Suprapubic bladder drainage is today a safe method of urine deviation. Outflow obstruction after lesions or operations in the uro-genitary system is the main indication for suprapubic drainage. The best indications therefore exist in urological and gynaecological patients. We used suprapubic bladder drainage in 20 patients after general surgery, applying a catheter set (Cystofix) with removable split cannula. There were no serious complications. Urine cultures in 6 patients controlled 6 days after insertion of the catheter were negative. Suprapubic bladder drainage using suitable catheter sets, can be recommended in patients without outflow obstruction, especially in intensive care.