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The MEATIC technique: Enhancing ureteral meatus visualization during pediatric cystoscopy using iodinated contrast
M Agamennone1, S Pecorelli2, C Wolmer2
1Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal Child Science, University of Genoa (DINOGMI), Genova, Italy; Pediatric Surgery Unit, IRCCS Istituto Giannina Gaslini, Genova, Italy.
Journal of Pediatric Urology
|April 5, 2026
Summary
The MEATIC technique uses iodinated contrast during cystoscopy to improve bladder visualization. This method aids in identifying ureteral orifices and confirming patency, especially after bulking agent injections.
Area of Science:
- Pediatric Urology
- Medical Imaging
Background:
- Cystoscopy is essential in pediatric urology for bladder and ureteral orifice visualization.
- Current techniques can face challenges in optimal visualization during procedures.
Purpose of the Study:
- To introduce and evaluate the MEATIC technique for enhanced cystoscopy visualization.
- To assess the utility of intravesical iodinated contrast in pediatric cystoscopy.
Main Methods:
- The MEATIC technique involves intravesical instillation of iodinated contrast during cystoscopy.
- Contrast forms a dense layer at the bladder base, improving optical interface at the trigone.
Main Results:
- Facilitates identification of ureteral orifices and visualization of ureteral jets.
- Confirms ureteral patency post-subureteric bulking-agent injection.
- May improve visualization in cases of gross hematuria with no observed complications.
Conclusions:
- The MEATIC technique offers improved visualization during pediatric cystoscopy.
- It is a safe and effective method for identifying key anatomical landmarks and assessing ureteral function.
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