Abstract
This study aimed to evaluate and compare the quality of information in YouTube videos on erectile dysfunction (ED) treatment in English and Hindi language. The English and Hindi terms for erectile dysfunction treatment were searched on YouTube, and the first 100 videos were screened. Of them, 148 videos were eligible for analysis. Quality of health information was assessed using: a modified 5-item DISCERN tool; and the Patient Education Materials Assessment Tool (PEMAT) for Audio/Visual Materials. The analyzed videos had cumulative views of more than 70 million. Only 8.8% of videos had DISCERN score ≥ 4 indicating good content quality. About 46% and 40% of videos presented information in an easy-to-understand and actionable manner based on PEMAT sub-scale scores ≥ 70% respectively. The three most common treatments suggested for ED were lifestyle modification-based advice (41.2%), oral Phosphodiesterase type-5 inhibitors (37.8%), and penile prosthetic implantation (28.4%).Herbal/ over-the-counter medicines, and specific diet/ food item(s) were more frequently suggested in Hindi videos. Whereas, intra-cavernosal injections, MUSE suppositories, and shock wave therapy were more commonly suggested in English videos. A substantial number of videos suggested treatment strategies that were not concordant with the American Urological Association guidelines. Healthcare professionals need to be mindful of this while counseling patients and advocate for the creation of more reliable and accurate online sources of information in English and other vernacular languages like Hindi.