Şahin Mehmet Fatih, Topkaç Erdem Can, Doğan Çağrı, Şeramet Serkan, Tuncer Furkan Batuhan, Köroğlu Muhammed Sencer, Orbeği Onur, Yazici Cenk Murat
Faculty of Medicine Department of Urology, Tekirdağ Namık Kemal University, Süleymanpaşa, Tekirdağ 59020, Turkey.
Sex Med. 2025 Apr 21;13(2):qfaf023. doi: 10.1093/sexmed/qfaf023. eCollection 2025 Apr.
Patients dealing with sensitive issues like penile enlargement (PE) might benefit from YouTube videos. Therefore, it is essential that the textual content of these videos is clear, trustworthy, and of high quality.
Are the AI-assisted acquired texts' qualities and comprehensibilities of YouTube videos about PE enough and suitable for the patients?
On October 25, 2024, Google Trends analysis identified the 25 most searched phrases for "Penile enlargement." Non-related terms were excluded, and the relevant keywords were searched on YouTube. Only content about PE included; excluding duplicates, non-English videos, YouTube shorts, those under 30 seconds, silent, and music-only videos. Videos were transcribed using Whisper AI, and their quality was assessed by M.F.Ş, E.C.T., and Ç.D. using the GQS (global quality scale) and DISCERN, the readability was evaluated via Flesch-Kincaid (FKGL and FKRE) measures. High assessor agreement was noted (Pearson r = 0.912). Videos were categorized by uploader, and metrics such as views, likes, comments, and duration were recorded. The Chi-square test was used for categorical variable comparisons; the Kruskal-Wallis H-Test was applied when normality and homoscedasticity were not met, with Bonferroni post hoc correction for multiple comparisons.
The mean DISCERN and GQS scores were 51.23 ± 13.1 and 3.32 ± 0.9, respectively. FKRE and FKGL scores were 73.12 ± 11.7 and 5.85 ± 2.1. Physicians (n = 67) produced the most videos, while academic institutions (n = 2) produced the least. No significant differences in text quality were found between groups ( = 0.067 and = 0.051). Health-related websites exhibited lower FKRE compared to non-healthcare videos ( = ), with a significant difference in FKGL as well ( = ).
The video exhibited a high level of readability (indicating comprehensibility for almost a 6th-grade student). Text quality, view and like count of the videos uploaded by academic institutions was the highest.
In PE, YouTube video's health information needs to be better quality and more trustworthy, according to our research. The language used in videos should be easier to understand.
This study is the first scientific analysis of YouTube video transcripts on PE using AI, focusing specifically on English content, which limits its applicability to non-English speakers and other platforms. Exclusions of silent and shorter videos may result in the omission of valuable information.
The need for better quality and trustworthiness in health-related YouTube information, especially for PE is essential. Content makers should stress clear, accessible language and minimize disinformation.
处理阴茎增大(PE)等敏感问题的患者可能会从YouTube视频中受益。因此,这些视频的文字内容清晰、可信且质量高至关重要。
关于阴茎增大的YouTube视频中,人工智能辅助获取的文字质量和可理解性是否足以满足患者需求并适合他们?
2024年10月25日,通过谷歌趋势分析确定了“阴茎增大”搜索量最高的25个短语。排除无关术语后,在YouTube上搜索相关关键词。仅纳入关于阴茎增大的内容;排除重复视频、非英语视频、YouTube短片、时长不足30秒的视频、无声视频和纯音乐视频。使用Whisper AI对视频进行转录,由M.F.Ş、E.C.T.和Ç.D.使用全球质量量表(GQS)和DISCERN评估其质量,通过弗莱施-金凯德(Flesch-Kincaid)指标(FKGL和FKRE)评估可读性。评估者之间的一致性较高(皮尔逊r = 0.912)。按上传者对视频进行分类,并记录观看次数、点赞数、评论数和时长等指标。使用卡方检验进行分类变量比较;当不满足正态性和同方差性时,应用克鲁斯卡尔-沃利斯H检验,并采用邦费罗尼事后检验进行多重比较。
DISCERN和GQS的平均得分分别为51.23±13.1和3.32±0.9。FKRE和FKGL得分分别为73.12±11.7和5.85±2.1。医生(n = 67)制作的视频最多,而学术机构(n = 2)制作的最少。各组之间在文本质量上未发现显著差异( = 0.067和 = 0.051)。与非医疗保健视频相比,健康相关网站的FKRE较低( = ),FKGL也存在显著差异( = )。
视频具有较高的可读性(表明几乎六年级学生都能理解)。学术机构上传的视频的文本质量、观看次数和点赞数最高。
根据我们的研究,在阴茎增大方面,YouTube视频中的健康信息需要质量更高、更可信。视频使用的语言应更易于理解。
本研究是首次使用人工智能对关于阴茎增大的YouTube视频文字记录进行科学分析,特别关注英语内容,这限制了其对非英语使用者和其他平台的适用性。排除无声和较短视频可能导致遗漏有价值的信息。
尤其在阴茎增大方面,健康相关的YouTube信息需要更高的质量和可信度至关重要。内容创作者应强调清晰、易懂的语言,并尽量减少虚假信息。