Abbildung 3a-b: Voiding cystourethrogram from 65 year old patient with longstanding lower urinary tract symptoms and urgency as the most bothersome symptom. This patient was originally treated for OAB but
failed anticholinergic treatment and other conservative measures. Videourodynamics
showed no evidence of outlet obstruction but did show evidence of severe reflux into the prostatic ducts (arrows) and large pseudodiverticulum at the dome (arrowhead) indicating severe
unrecognized morphologic alterations. These changes are attributed to dysfunctional (non-neuropathic) striated sphincter behavior. B) Post void film shows complete emptying of the bladder, but a substantial amount of contrast is retained in the prostatic ducts.