Department of Urology, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
BJU Int. 2010 Jan;105(1):68-72. doi: 10.1111/j.1464-410X.2009.08762.x. Epub 2009 Jul 20.
To define the nature of information posted on websites related to radical prostatectomy (RP), specifically its accuracy and comprehensiveness, as RP is associated with erectile dysfunction (ED).
We reviewed 70 robotic RP (RARP) and 20 open RP (ORP) medical centres. Their websites were reviewed for various factors, by two separate reviewers whose reviews were not seen by each other. Websites were graded based on accuracy and comprehensiveness of information by the senior investigator.
Of the academic and community-based RARP centres, 55% and 79% had specific websites (P < 0.05); 45% of RARP sites had generic information copied directly from the website of Intuitive Surgical (Sunnyvale, CA, USA; the manufacturer of the robotic system). ED was mentioned by only 54% of RARP sites and 45% of ORP sites; 17% of RARP sites were deemed accurate, compared with 30% of ORP sites (P < 0.05). Just over 1% of RARP sites were considered comprehensive, vs 10% of ORP sites (P < 0.05). A third of RARP sites had a direct link to the Intuitive Surgical website (16% academic vs 53% community, P < 0.05), compared to 10% of open sites (P < 0.05). Of most interest was that half of the RARP sites suggested that ED rates were lower for RARP than for ORP; this compared to ED rates being cited as lower for ORP on 5% of the ORP sites (P < 0.05).
Despite the stature of RP as a treatment option for men with prostate cancer, and the recent increase in the use of RARP, the accuracy of information pertaining to sexual health on RP websites is poor, with many making false statements about the long-term outcomes for erectile function. This inadequacy appears to be greater on RARP than on ORP websites.
确定与根治性前列腺切除术（RP）相关的网站上发布的信息的性质，特别是其准确性和全面性，因为 RP 与勃起功能障碍（ED）有关。
我们回顾了 70 例机器人辅助 RP（RARP）和 20 例开放式 RP（ORP）医疗中心。由两名独立的审查员对其网站进行了各种因素的审查，彼此之间没有看到对方的审查结果。网站的评分是由高级研究员根据信息的准确性和全面性进行的。
在学术和社区 RARP 中心中，有 55%和 79%的中心有专门的网站（P < 0.05）；45%的 RARP 网站的信息是直接从机器人系统制造商直觉外科公司（加利福尼亚州森尼韦尔）的网站复制而来的。只有 54%的 RARP 网站和 45%的 ORP 网站提到了 ED；17%的 RARP 网站被认为是准确的，而 30%的 ORP 网站是准确的（P < 0.05）。只有略多于 1%的 RARP 网站被认为是全面的，而 10%的 ORP 网站是全面的（P < 0.05）。三分之一的 RARP 网站有一个指向直觉外科公司网站的直接链接（学术网站为 16%，社区网站为 53%，P < 0.05），而开放网站为 10%（P < 0.05）。最有趣的是，一半的 RARP 网站表明 RARP 的 ED 发生率低于 ORP；而 ORP 网站中只有 5%提到 ORP 的 ED 发生率较低（P < 0.05）。
尽管 RP 作为一种治疗前列腺癌男性的治疗选择具有重要地位，而且最近 RARP 的使用有所增加，但与 RP 网站上的性健康相关的信息准确性很差，许多网站对勃起功能的长期结果做出了错误的陈述。这种不足在 RARP 网站上似乎比在 ORP 网站上更为明显。
