Percutaneous endoscopic cystostomy for bladder localization and exact placement of a suprapubic tube.

Purpose: We describe a new technique for exact positioning and placement of a suprapubic tube.

Materials And Methods: The bladder dome and its relative position on the lower abdomen are localized using a flexible cystoscope, light source and abdominal palpation.

Results: The technique has been successfully used in patients who require long-term urinary drainage.

Conclusions: Percutaneous endoscopic cystostomy is simple, effective and easily performed and it simplifies the placement of a suprapubic tube in the difficult to localize bladder.