Das Arighno, Darves-Bornoz Anne, Joshi Tejas, Keeter Mary Kate, Wren James M, Bennett Nelson E, Brannigan Robert E, Halpern Joshua A
Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
F S Rep. 2020 Sep 25;1(3):227-232. doi: 10.1016/j.xfre.2020.09.009. eCollection 2020 Dec.
To investigate internet search results available to couples searching for a male factor infertility specialist.
Cross-sectional.
Online search engine.
The phrase "male infertility specialist
None.
The first page of each search was evaluated for provider type (urology vs. obstetrics and gynecology), level of training (fellowship vs. none), male factor fertility information provided, and procedures offered. We compared search position rank (1-10) to determine the likelihood of finding an urologist versus a practitioner in obstetrics and gynecology.
A total of 419 results were identified; the majority were obstetrics and gynecology-related (N = 229, 54.7%). Urology-related results appeared higher than obstetrics and gynecology-related results (median, 4 vs. 5). Andrology fellowship-trained urologists were identified in 153 (36.5%) results. Among 229 obstetrics and gynecology results, 152 unique practices were identified. A small portion (N = 38, 16.6%) of these practices had a fellowship-trained urologist identified on the website. Most obstetrics and gynecology websites did not mention vasectomy reversal (N = 116, 76.3%) or varicocele repair (N = 93, 61.2%). A minority of practices offered referral to urologists for sperm extraction (N = 23, 15.1%) or offered sperm retrieval themselves (N = 23, 15.1%).
When searching online for a male factor infertility specialist, most results identified obstetrics and gynecology physicians. A large proportion of obstetrics and gynecology websites lacked information on male factor fertility treatments and did not offer these treatments. These data indicate the need for a more robust online presence of male reproductive urologists to optimize online access.
调查夫妻在搜索男性因素不孕症专家时可获得的互联网搜索结果。
横断面研究。
在线搜索引擎。
在谷歌中针对50个州和华盛顿特区搜索短语“男性不孕症专家<州名>”。对每次搜索的前10个结果（即第一页）的网站内容进行评估。
无。
评估每次搜索第一页的提供者类型（泌尿外科与妇产科）、培训水平（有 fellowship 培训与无）、提供的男性因素生育信息以及提供的手术。我们比较搜索位置排名（1 - 10）以确定找到泌尿外科医生与妇产科医生的可能性。
共识别出419个结果；大多数与妇产科相关（N = 229，54.7%）。与泌尿外科相关的结果比与妇产科相关的结果排名更高（中位数分别为4和5）。在153个（36.5%）结果中识别出接受过男科 fellowship 培训的泌尿外科医生。在229个妇产科结果中，识别出152个独特的医疗机构。这些机构中有一小部分（N = 38，16.6%）在网站上有接受过 fellowship 培训的泌尿外科医生。大多数妇产科网站未提及输精管复通术（N = 116，76.3%）或精索静脉曲张修复术（N = 93，61.2%）。少数机构提供转介至泌尿外科医生进行精子提取（N = 23，15.1%）或自己提供精子获取服务（N = 23，15.1%）。
在网上搜索男性因素不孕症专家时，大多数结果识别出的是妇产科医生。很大一部分妇产科网站缺乏男性因素生育治疗的信息且不提供这些治疗。这些数据表明男性生殖泌尿外科医生需要在网上有更强大的展示，以优化在线获取信息的途径。
