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Updated: Aug 14, 2026

Removal of an Intravesical Gellhorn Pessary and Staged Repair of a Residual Large Vesico-Vaginal Fistula
Published on: April 14, 2026
Congenital vesical diverticulum in a 38-year-old female
Alistair M Pace1, Christopher Powell
1Department of Surgery, Royal Berkshire Hospital, Craven Road, Reading, RG1 5AN, UK. alistairpace@hotmail.com
Abstract:
A 38-year-old female with a history of psychiatric illness presents with irritative urological symptoms and is diagnosed as having a large congenital vesical diverticulum (Hutch diverticulum). An overview of the aetiology, classification and complications of diverticula together with indications for and management of bladder diverticula is discussed. This is the first documented case of a very large symptomatic congenital diverticulum in a female presenting in the third decade of life and emphasizes the importance of ultrasound in irritative urological symptoms resistant to medication.
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