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<p>Transurethral bladder tumor resection (TURBT) is the standard initial surgical procedure for non–muscle-invasive bladder cancer and a core competency for urologists. Online surgical preparation increasingly relies on YouTube, but the educational quality of TURBT videos has not been systematically assessed. We performed a systematic YouTube search (March 1, 2025) using “transurethral resection of bladder tumor,” “bladder tumor removal,” and “TURBT.” Standard-format procedure videos 2–30&#xa0;min were included; nonprocedural, promotional, and Shorts content were excluded. Video characteristics, technical details, and source (academic vs. individual urologist) were recorded; all videos were independently reviewed by 2 urologists. Educational quality was evaluated using the Global Quality Score (GQS; 1–5) and a 12-item TURBT Checklist Score (TURBT-CS) covering perioperative elements. Thirty-six videos met criteria (10 academic [27.8%]). Half were 1080p and half had audio narration, but subtitles were uncommon (13.9%). Academic videos achieved higher GQS and TURBT-CS (<i>p</i> = 0.001) and greater engagement (views, likes; VPI <i>p</i> = 0.034) yet lower image-quality scores (<i>p</i> = 0.003); audio narration was more frequent (<i>p</i> = 0.003); no significant differences were seen in duration, upload time, subtitles, visual aids, energy source, or resection technique (all <i>p</i> &gt; 0.05). GQS and TURBT-CS correlated positively with engagement metrics (all <i>p</i> &lt; 0.05); interobserver agreement was excellent (ICC 0.857 TURBT-CS; 0.853 GQS; both <i>p</i> &lt; 0.001). Educational quality of YouTube TURBT videos is heterogeneous; academically sourced content is generally superior and more engaging, though technical image quality may lag. Standardized, validated checklists and increased academic oversight could enhance the educational utility of open-access surgical videos.</p>

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YouTube as a Resource for Surgical Education: A Content Analysis of Transurethral Bladder Tumor Resection (TURBT) Videos

  • 期刊论文

  • 发表日期：

    2025年11月27日

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  • Sergen Şahin,
  • Filip Paslanmaz,
  • Asilhan Sabuncu,
  • İbrahim Oğulcan Canıtez,
  • İsmail Ulus,
  • Serhat Yentur

摘要

Transurethral bladder tumor resection (TURBT) is the standard initial surgical procedure for non–muscle-invasive bladder cancer and a core competency for urologists. Online surgical preparation increasingly relies on YouTube, but the educational quality of TURBT videos has not been systematically assessed. We performed a systematic YouTube search (March 1, 2025) using “transurethral resection of bladder tumor,” “bladder tumor removal,” and “TURBT.” Standard-format procedure videos 2–30 min were included; nonprocedural, promotional, and Shorts content were excluded. Video characteristics, technical details, and source (academic vs. individual urologist) were recorded; all videos were independently reviewed by 2 urologists. Educational quality was evaluated using the Global Quality Score (GQS; 1–5) and a 12-item TURBT Checklist Score (TURBT-CS) covering perioperative elements. Thirty-six videos met criteria (10 academic [27.8%]). Half were 1080p and half had audio narration, but subtitles were uncommon (13.9%). Academic videos achieved higher GQS and TURBT-CS (p = 0.001) and greater engagement (views, likes; VPI p = 0.034) yet lower image-quality scores (p = 0.003); audio narration was more frequent (p = 0.003); no significant differences were seen in duration, upload time, subtitles, visual aids, energy source, or resection technique (all p > 0.05). GQS and TURBT-CS correlated positively with engagement metrics (all p < 0.05); interobserver agreement was excellent (ICC 0.857 TURBT-CS; 0.853 GQS; both p < 0.001). Educational quality of YouTube TURBT videos is heterogeneous; academically sourced content is generally superior and more engaging, though technical image quality may lag. Standardized, validated checklists and increased academic oversight could enhance the educational utility of open-access surgical videos.