Urinary tract infection, incontinence, or urinary retention are the most common presentations.
On micturating cystourethrogram contrast filled outpouchings arising from urinary bladder arising at vesicoureteric junction are seen. VUR is also often seen.
Round or oval anechoic fluid collections arising from base of urinary bladder or around ureteric orifice 1.
Treatment and prognosis
Incidentally detected diverticulum, usually does not require any therapy. If associated with VUR, recurrent UTI or obstruction, it should be excised. However, because of risk of development of carcinoma, many surgeons argue prophylactic surgery in all cases. Hutch diverticulum are prone to spontaneous rupture, as well as post-surgical relapse.
- "bladder ears"
- these are transient outpouching normally seen in infants, and represent normal protrusions of urinary bladder into the inguinal rings
- lateral VCUG usually clarifies the diagnosis
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- 2. Bachiller burgos J, Varo solís C, Báez JM et-al. [Congenital bladder diverticulum and Ehlers-Danlos syndrome: an unusual association]. Actas Urol Esp. 2000;24 (8): 673-6. - Pubmed citation
- 3. Blane CE, Zerin JM, Bloom DA. Bladder diverticula in children. Radiology. 1994;190 (3): 695-7. Radiology (citation) - Pubmed citation