Lateral image from a voiding cystourethrogram exam performed through a suprapubic tube shows a contrast filled bladder (to the left), retrograde filling of the colon (to the right), and incidental vesicoureteral reflux into a non-dilated ureter (in the middle). The patient is also voiding and the contrast filled urethra is seen to join into a common channel with the colon and the contrast flows through the common channel before it exits the body.