The therapy of choice in patients with an acute urinary retention due
to urethral stricture is a suprapubic cystostomy. This routine urologi
cal procedure can be extremely hazardous in cases with a subcutaneous
Vessel protheses crossing the bladder region and a concomitant anticoa
gulation therapy. Herein, we discuss the management of this rare clini
cal situation in patient with an axillo-bifemoral vessel prosthesis us
ing the color duplex sonography for exact localization of the prosthes
is.