The MEATIC technique: Enhancing ureteral meatus visualization during pediatric cystoscopy using iodinated contrast

Cystoscopy is a cornerstone of pediatric urology, enabling direct visualization of the bladder and ureteral orifices during diagnostic and therapeutic procedures. We describe the MEATIC technique, based on intravesical instillation of iodinated contrast during cystoscopy. Because of its higher density compared with urine and blood, the contrast forms a dependent layer at the bladder base, creating a clear optical interface at the trigone. This facilitates identification of ureteral orifices and visualization of ureteral jets, particularly to confirm ureteral patency after subureteric bulking-agent injection. The technique may also improve visualization in selected cases of gross hematuria. No complications were observed overall.