1. Vesical and Ureteral Damage from Voiding Dysfunction in Boys Without Neurologic or Obstructive Disease 
Frank Hinman, Franz W. Baumann 
The Journal of Urology 
Volume 197, Issue 2, Pages S127-S131 (February 2017)
DOI: /j.juro
Copyright © 2002 American Urological Association, Inc.® Terms and Conditions

2. Fig. 1
Barium enema shows typical distention of rectum by large fecal masses.
The Journal of Urology  , S127-S131DOI: ( /j.juro )
Copyright © 2002 American Urological Association, Inc.® Terms and Conditions

3. Fig. 2
A, voiding cystogram from boy with recurrent infection and wetting shows trabeculation in absence of outlet obstruction. B. IVP from same boy shows somewhat dilated and tortuous ureters and mild pyelonephritic changes.
The Journal of Urology  , S127-S131DOI: ( /j.juro )
Copyright © 2002 American Urological Association, Inc.® Terms and Conditions

4. Fig. 3
Case 1. A, initial IVP shows bilateral ureterovesical junction obstruction, with renal damage from back pressure and infection. B, initial voiding cystogram shows Christmas tree bladder and poorly filled urethra. C, initial barium enema shows large colon filled with boluses of fecal matter.
The Journal of Urology  , S127-S131DOI: ( /j.juro )
Copyright © 2002 American Urological Association, Inc.® Terms and Conditions

5. Fig. 4
Case 1, 1 year later. A, IVP shows reduction of obstruction. Infection had been cleared. B, normal barium enema
The Journal of Urology  , S127-S131DOI: ( /j.juro )
Copyright © 2002 American Urological Association, Inc.® Terms and Conditions

6. Fig. 5
Case 2. A, voiding cystogram shows upper tract damage, reflux and vesical trabeculation in absence outlet obstruction. B, IVP 1 year later suggests decreased back pressure.
The Journal of Urology  , S127-S131DOI: ( /j.juro )
Copyright © 2002 American Urological Association, Inc.® Terms and Conditions