Large diverticulum can be responsible for a number of problems including urinary reflux, medial deviation of the distal ureter, and calculi, due to stasis. Clinically, a child will present with a urinary tract infection which may be recurrent. Fever, chills, frequency, dysuria, and cystitis may also occur. An intravenous pyelogram may be performed to show evidence of the diverticulum. A retrograde cystogram may need to be performed to detect any evidence of vesicoureteral reflux.
Surgical correction is required if reflux is present.