Journal of Reconstructive Urology

.: ORIGINAL RESEARCH
YouTube as a Source of Information on Intracavernosal Injection: A Quality and Reliability Analysis
İntrakavernosal Enjeksiyon Hakkında Bilgi Kaynağı Olarak YouTube: Bir Kalite ve Güvenilirlik Analizi
Emre KANDEMİRa, Muammer BOZKURTb, Metin SAVUNb
aDepartment of Urology, Karamanoğlu Mehmetbey University Faculty of Medicine, Karaman, Türkiye
bClinic of Urology, Başakşehir Çam and Sakura City Hospital, İstanbul, Türkiye
J Reconstr Urol. 2022;12(1):1-9
doi: 10.5336/urology.2021-87390
Article Language: EN
Full Text
ABSTRACT
 Objective: This study aims to evaluate and classify the most frequently watched videos on intracavernosal injection on YouTube according to scientific criteria and clarify whether these resources should be recommended to patients by physicians. Material and Methods: YouTube search was performed using the keywords 'penile injection', 'trimix injection', 'intracavernosal injection', 'papaverine injection'. The videos were classified according to their utility as useful information, useful patient opinion, misleading information and misleading patient opinion. Global Quality Scale and DISCERN tool were used to judge quality, reliability and comprehensiveness. Results: A total of 156 videos were included in the study. Thirty five videos were classified as useful information, 24 videos as misleading information, 37 videos as useful patient opinion, and 60 videos as misleading patient opinion. Comparison of these groups revealed that the groups were not different in terms of video views, length, number of likes, dislikes, or comments (p>0.05). Useful information and useful patient opinion videos were found to have significantly higher reliability, comprehensiveness and Global Quality Scale scores (p=0.01). Conclusion: Although more than half of YouTube videos on intracavernosal injection include misleading information, there are also a substantial number of videos that contain reliable and comprehensive information. Physicians can identify these videos containing reliable information and guide their patients. More quality content needs to be created by reliable sources.

Keywords: Internet; injections; erectile dysfunction
ÖZET
 Amaç: Bu çalışmada, YouTube üzerinde intrakavernozal enjeksiyon konusunda en sık izlenen videoları bilimsel kriterlere göre değerlendirmek ve sınıflamak amaçlandı. Bu kaynakların hekimler tarafından hastalara tavsiye edilip edilemeyeceğini anlaşılmak istendi. Gereç ve Yöntemler: YouTube üzerinde 'penile injection', 'trimix injection', 'intracavernosal injection', 'papaverine injection' kelimeleri ile arama yapıldı. Yararlılığına göre 'faydalı bilgi', 'faydalı hasta düşüncesi', 'yanıltıcı bilgi' ve 'yanıltıcı hasta düşüncesi' olarak sınıflandırıldı. Kalite değerlendirmesinde Global Kalite Skalası (GKS), güvenilirlik ve kapsamlılık değerlendirmesinde DISCERN skala kullanıldı. Bulgular: Yüz elli altı video çalışmaya dâhil edildi. Otuz beş (%22,4) video 'faydalı bilgi', 24 (%15,3) video 'yanıltıcı bilgi', 37 (%23,7) video 'faydalı hasta düşüncesi', 60 (%38,4) video 'yanıltıcı hasta düşüncesi' olarak sınıflandırıldı. Yapılan karşılaştırmada; video görüntülenme sayısı, uzunluğu, 'beğenme', 'beğenmeme', yorum sayıları arasında gruplar arası anlamlı fark görülmedi (p>0,05). 'Güvenilirlik', 'kapsamlılık' ve GKS skorlarında 'faydalı bilgi' ve 'faydalı hasta düşüncesi' grubu diğer gruplara göre anlamlı olarak daha üstün bulundu (p=0,01). Sonuç: İntrakavernozal enjeksiyon konusunda, YouTube videolarının yarısından fazlası yanıltıcı bilgiler içerse de azımsanmayacak kadar güvenilir ve kapsamlı videolar da mevcuttur. Hekimlerin internet üzerindeki doğru ve eğitici videoları belirleyip hastalarına kılavuzluk etmeleri, intrakavernozal enjeksiyon tedavisine yardımcı olabilir. Güvenilir kaynaklar tarafından daha fazla kaliteli içerik oluşturulması gerekir.

Anahtar Kelimeler: İnternet; enjeksiyonlar; erektil disfonksiyon
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