In a period of 7 years, 309 prostatectomies (suprapubic transvesical in the Harris-Hryntschak modification) were performed. There was no intraoperative mortality; overall mortality was 2.9%. Complications: leakage, 4.5%, and hemorrhage (requiring reoperation), 5.1%. In only 1.6%, a bladder neck contracture was observed, but 3.1% of the patients suffered from postoperative incontinence. The factors to reduce this complication are discussed. A late complication was the urethral stricture, which was reduced significantly by changing the catheter size from 22 to 18 F.