title: Hutch bladder diverticula: a very uncommon entity in adults.
abstract: OBJECTIVE
  We present the case of an adult patient diagnosed with Hutch diverticula after examination. Indications were of a type of congenital  bladder diverticula very rare in children and unusual in adults, as very few cases in adults are addressed in the literature.
  
  
  METHODS
  Intravenous Urography and Voiding Cystourethrogram (VCUG) were realized
  
  
  RESULTS
  The intravenous urography revealed ureterohydronephrosis in the excretory phase that did not have repletion defects suggesting lithiasis  at distal urethra. On the other hand, a narrowing of the urethra was observed at the point of bladder entry due to the presence of a juxtameatal bladder  diverticulum. Next a retrograde cystography was performed which ruled out vesicourethral reflux and revealed that the diverticulum presented elevated residuals  after urination. As a result of our patient's clinical characteristics and the absence of vesico-urethral reflux, we decided to perform an  endoscopic surgical opening of the diverticula's neck. CONCLUSIONS Hutch paraurethral diverticula is an very uncommon entity, even in infancy. The Voiding Cystourethrogram  (VCUG) is  especially useful in diagnosing these patients. In symptomatic cases surgical correction of the diverticula is required.
authors: University Hospital La Ribera, Alzira, Spain. joseluispalmer@hotmail.com
authors: Jose Luis
authors: JL
authors: Palmero Martí
authors: Miguel
authors: M
authors: Ramirez Backhaus
authors: Ariana
authors: A
authors: Alvarez Barrera
authors: Araceli
authors: A
authors: Amoros Torres
authors: Antonio
authors: A
authors: Benedicto Redon
mesh_terms: D006801:Humans; D008297:Male; D008875:Middle Aged; D014522:Urethral Diseases / Q000175:diagnosis / Q000209:etiology; D001743:Urinary Bladder / Q000002:abnormalities*; D001745:Urinary Bladder Diseases / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery; D014567:Urography; D013521:Urologic Surgical Procedures, Male