Despite the development of endourology, issues of open surgical treatment of prostate adenoma remain relevant. It is not always possible to perform transurethral electro-resection of prostate or other minimally invasive surgery. Urologists performing the transvesical adenomectomy still often face serious complications in both early and late in the postoperative period. This article presents a 15-year experience of performing the extraurethral transvesical adenomectomy according to N.F. Sergienko procedure in 308 patients with BPH. Assessment of functional results was performed using uroflowmetry and IPSS score. The effectiveness of extraurethral transvesical adenomectomy (EUTA) was statistically confirmed. The use of EUTA technique allows minimizing intraoperative injury, maintaining the integrity of the front semicircumference and lateral sides of the vesico-urethral segment, which provides early rehabilitation of damaged tissues and contributes to a significant reduction in the number of early and late postoperative complications.