[4] The station consists of two side platforms serving two tracks.

A small shed, integrated with the shelter for platform 1 used to house a ticket window but, as the station is now unstaffed, it has been converted into a compartment for an automatic ticket vending machine.

[3][2][5] On 2 October 1972, Japanese National Railways (JNR) opened a new, shorter, inland route for the Nagasaki Main Line between Kikitsu and Urakami, thus bypassing the longer coastal route via Nagayo.

Utsutsugawa was opened on the same day as one of the intermediate stations along this new route.

With the privatization of JNR on 1 April 1987, control of the station passed to JR Kyushu.