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Tuesday, July 29, 2014
Urinary and Genital Disorders (Children)
Bilateral Distal Ureteral Diverticuli
My son (4 yrs 8 months) was recently diagnosed with Bilateral Distal Ureteral (hutch) diverticuli after having a VCUG done for issues urintating (frequently urinating, dribbling urine, and night wetting). One side is larger than the other and they could not get an accurate measure on them because "the scale measurements did not come across in the fluoroscopic spots". This test showed no reflux, normal urethra, and voiding complete. His doctor consulted with a pediatric urologist who suggested to her or implied that they go away on their own and would not require any further consideration; now or future. I am a little confused as I was under the impression that diverticuli do not go away on their own. As he gets older should I request a follow up on this? How common are congential diverticula like my son has and do they have any implications as the person gets older? Thank you so much for your input. I greatly appreciate it.
This is a difficult question to answer without reviewing the films. However, if the diverticula are small, generally they disappear with bladder growth. You are correct that many diverticula persist and can even enlarge, but many bladder diverticula in children resolve over time. If he is having urinary tract infections, and in particular urinary tract infections with fever, then further evaluation by a pediatric urologist is advisable.
Jack S Elder, MD, FACS, FAAP
Clinical Professor of Urology
School of Medicine
Case Western Reserve University