Purpose: to consider the problem of the key-segment extrusion that occurs during the construction of subway tunnels in St. Petersburg using prefabricated high-precision reinforced concrete linings with increased water resistance with a diameter of 10.3 m. To analyze the possible processes leading to this phenomenon and methods of solving the problem in construction conditions. To determine the consequences of the currently used solutions to the problem. To develop an analytical methodology for determining the magnitude of the friction force acting on the radial joints planes of contacting segments based on classical structural mechanics methods (displacement method). To carry out mathematical modeling of the extrusion process by the finite element method and compare its results with those obtained analytically. To develop recommendations for the elimination of block extrusion, which can be both applied in construction conditions and taken into account when designing lining structures. To analyze the effectiveness of the proposed recommendations. Methods: full-scale data from constructed objects, analytical calculations and mathematical modeling by the finite element method were used. Results: an analytical method is proposed for determining the magnitude of the pushing force of the key-segment and the friction force in the radial segment joints. The results of mathematical modeling showed high convergence of the results obtained by the two methods. Recommendations have been developed to eliminate the phenomenon of extrusion, and their effectiveness has been evaluated. Practical importance: the results of the study can be used at the design stage of prefabricated reinforced concrete linings with increased water resistance for large-diameter tunnels, as well as in construction conditions at the time of installation of the key segment.