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Quality and Reliability of YouTube Videos on Intravesical Botulinum Toxin Injections: A Provider-Based Evaluation YouTube视频膀胱内肉毒毒素注射的质量和可靠性：基于提供者的评估。

IF 2 3区医学 Q2 UROLOGY & NEPHROLOGY

Urology

Pub Date : 2026-03-01 Epub Date: 2025-12-17 DOI: 10.1016/j.urology.2025.12.019

Ismail Ulus, Muhammet Murat Dincer

Objective

To evaluate the quality, popularity, and educational content of YouTube videos on intravesical botulinum toxin injection (IBI).

Methods

A YouTube search was conducted on 10 May 2025 using 4 keywords related to IBI. Eligible videos were categorized into 3 groups: academic institutions, health information websites, and physicians or private medical organizations. Their quality and educational value were then evaluated using the Global Quality Score (GQS), the Patient Education Materials Assessment Tool for Audiovisual Materials (PEMAT-A/V), and a 15-item IBI-Specific Checklist (IBI-SC). Group comparisons were conducted using Pearson’s chi-square test and the Kruskal-Wallis test, and Pearson correlation was employed to evaluate relationships among the assessment tools.

Results

Comparison among groups based on the sources of the final set of 45 videos revealed that the physician or private medical organization group performed significantly worse than the other groups in the analysis of PEMAT-A/V Understandability (U), Actionability (A), and IBI-SC scores (P <.001). GQS categories also differed significantly among videos from different sources, with the academic institutions group performing the best (P <.001). In the correlation analysis, a strong correlation was observed between PEMAT-A/V U and PEMAT-A/V A (r = 0.71, P <.001), while moderate correlations were found between PEMAT-A/V U and IBI-SC (r = 0.58, P <.001) and between PEMAT-A/V A and IBI-SC (r = 0.42, P = .004).

Conclusion

The effectiveness of educational content varied significantly by source, with videos from academic institutions demonstrating the highest quality. Our findings highlight the need for standardized, open-access health information resources tailored to specific educational purposes.

目的：评价YouTube上关于膀胱内肉毒毒素注射（IBI）视频的质量、普及程度和教育内容。方法：于2025年5月10日在YouTube上使用与IBI相关的四个关键词进行搜索。符合条件的视频分为三组：学术机构、健康信息网站、医生或私人医疗机构。然后使用全球质量评分（GQS）、患者教育材料评估工具（PEMAT-A/V）和15项ibi特定检查表（IBI-SC）对其质量和教育价值进行评估。采用Pearson卡方检验和Kruskal-Wallis检验进行组间比较，采用Pearson相关评价评价工具间的关系。结果：基于最后一组45个视频来源的组间比较显示，医生或私人医疗机构组在分析PEMAT-A/V可理解性(U)、可操作性(A)和IBI-SC分数方面的表现明显差于其他组(p)。结论：教育内容的有效性因来源而异，学术机构的视频质量最高。我们的研究结果强调了为特定教育目的量身定制标准化、开放获取的健康信息资源的必要性。

{"title":"Quality and Reliability of YouTube Videos on Intravesical Botulinum Toxin Injections: A Provider-Based Evaluation","authors":"Ismail Ulus, Muhammet Murat Dincer","doi":"10.1016/j.urology.2025.12.019","DOIUrl":"10.1016/j.urology.2025.12.019","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the quality, popularity, and educational content of YouTube videos on intravesical botulinum toxin injection (IBI).</div></div><div><h3>Methods</h3><div>A YouTube search was conducted on 10 May 2025 using 4 keywords related to IBI. Eligible videos were categorized into 3 groups: academic institutions, health information websites, and physicians or private medical organizations. Their quality and educational value were then evaluated using the Global Quality Score (GQS), the Patient Education Materials Assessment Tool for Audiovisual Materials (PEMAT-A/V), and a 15-item IBI-Specific Checklist (IBI-SC). Group comparisons were conducted using Pearson’s chi-square test and the Kruskal-Wallis test, and Pearson correlation was employed to evaluate relationships among the assessment tools.</div></div><div><h3>Results</h3><div>Comparison among groups based on the sources of the final set of 45 videos revealed that the physician or private medical organization group performed significantly worse than the other groups in the analysis of PEMAT-A/V Understandability (U), Actionability (A), and IBI-SC scores (<em>P</em> <.001). GQS categories also differed significantly among videos from different sources, with the academic institutions group performing the best (<em>P</em> <.001). In the correlation analysis, a strong correlation was observed between PEMAT-A/V U and PEMAT-A/V A (<em>r</em> = 0.71, <em>P</em> <.001), while moderate correlations were found between PEMAT-A/V U and IBI-SC (<em>r</em> = 0.58, <em>P</em> <.001) and between PEMAT-A/V A and IBI-SC (<em>r</em> = 0.42, <em>P</em> = .004).</div></div><div><h3>Conclusion</h3><div>The effectiveness of educational content varied significantly by source, with videos from academic institutions demonstrating the highest quality. Our findings highlight the need for standardized, open-access health information resources tailored to specific educational purposes.</div></div>","PeriodicalId":23415,"journal":{"name":"Urology","volume":"209 ","pages":"Pages 159-163"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145794919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Editorial Comment on “Unraveling Smooth Muscle-rich Renal Cell Carcinoma: Clinical, Oncological, Genetic, and Pathological Insights” 关于“解开富含平滑肌的肾细胞癌：临床、肿瘤学、遗传学和病理学见解”的社论评论。

IF 2 3区医学 Q2 UROLOGY & NEPHROLOGY

Urology

Pub Date : 2026-03-01 Epub Date: 2025-12-17 DOI: 10.1016/j.urology.2025.12.014

Brittney H. Cotta, Arighno Das

引用次数: 0

Reply to Editorial Comment on “Outcomes of Patients With Localized Renal Cell Carcinoma on Immunosuppression Following Solid Organ Transplantation” 对“局部肾细胞癌患者在实体器官移植后免疫抑制的结果”的评论。

IF 2 3区医学 Q2 UROLOGY & NEPHROLOGY

Urology

Pub Date : 2026-03-01 Epub Date: 2026-01-28 DOI: 10.1016/j.urology.2026.01.030

Parth V. Shah , Daniel D. Shapiro

引用次数: 0

Reply to Editorial Comment on “Performance of a Standardized Retrograde Urethrogram to Optimize LSE Anterior Urethral Stricture Disease Classification and Staging” 标准化逆行尿道造影优化LSE前尿道狭窄疾病分类和分期的效果

IF 2 3区医学 Q2 UROLOGY & NEPHROLOGY

Urology

Pub Date : 2026-03-01 Epub Date: 2026-01-28 DOI: 10.1016/j.urology.2026.01.025

Bradley A. Erickson

引用次数: 0

Erectile Dysfunction as a Predictor of Subclinical Atherosclerosis: A Community Health Assessment Using Coronary Calcium Scoring in Underserved Cleveland, Ohio 勃起功能障碍作为亚临床动脉粥样硬化的预测因子：在服务不足的俄亥俄州克利夫兰使用冠状动脉钙评分进行社区健康评估。

IF 2 3区医学 Q2 UROLOGY & NEPHROLOGY

Urology

Pub Date : 2026-03-01 Epub Date: 2025-11-08 DOI: 10.1016/j.urology.2025.10.047

Hachem Ziadeh , Jad Badreddine , Thriaksh Rajan , Yann Chemali , Stephen Rhodes , Lydia Beard , Ramy Abou Ghayda

Objective

To examine the relationship between erectile dysfunction severity and coronary artery calcium (CAC) burden, including its distribution and potential use as a predictor of elevated calcium scores in a high-risk community.

Methods

This cross-sectional, community-based study recruited men aged ≥40 years with ≥1 cardiovascular risk factor. Erectile dysfunction was measured using the International Index of Erectile Function-5 (IIEF-5), while coronary artery calcium scores were obtained using non-contrast computed tomography and were analyzed continuously and categorically using standard thresholds (≥1, ≥10, ≥100, ≥400). Spearman's rank correlation was used to assess the relationship between IIEF-5 scores and CAC.

Results

Among our study participants (mean age 59.7 years), 61.7% reported ED of varying severity. The median coronary artery calcium score was 1.5 (IQR: 0.0–97.2), with 11.7% exhibiting severe plaque burden (>400). A significant inverse correlation was observed between IIEF-5 scores and CAC burden (ρ = −.414, p = .001). Higher ED severity corresponded with an increasing CAC category. An IIEF-5 score ≤21 demonstrated high sensitivity (93.3%) and negative predictive value (95.7%) for identifying individuals with CAC ≥100.

Conclusion

Erectile dysfunction severity tracked closely with coronary plaque burden, supporting its role as a sentinel clinical marker of subclinical atherosclerosis. Community-based sexual health screening may offer a simple and low-cost approach for early identification of individuals at risk for future cardiovascular disease.

目的：研究勃起功能障碍严重程度与冠状动脉钙（CAC）负荷之间的关系，包括其分布和作为高危社区钙评分升高的潜在预测因子。方法：这项以社区为基础的横断面研究招募年龄≥40岁、心血管危险因素≥1的男性。使用国际勃起功能指数-5 （IIEF-5）测量勃起功能障碍，使用非对比计算机断层扫描获得冠状动脉钙评分，并使用标准阈值（≥1,≥10,≥100,≥400）连续分类分析。采用Spearman等级相关来评估IIEF-5评分与CAC之间的关系。结果：在我们的研究参与者（平均年龄59.7岁）中，61.7%报告了不同程度的ED。冠状动脉钙评分中位数为1.5 (IQR: 0.0-97.2)， 11.7%的患者表现为严重斑块负担（bbb400）。IIEF-5评分与CAC负担呈显著负相关（ρ = -0.414, p = 0.001）。ED严重程度越高，CAC类别越高。对于CAC≥100的个体，IIEF-5评分≤21表现出高敏感性（93.3%）和阴性预测值（95.7%）。结论：勃起功能障碍严重程度与冠状动脉斑块负荷密切相关，支持其作为亚临床动脉粥样硬化前哨临床标志物的作用。以社区为基础的性健康筛查可以提供一种简单和低成本的方法，用于早期识别未来有心血管疾病风险的个体。

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引用次数: 0

Letter to the Editor on “Cannabis Use Is Associated With Lower Urinary Tract Symptoms in Pediatric Patients—A Large Claims Database Study” 致编辑的信“大麻使用与儿科患者下尿路症状有关——一项大型索赔数据库研究”。

IF 2 3区医学 Q2 UROLOGY & NEPHROLOGY

Urology

Pub Date : 2026-03-01 Epub Date: 2025-12-27 DOI: 10.1016/j.urology.2025.12.033

Yi-Hsuan Hung , Joshua Wang

引用次数: 0

Reply to Editorial Comment on “Microscopic Spermatic Cord Denervation for Chronic Scrotal Content Pain Following Inguinal Hernia Repair: Outcomes and Predictors of Success” 对“显微精索去神经术治疗腹股沟疝修补术后慢性阴囊内容物疼痛：结果和成功的预测因素”社论评论的回复。

IF 2 3区医学 Q2 UROLOGY & NEPHROLOGY

Urology

Pub Date : 2026-03-01 Epub Date: 2026-01-14 DOI: 10.1016/j.urology.2026.01.010

Makenna Romanelli , Sarah C. Vij

引用次数: 0

Retraction notice to “A Multicenter Prospective Sham-controlled Trial Evaluating a Physiologic Closed-loop Wearable Tibial Neuromodulation System for Overactive Bladder” [Urology 195(2025)16-22] “一项评估生理闭环可穿戴胫骨神经调节系统治疗膀胱过度活动症的多中心前瞻性假对照试验”的撤回通知[Urology] 195(2025)16-22]

IF 2 3区医学 Q2 UROLOGY & NEPHROLOGY

Urology

Pub Date : 2026-03-01 Epub Date: 2026-03-12 DOI: 10.1016/j.urology.2026.01.044

Colin Goudelocke , Rohit Dhir , Eve Shapiro , Kevin Cline , Denise Elser Poulos , Parke Hedges

引用次数: 0

Feasibility of Holmium Laser Enucleation of the Prostate After Prior Prostate Intervention for Benign Prostatic Hyperplasia 先前前列腺干预治疗良性前列腺增生（BPH）后钬激光前列腺摘除（HoLEP）的可行性。

IF 2 3区医学 Q2 UROLOGY & NEPHROLOGY

Urology

Pub Date : 2026-03-01 Epub Date: 2025-12-06 DOI: 10.1016/j.urology.2025.11.248

Peyman Mokhtarzadehazar, Blake Ferguson, Garrett Davis, Marawan M. El Tayeb

Objective

To evaluate the safety and outcomes of holmium laser enucleation of the prostate (HoLEP) in patients with a history of prior surgical prostate intervention, and to compare these results with the patients without previous prostate intervention.

Methods

A retrospective review of a prospectively maintained database at a tertiary-level center in Texas. From August 2015 to February 2025, 1876 patients underwent HoLEP, 143 had previous prostate surgery. These were matched 1:1 with 143 patients without prior surgery based on prostate weight. Data included IPSS, hemoglobin reduction, resected tissue weight, enucleation and morcellation efficacy, prostate volume, and estimated blood loss (EBL).

Results

A total of 286 patients. Of 143 patients with prior surgery, TURP was the most common procedure (82 cases). No significant differences were found between groups in preoperative IPSS, age, resected weight, enucleation efficacy, hemoglobin reduction, or prostate volume. At 3 months postoperatively, the IPSS was significantly lower in patients with prior surgery. Morcellation efficacy was reduced, and EBL was higher in the prior surgery group. Both groups demonstrated significant improvements in IPSS overall.

Conclusion

HoLEP is a safe and effective surgical option for BPH in both primary and re-treatment settings. Prior interventions do not significantly affect enucleation efficacy, hemoglobin reduction, or IPSS outcomes; however, they are associated with reduced morcellation efficiency and increased blood loss.

目的：评价有前列腺手术干预史患者钬激光前列腺摘除（HoLEP）的安全性和疗效，并与无前列腺干预史患者进行比较。方法：对德克萨斯州某三级医疗中心前瞻性维护的数据库进行回顾性分析。从2015年8月到2025年2月，1876例患者接受了HoLEP， 143例既往前列腺手术。根据前列腺重量，他们与143名未接受过手术的患者进行了1:1的匹配。数据包括IPSS、血红蛋白降低、切除组织重量、去核和分块效果、前列腺体积和估计失血量（EBL）。结果：共286例患者。在143例既往手术患者中，TURP是最常见的手术（82例）。术前IPSS、年龄、切除体重、去核效果、血红蛋白降低、前列腺体积各组间无显著差异。术后3个月，术前患者的IPSS明显降低。术前组粉碎效果降低，EBL增高。两组总体IPSS均有显著改善。结论：HoLEP是治疗原发性和再治疗性前列腺增生的安全有效的手术选择。先前的干预对去核疗效、血红蛋白降低或IPSS结局没有显著影响；然而，它们与粉碎效率降低和失血增加有关。

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引用次数: 0

Reply to Editorial Comment on “Variability in Cystatin C- and Creatinine-estimated Glomerular Filtration Rate in Adults With Spina Bifida” 对成人脊柱裂患者胱抑素C和肌酐估计GFR变异性的评论回应。

IF 2 3区医学 Q2 UROLOGY & NEPHROLOGY

Urology

Pub Date : 2026-03-01 Epub Date: 2026-01-29 DOI: 10.1016/j.urology.2026.01.032

Blaise W. Abramovitz , Stephen Kisty , Sarah A. Korth , Oluwasanmi Adenaiye , Paul Rusilko , Brad E. Dicianno

引用次数: 0

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