surgical management of posterior urethra high strictures with establishment of a cystourethral shunt. Good results obtained in 17 patients with prostatic sclerosis allow the authors to consider the above procedure as an alternative to transvesicular prostatectomy according to V. S. Karpenko.
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