Urology Institute, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Cleveland, OH, USA.
Department of Urology, Selcuk University School of Medicine, Konya, Turkey.
Int Urogynecol J. 2023 Sep;34(9):2275-2283. doi: 10.1007/s00192-023-05542-0. Epub 2023 Apr 27.
INTRODUCTION AND HYPOTHESIS: The objective was to comprehensively analyze YouTube™ videos focusing on genital gender-affirmation surgery (GAS) from the perspective of urologists and gynecologists and to utilize results to create educational videos for transgender individuals with accurate and engaging content. METHODS: A YouTube search was performed using the keywords "Metoidioplasty," "Phalloplasty," "Gender affirmation surgery," "Transgender surgery," "Vaginoplasty," and "Male-to-female surgery." Video results that were duplicated, non-English, of low relevance, non-audio, and/or short duration (under 2 min) were excluded. The upload source was classified as university/nonprofit physician or organization, health information websites, medical advertisement/for-profit organizations, or individual patient experience. Viewer engagement metrics were obtained for each video. Each video was evaluated using the DISCERN, Global Quality Score (GQS), and Patient Education Materials Assessment Tool for audio-visual content (PEMAT A-V) tools. RESULTS: A total of 273 videos were evaluated. Viewer engagement metrics of videos from the patient experience group were higher than those of both universities/nonprofit physicians and medical advertisement/for-profit groups. DISCERN and GQS scores were significantly lower in videos uploaded by the patient experience group than in each of the other upload sources. More videos covered female-to-male (FtM) transition (168, 61.5%) than covered male-to-female (MtF; 71, 26.0%), and both (34, 12.5%). MtF transition videos had significantly higher total view counts than videos from the other groups (p<0.001). The like counts of videos were significantly higher in both MtF transition and FtM transition groups than for videos explaining both types of transition within the same video. The total DISCERN score was significantly lower in FtM transition videos than in the other content groups. Two educational videos were prepared, informed by the tools and results of this study, and hosted on YouTube. CONCLUSIONS: The findings suggest that genital GAS videos with less technical content have higher audience engagement. This information should be used to aid medical organizations when creating YouTube content to provide accurate information to larger audiences in the transgender community.
引言和假设：本研究旨在全面分析泌尿科医生和妇科医生视角下的 YouTube™ 视频中有关生殖器性别肯定手术（GAS）的内容，并利用研究结果为跨性别个体创建具有准确和引人入胜内容的教育视频。
方法：使用“Metoidioplasty”、“Phalloplasty”、“Gender affirmation surgery”、“Transgender surgery”、“Vaginoplasty”和“Male-to-female surgery”等关键词在 YouTube 上进行搜索。排除重复的、非英语的、相关性低的、非音频的和/或持续时间短（少于 2 分钟）的视频。上传来源分为大学/非营利性医生或组织、健康信息网站、医疗广告/营利性组织或个体患者经验。获取每个视频的观众参与度指标。使用 DISCERN、全球质量评分（GQS）和视听内容患者教育材料评估工具（PEMAT A-V）评估每个视频。
结果：共评估了 273 个视频。来自患者经验组的视频的观众参与度指标高于大学/非营利性医生和医疗广告/营利性组织组。来自患者经验组的视频的 DISCERN 和 GQS 评分明显低于其他上传来源。涵盖女性到男性（FtM）转变的视频（168 个，61.5%）多于涵盖男性到女性（MtF；71 个，26.0%）和两者（34 个，12.5%）。MtF 转变视频的总观看次数明显高于其他组（p<0.001）。MtF 转变和 FtM 转变视频的点赞数均明显高于在同一视频中解释两种转变类型的视频。FtM 转变视频的总 DISCERN 评分明显低于其他内容组。根据本研究的工具和结果制作了两个教育视频，并在 YouTube 上发布。
结论：研究结果表明，具有较少技术内容的生殖器 GAS 视频具有更高的观众参与度。当医疗组织在制作 YouTube 内容时，应利用这些信息为跨性别社区的更多受众提供准确信息。
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