Infravesical obstruction in 300 male patients was determined by prostatic sclerosis (PS). PS is a polyetiological disease developing more frequently as a result of prostatitis, autoimmune, allergic and congestive factors. Sclerosis and shriveling of the gland cause topographo-anatomic changes in the infravesical area, well revealed during a combined roentgeno-urological study. Direct signs of PS are the following: stenosis, deformity and shortening of the prostatic part of the urethra, a high position of the lower outline of the bladder resembling braces over the public symphysis; indirect signs: change of the bladder shape, megacyst, trabecular mucosa and diverticulosis, congestion in the upper urinary tracts, uni- or bilateral urethero-hydronephrosis.