The results of active management of postprostatectomy bleeding in a series of 3, 219 patients with an overall mortality of 1.6% are reviewed. One hundred and thirty-six patients with heavy bleeding or clot retention after prostatectomy were returned to the operating theatre for 162 procedures Early clot evacuation and haemostasis with the use of a resectoscope produced satisfactory control in 124 of the 136 patients so treated. Packing of the prostatic fosse, either at the time of prostatectomy or after failed early endoscopic haemostasia, was performed 26 times with good control of bleeding, but introduced an appreciable measure of morbidity associated with the suprapubic wound.