Introduction: TikTok is a social media app has about 1 billion monthly users, most of which are 10-29 years of age. This platform allows users to create videos with music and graphics to share. No studies have been published evaluating thequality of testicular torsion information on this social media app that is predominantly used by age groups at risk of this condition. Our study evaluates the first 100 videos results when searching “testicular torsion” for variables related to education, quality, and engagement. Methods: Videos were examined for type of content creator (medical professional vs non-medical person), information presented in the video (mention of torsion, discussion of the pathophysiology, recommending going the emergency room, potential loss of testis, infertility, or hypogonadism, inclusion of misinformation), and engagement (mention of personal story; use of humor, music, or diagrams; number of likes, comments, and views). Analyses focused on presence of clinically important information and how this impacted engagement. Results: Only 20% of videos were made by medical professionals. Medical professionals tended to use diagrams, discuss pathophysiology, and advise going to the emergency roommore than videos made by non-medical users. 20% of videos included at least one of these pieces of information. Only 7% of the videos mentioned all three of these variables and were considered high quality; 61% of videos did not discuss any of these variables. Videos created by medical professionals had more likes, views, and comments compared to those made by non-medical people. Use of music was also found to increase engagement. Interestingly, videos considered high quality had more likes, views, and comments compared to those that did not mention the three important clinical variables. Conclusions: There is an opportunity to reach patients at risk for testicular torsion through TikTok. Currently, there is a paucity of engaging and high-quality educational material for testicular torsion on this social media app that is heavily used by a demographic with the greatest risk of developing this condition. SOURCE OF Funding: None
