Assessment of the Educational Value of Distal Hypospadias Repair Videos on YouTube
Paul Jones, MD, Christopher Austin, MD, Casey Seideman, MD.
Oregon Health & Science University, Portland, OR, USA.
BACKGROUND: In preparation for operative cases, surgical trainees often utilize videos available online to review surgical techniques. Hypospadias repair is one of the more common surgical procedures performed by pediatric urologists. The quality of videos detailing distal hypospadias repair is unquantified. Additionally, there are no standardized tools to evaluate the content of open surgical videos and their adherence to basic quality measures. The primary objective of this study is to evaluate the quality of YouTube videos depicting distal hypospadias repair.
METHODS: The search terms "distal hypospadias repair" were used to identify surgical videos on YouTube. Videos were sorted by view count and the top 34 videos were reviewed for baseline video characteristics, key surgical steps covered, and conformity to a modified LAP-VEGaS checklist. All videos were reviewed and discussed for conformity by two attending pediatric urologists and a urology resident.
RESULTS: Of the 34 videos reviewed, 16 videos were excluded due to content. The median length of videos was 9.94 minutes (range, 2.57-99.12 min). Video quality was deemed of high quality in only 39% of videos. The most common type of hypospadias procedures described were tubularized incised plate urethroplasty (TIP) (n=13) and meatal advancement and glanuloplasty incorporated (MAGPI) (n=2). The median view count was 7828.5 (range, 1,133-58,619 views). Only one video met all modified LAP-VEGaS criteria (range of 33% - 100%). Only two videos showed every surgical step of distal hypospadias repair (range 33%-100%). Modified LAP-VEGaS score, surgical step score, or quality of the video was not associated with a higher view count.
CONCLUSIONS: Despite being a common procedure, there is a paucity of high-quality videos on YouTube describing distal hypospadias repair techniques. It is unclear how learners select videos for study purposes and the most utilized videos on YouTube are not the most educational videos.
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