Evidence map›Paper›PMID 41417082›Full record

ArticleAbdominal radiology (New York)2026

Prevalence of radiographic misinterpretation of urethral bulking agents: a retrospective, single-center study.

Rose Darcy, Margot Barker, John Masterson, Rachel Caskey, Clarissa Niino, Karyn Eilber

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Article in Abdominal radiology (New York), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Rose DarcyFeinberg School of Medicine, Northwestern University, Chicago, USA. rose.darcy1@northwestern.edu.
Margot BarkerDepartment of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, USA.
John MastersonDepartment of Urology, Cedars-Sinai Medical Center, Los Angeles, USA.
Rachel CaskeyDepartment of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, USA.
Clarissa NiinoDepartment of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, USA.
Karyn EilberDepartment of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUrethral 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.

methodsAll 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.

resultsDuring the study period, 144 patients underwent injection of UBA. Of those, 31 patients had ≥ 1 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 = 7), nonspecific calcifications (n = 6), radiodense material (n = 1), and a urethral stone (n = 1) 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.

conclusionsUrethral 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.

Indexed as

Diagnostic ErrorsTomography, X-Ray ComputedUrethraUrinary Incontinence, StressAdultAgedAged, 80 and overContrast MediaFemaleHumansMaleMiddle AgedPrevalenceRetrospective StudiesContrast MediaBladder stoneImagingMisinterpretationPeriurethralStress urinary incontinenceUrethral bulking agents

Identifiers

PMID41417082
PMCPMC13269376

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.