Journal of Reconstructive Urology

.: ORIGINAL RESEARCH
Comparison of Artificial Intelligence Responses About Penile Prosthesis implantation in Terms of Quality and Readability: A Methodological and Validity Study on ChatGPT, Gemini, and DeepSeek
Penil Protez İmplantasyonu Hakkında Yapay Zeka Yanıtlarının Kalite ve Okunabilirlik Açısından Karşılaştırılması: ChatGPT, Gemini ve DeepSeek Üzerine Metodolojik ve Geçerlilik Çalışması
Murat DEMİRa , Nedim BEDİRa , Doğan BOĞAa , Recep ERYILMAZa , Rahmi ASLANa , Kasım ERTAŞb , Kerem TAKENa
aVan Yüzüncü Yıl University Faculty of Medicine, Department of Urology, Van, Türkiye
bLokman Hekim Van Hospital, Clinic of Urology, Van, Türkiye
J Reconstr Urol. 2025;15(1):21-6
doi: 10.5336/urology.2025-109438
Article Language: EN
Full Text
ABSTRACT
 Objective: The use of artificial intelligence models to inform patients about penile prosthesis implantation has not been sufficiently studied in the literature. This study evaluates the quality and readability of responses given by ChatGPT, DeepSeek, and Gemini to the most common questions asked by patients before penile prosthesis implantation. Material and Methods: We selected 15 common patient questions related to preoperative management, complications, and postoperative care regarding penile prosthesis implantation. These questions were submitted in English on February 10, 2025, to ChatGPT, DeepSeek, and Gemini. Responses were analyzed for information quality (using the DISCERN Tool) and readability (using the Gunning Fog Index). Results: ChatGPT had the highest DISCERN score (4.2±0.3), while DeepSeek (3.8±0.4) and Gemini (3.5±0.5) had lower scores (p<0.05 for all comparisons). In terms of readability, ChatGPT generated the most comprehensible responses (Gunning Fog Index: 7.1±0.6), whereas DeepSeek (8.3±0.7) and Gemini (9.0±0.8) produced more complex texts (p<0.05 for all comparisons). Conclusion: ChatGPT outperformed the other models in terms of information quality and readability, demonstrating its potential as a complementary tool for patient education and informed consent. However, the observed differences in information accuracy and readability among the models highlight the need for further refinement before full integration into clinical use.

Keywords: Intelligence; artificial; penile prosthesis implantation
ÖZET
 Amaç: Yapay zeka modellerinin hastaları penil protez implantasyonu hakkında bilgilendirme amacıyla kullanımı literatürde yeterince incelenmemiştir. Bu çalışma, hastalar tarafından penil protez implantasyonu öncesinde en sık sorulan sorulara ChatGPT, DeepSeek ve Gemini tarafından verilen yanıtların kalite ve okunabilirlik açısından değerlendirilmesini amaçlamaktadır. Gereç ve Yöntemler: Penil protez implantasyonu ile ilgili preoperatif yönetim, komplikasyonlar ve postoperatif bakım konularında en sık sorulan 15 hasta sorusu seçildi. Bu sorular, 10 Şubat 2025 tarihinde İngilizce olarak ChatGPT, DeepSeek ve Gemini'ye yönlendirildi. Yanıtlar, bilgi kalitesi açısından DISCERN Aracı kullanılarak ve okunabilirlik açısından Gunning Fog İndeksi ile analiz edildi. Bulgular: ChatGPT, en yüksek DISCERN puanına sahipti (4,2±0,3), bunu DeepSeek (3,8±0,4) ve Gemini (3,5±0,5) takip etti (tüm karşılaştırmalarda p<0,05). Okunabilirlik açısından ise ChatGPT en anlaşılır yanıtları üretti (Gunning Fog İndeksi: 7,1±0,6), buna karşın DeepSeek (8,3±0,7) ve Gemini (9,0±0,8) daha karmaşık metinler oluşturdu (tüm karşılaştırmalarda p<0,05). Sonuç: ChatGPT, bilgi kalitesi ve okunabilirlik açısından diğer modellere üstünlük sağlamış ve hasta eğitimi ile bilgilendirilmiş onam sürecinde tamamlayıcı bir araç olarak potansiyelini göstermiştir. Ancak, modeller arasındaki bilgi doğruluğu ve okunabilirlik farklılıkları, klinik kullanıma tam entegrasyon sağlanmadan önce daha fazla iyileştirme gerekliliğini ortaya koymaktadır.

Anahtar Kelimeler: Zekâ; yapay; penil protez implantasyonu
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