{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T04:55:33Z","timestamp":1781499333761,"version":"3.54.1"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100013015","name":"Cedars-Sinai Medical Center","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100013015","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Abdom Radiol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Urethral bulking agents (UBA) are a treatment option for patients with stress urinary incontinence and can contain radiopaque material such that misdiagnosis for pelvic pathology occurs. We aim to characterize radiologic interpretation of UBA in patients who had computed tomography of the abdomen and pelvis (CTAP) after UBA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All patients who underwent UBA from January 2011 to March 2024 were identified in the electronic medical record (EMR). Charts were reviewed to identify patients who underwent subsequent CTAP. Radiologic interpretations were reviewed to assess for accuracy in identification of the UBA as well as patient communications regarding imaging results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      During the study period, 144 patients underwent injection of UBA. Of those, 31 patients had\u2009\u2265\u20091 CTAP for a total of 61 CTAPs. Average duration of UBA to CTAP was 25.7 months. The UBA was accurately identified in only 15 (24.6%) scans. In 31 (50.8%) scans, neither UBA nor any abnormality was noted, and one of the authors confirmed presence of UBA in 30 of the 31 scans. UBA was inaccurately characterized as bladder stones (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20097), nonspecific calcifications (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096), radiodense material (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091), and a urethral stone (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091) in the remaining 15 (24.6%) scans. Two patients with UBA who were misdiagnosed as bladder stones messaged via the patient portal about the findings with one expressing anxiety regarding the finding.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Urethral bulking agents are often inaccurately interpreted on CTAP potentially leading to anxiety and unnecessary intervention. This highlights the importance of raising awareness of UBA among radiologists.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00261-025-05326-8","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T13:38:32Z","timestamp":1766151512000},"page":"3602-3605","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence of radiographic misinterpretation of urethral bulking agents: a retrospective, single-center study"],"prefix":"10.1007","volume":"51","author":[{"given":"Rose","family":"Darcy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margot","family":"Barker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Masterson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Caskey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clarissa","family":"Niino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karyn","family":"Eilber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,12,19]]},"reference":[{"key":"5326_CR1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13051377","author":"M Sikora","year":"2024","unstructured":"Sikora M et al (2024) Current Treatment of Stress Urinary Incontinence by Bulking Agents and Laser Therapy-An Update. J Clin Med. https:\/\/doi.org\/10.3390\/jcm13051377","journal-title":"J Clin Med"},{"issue":"4","key":"5326_CR2","doi-asserted-by":"publisher","first-page":"312","DOI":"10.1097\/SPV.0000000000000440","volume":"24","author":"N Gaines","year":"2018","unstructured":"Gaines, N., et al., Radiographic Misdiagnoses After Periurethral Bulking Agents. Female Pelvic Med Reconstr Surg, 2018. 24(4): p. 312\u2013314.","journal-title":"Female Pelvic Med Reconstr Surg"},{"issue":"1","key":"5326_CR3","doi-asserted-by":"publisher","first-page":"257","DOI":"10.2214\/ajr.185.1.01850257","volume":"185","author":"MD Bridges","year":"2005","unstructured":"Bridges, M.D., S.P. Petrou, and D.J. Lightner, Urethral Bulking Agents: Imaging Review. American Journal of Roentgenology, 2005. 185(1): p. 257\u2013264.","journal-title":"American Journal of Roentgenology"},{"issue":"1","key":"5326_CR4","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1148\/radiol.2021204382","volume":"300","author":"JL Mezrich","year":"2021","unstructured":"Mezrich, J.L., et al., Patient Electronic Access to Final Radiology Reports: What Is the Current Standard of Practice, and Is an Embargo Period Appropriate? Radiology, 2021. 300(1): p. 187\u2013189.","journal-title":"Radiology"},{"issue":"2","key":"5326_CR5","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1016\/j.jpurol.2008.10.005","volume":"5","author":"WH Cerwinka","year":"2009","unstructured":"Cerwinka, W.H., et al., Appearance of Deflux implants with magnetic resonance imaging after endoscopic treatment of vesicoureteral reflux in children. J Pediatr Urol, 2009. 5(2): p. 114\u20138.","journal-title":"J Pediatr Urol"},{"key":"5326_CR6","doi-asserted-by":"publisher","first-page":"e00649","DOI":"10.1016\/j.crwh.2024.e00649","volume":"43","author":"C Herforth","year":"2024","unstructured":"Herforth C, Zimmern PE (2024) Macroplastique\u00ae for stress urinary incontinence lights up as a PET-avid urethral lesion: A case report. Case Rep Womens Health 43:e00649","journal-title":"Case Rep Womens Health"},{"issue":"2","key":"5326_CR7","doi-asserted-by":"publisher","first-page":"547","DOI":"10.1002\/nau.25068","volume":"42","author":"O Akinjise-Ferdinand","year":"2023","unstructured":"Akinjise-Ferdinand, O., et al., A diagnostic conundrum: Is it a periurethral diverticulum\/cyst or a bulking agent (Bulkamid)? Neurourol Urodyn, 2023. 42(2): p. 547\u2013554.","journal-title":"Neurourol Urodyn"}],"container-title":["Abdominal Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00261-025-05326-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00261-025-05326-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00261-025-05326-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T04:43:18Z","timestamp":1781498598000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00261-025-05326-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,19]]},"references-count":7,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,7]]}},"alternative-id":["5326"],"URL":"https:\/\/doi.org\/10.1007\/s00261-025-05326-8","relation":{},"ISSN":["2366-0058"],"issn-type":[{"value":"2366-0058","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,19]]},"assertion":[{"value":"22 September 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 November 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 November 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 December 2025","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}