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  • Review Article
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Quality and benefits of the erectile dysfunction information on websites, social-media, and applications

Abstract

Erectile Dysfunction (ED) is defined as the persistent inability to obtain and maintain an erection that enables satisfactory sexual intercourse. ED prevalence vary across age groups, affecting approximately 1–9% of men under 40, 2–9% of those aged 40–59, and increasing to 20–40% for those aged 60–69. However, it remains a frequently untreated or insufficiently treated condition. Especially due to the feeling of discomfort and guilt, patients often avoid consulting their physicians; in this context, digital innovation could potentially play a pivotal role in the diagnosis and management of ED. This narrative review depicts the ongoing status of digital innovations in ED focusing on websites, social media platforms and mobile health applications (MHA). We examined Google, social media platforms (Facebook, Twitter, YouTube, and TikTok), and the recently developed MHA apps on Google Play Store and Apple App Store. Websites provide readily available but sometimes difficult to understand information, while social media is easy to understand and act on. MHA apps are the most complete and trustworthy tool for self-care management. In conclusion, digital innovations are a continuously growing source of information and therapeutic tools.

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References

  1. NIH Consensus Conference. Impotence. NIH Consensus Development Panel on Impotence. JAMA. 1993;270:83–90.

  2. Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ, McKinlay JB. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol. 1994;151:54–61.

    Article  CAS  PubMed  Google Scholar 

  3. Taylor DG, Giuliano F, Hackett G, Hermes-DeSantis E, Kirby MG, Kloner RA, et al. The pharmacist’s role in improving the treatment of erectile dysfunction and its underlying causes. Res Soc Adm Pharm. 2019;15:591–9.

    Article  Google Scholar 

  4. Morgado A, Moura ML, Dinis P, Silva CM. Misdiagnosis and undertreatment of erectile dysfunction in the Portuguese primary health care. Sex Med. 2019;7:177–83.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Ab Rahman AA, Al-Sadat N, Yun Low W. Help seeking behaviour among men with erectile dysfunction in primary care setting. J Mens Health. 2011;8:S94–6.

    Article  Google Scholar 

  6. Waling A, Fraser S, Fisher C. Young People and Sources of Sexual Health Information (ARCSHS Monograph Series No. 121). Bundoora, VIC: Australian Research Centre in Sex, Health and Society, La Trobe University 2020.

  7. Gott M. Barriers to seeking treatment for sexual problems in primary care: a qualitative study with older people. Fam Pract. 2003;20:690–5.

    Article  PubMed  Google Scholar 

  8. Russo GI, di Mauro M, Cocci A, Cacciamani G, Cimino S, Serefoglu EC, et al. Consulting “Dr Google” for sexual dysfunction: a contemporary worldwide trend analysis. Int J Impot Res. 2020;32:455–61.

    Article  CAS  PubMed  Google Scholar 

  9. Matthew Ziegelmann MD. Mayo Clinic Erectile Dysfunction. 2022. https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/symptoms-causes/syc-20355776.

  10. Johns Hopkins Medicine Erectile Dysfunction. 2022. https://www.hopkinsmedicine.org/health/conditions-and-diseases/erectile-dysfunction.

  11. British National Health Service Erectile Dysfunction (Impotence). https://www.nhs.uk/conditions/erection-problems-erectile-dysfunction/.

  12. Ma M, Yin S, Zhu M, Fan Y, Wen X, Lin T, et al. Evaluation of medical information on male sexual dysfunction on Baidu Encyclopedia and Wikipedia: comparative study. J Med Internet Res. 2022;24:e37339.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Pattenden TA, Raleigh RA, Pattenden ER, Thangasamy IA. Quality and readability of online patient information on treatment for erectile dysfunction. BJUI Compass. 2021;2:412–8.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Recommendation for use of SI in clinical laboratory measurements. International Committee for Standardization in Hematology (ICSH) International Federation of Clinical Chemistry (IFCC) World Association of (Anatomic and Clinical) Pathology Societies (WAPS). Thromb Diath Haemorrh. 1973;29:213–4.

  15. Reddy RV, Golan R, Loloi J, Diaz P, Saltzman RG, Watane A et al. Assessing the quality and readability of online content on shock wave therapy for erectile dysfunction. Andrologia. 2022;54:e14607.

  16. Read J, Mati E. Erectile dysfunction and the internet: drug company manipulation of public and professional opinion. J Sex Marital Ther. 2013;39:541–59.

    Article  PubMed  Google Scholar 

  17. Waack KE, Ernst ME, Graber MA. Informational content of official pharmaceutical industry web sites about treatments for erectile dysfunction. Ann Pharmacother. 2004;38:2029–34.

    Article  PubMed  Google Scholar 

  18. García-Cruz E, Romero-Otero J, Fode M, Alcaraz A. El entorno digital en los trastornos sexuales masculinos: revisión sistemática. Actas Urol Esp. 2018;42:365–74.

    Article  PubMed  Google Scholar 

  19. Wackerbarth JJ, Fantus RJ, Darves-Bornoz A, Hehemann MC, Helfand BT, Keeter MK, et al. Examining online traffic patterns to popular direct-to-consumer websites for evaluation and treatment of erectile dysfunction. Sex Med. 2021;9:100289.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Gallagher CT, Chapman LE. Classification, location and legitimacy of web-based suppliers of Viagra to the UK. Int J Pharm Pr. 2010;18:341–5.

    Article  Google Scholar 

  21. Fittler A, Paczolai P, Ashraf AR, Pourhashemi A, Iványi P. Prevalence of poisoned Google search results of erectile dysfunction medications redirecting to illegal internet pharmacies: data analysis study. J Med Internet Res. 2022;24:e38957.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Ho HMK, Xiong Z, Wong HY, Buanz A. The era of fake medicines: investigating counterfeit medicinal products for erectile dysfunction disguised asherbal supplements. Int J Pharm. 2022;617:121592.

    Article  CAS  PubMed  Google Scholar 

  23. Fode M, Nolsøe AB, Jacobsen FM, Russo GI, Østergren PB, Jensen CFS, et al. Quality of information in YouTube videos on erectile dysfunction. Sex Med. 2020;8:408–13.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Mazuecos Quirós J, Pedraza Sánchez JP, Lozano Blasco JM, Baena Villamarín C, Lendínez Cano G, Medina López RA. Analysis of the quality of the information on the erectile dysfunction in YouTube. Arch Esp Urol. 2020;73:541–5.

    PubMed  Google Scholar 

  25. Babar M, Loloi J, Patel RD, Singh S, Azhar U, Maria P, et al. Cross-sectional and comparative analysis of videos on erectile dysfunction treatment on YouTube and TikTok. Andrologia. 2022;54:e14392.

    Article  CAS  PubMed  Google Scholar 

  26. Sellke N, Jesse E, Callegari M, Muncey W, Harris D, Edwins R, et al. Is Reddit a reliable source for information on erectile dysfunction treatment? Int J Impot Res. 2022:1–6. https://doi.org/10.1038/s41443-022-00586-0.

  27. Delcea C. Construction, validation, and standardization of the sexual‐DSMapp application. Psychiatr Res Clin Pract. 2020;2:70–5.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Zarski A-C, Velten J, Knauer J, Berking M, Ebert DD. Internet- and mobile-based psychological interventions for sexual dysfunctions: a systematic review and meta-analysis. NPJ Digit Med. 2022;5:139.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Holland Brown TM, Bewick M. Digital health education: the need for a digitally ready workforce. Arch Dis Child Educ Pract Ed. 2023;108:214–7.

  30. Martín-Martín J, Muro-Culebras A, Roldán-Jiménez C, Escriche-Escuder A, De-Torres I, González-Sánchez M, et al. Evaluation of android and apple store depression applications based on mobile application rating scale. Int J Environ Res Public Health. 2021;18:12505.

    Article  PubMed  PubMed Central  Google Scholar 

  31. L. C. Google Play: number of available medical apps as of Q3 2022. Statista. 2022. https://www.statista.com/statistics/779919/health-apps-available-google-play-worldwide/.

  32. Salonia A, Bettocchi C, Boeri L, Capogrosso P, Carvalho J, Cilesiz NC, et al. European Association of Urology guidelines on sexual and reproductive health—2021 update: male sexual dysfunction. Eur Urol. 2021;80:333–57.

    Article  PubMed  Google Scholar 

  33. Napolitano L, Fusco GM, Cirillo L, Abate M, Mirone C, Barone B, et al. Erectile dysfunction and mobile phone applications: quality, content and adherence to European Association guidelines on male sexual dysfunction. Arch Ital Urol Androl. 2022;94:211–6.

    Article  PubMed  Google Scholar 

  34. Napolitano L, Cirillo L, Fusco GM, Abate M, Morgera V, Cacace G, et al. Natural treatments for erectile dysfunction: a focus on mobile health applications. Arch Ital Urol Androl. 2022;94:373–4.

    Article  PubMed  Google Scholar 

  35. Wiemer L, Bartelheimer T, Raschke R, Miller K. Erste Daten aus einer digitalen Gesundheits-App für Erektionsstörungen. Die Urol. 2022;61:971–81.

    Article  CAS  Google Scholar 

  36. Faria LF, Reis ST, Leite KR, da Cruz JAS, Pimenta R, Viana NI, et al. Digital application developed to evaluate functional results following robot-assisted radical prostatectomy. Comput Methods Prog Biomed. 2020;197:105683.

    Article  Google Scholar 

  37. International Society for Sexual Medicine. https://www.issm.info/public (2022). Accessed 28 Nov 2022.

  38. European Society for Sexual Medicine. https://www.essm.org/society/what-we-do/ (2022). Accessed 28 Nov 2022.

  39. European Association of Urology. https://patients.uroweb.org/other-diseases/erectile-dysfunction/ (2022). Accessed 28 Nov 2022.

  40. Cui T, Kovell RC, Brooks DC, Terlecki RP. A urologist’s guide to ingredients found in top-selling nutraceuticals for men’s sexual health. J Sex Med. 2015;12:2105–17.

    Article  CAS  PubMed  Google Scholar 

  41. Babar M, Loloi J, Patel RD, Singh S, Azhar U, Maria P, et al. Cross-sectional and comparative analysis of videos on erectile dysfunction treatment on YouTube and TikTok. Andrologia. 2022;54:e14392.

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Conceptualization and methodology: MF; writing—original draft preparation: MF, GIR, and MGA; writing—review and editing: MF, GIR, MGA, and ED. All authors have read and agreed to the published version of the manuscript.

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Correspondence to Giorgio Ivan Russo.

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MF is a speaker for Boston Scientific. The remaining authors declare no conflict of interest.

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Russo, G.I., Asmundo, M.G., Durukan, E. et al. Quality and benefits of the erectile dysfunction information on websites, social-media, and applications. Int J Impot Res (2023). https://doi.org/10.1038/s41443-023-00725-1

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