Educational value assessment of YouTube surgical videos of tension-free vaginal tape obturator (TVT-O) and trans-obturator vaginal tape (TOT)

Abstract

Background: YouTube, as a widely used video website around the world, contains a large number of surgical teaching videos, providing a good platform for doctors to learn surgery, but its content and quality are uneven. Tension-free vaginal tape obturator (TVT-O) and trans-obturator vaginal tape (TOT) are common surgical methods for the treatment of stress urinary incontinence (SUI), and there are many videos on YouTube teaching these procedures. We aimed to assess the educational value of surgical videos of TVT-O and TOT on YouTube.Methods: A comprehensive search was conducted for "tension-free vaginal tape obturator" and "transobturator vaginal tape" on YouTube on August 22. After referring to LAParoscopic surgery Video Educational GuidelineS (LAP-VEGaS) and previous studies, we developed a checklist containing 5 major items and 18 minor items. SPSS 26 was applied to data and correlation analysis.Results: A total of 36 videos were assessed. The average number of days available was 1,956.6 days (range, 190-4,152 days) and the average length was 9.7 min (range, 1.8-73.6 min, SD: 13.65). Video definition is divided into high, moderate and low, accounting for 22%, 36% and 42% respectively. The average score of the included videos was 7.39 (range,(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16) SD: 3.57). The correlation analysis indicated that the video quality score has a certain correlation with the length of the video, but has no significant correlation with other factors and there was no significant correlation between audience likes and other factors.Conclusions: On YouTube, we still lack high educational value videos about TVT-O and TOT, and the existing videos are deficient in the explanation of critical steps, the key points of patients' perioperative management, and the application of auxiliary teaching tools. This further indicates the importance of improving educational videos of surgery, and an authoritative checklist for urologic surgery.

Quality and content analysis of female urethroplasty videos on YouTube

“…In addition, there was no comparison between the videos according to the sources. Chen et al 20 investigated the value of surgical videos of tension‐free vaginal tape obturator (TVT‐O) and trans‐obturator vaginal tape (TOT) using a checklist. They concluded that educational videos about TVT‐O and TOT were still lacking, and available videos were insufficient to explain critical steps of surgery, perioperative complications and management, and application of procedural tools.…”

“…In addition, there was no comparison between the videos according to the sources. Chen et al 20 of procedural tools. In a recent study, the comprehensibility and quality of contents on pelvic organ prolapse for patients on Pinterest, Instagram, and YouTube were investigated.…”

The new checklist to evaluate educational value of YouTube surgical videos of transurethral resection of the prostate

“…This poses a challenge for ensuring educational quality because YouTube video upload has low entry barriers and lacks a comprehensive supervision and evaluation system compared with the official surgical videos with strict access permission provided by some medical schools, resulting in varying quality of existing teaching videos on TURP surgery, and the overall quality level is yet to be determined. As a result, young surgeons may learn techniques and concepts incorrectly, which can have disastrous consequences for patients ( 10 ).…”