Introduction: Benign prostatic hyperplasia (BPH) is a common diagnosis in the aging male population encountered via the Urologist and primary care physician alike. Symptomatic BPH may drive patients to seek information from a variety of sources. YouTube is a popular platform for medical education, but quality of information has yet to be elucidated. Methods: A search was performed for the top 50 most viewed English-language YouTube videos using the keywords "enlarged prostate treatment." Videos were evaluated based on engagement, content, and metrics utilizing the DISCERN and Patient Education Materials Assessment Tool (PEMAT) standardized scores. Videos exceeding twenty minutes were excluded. Categorical variables were analyzed with chi-square and continuous with ANOVA. Results: The top 50 most popular videos accounted for 37,135,760 total views. 94% were produced by non-medical institutions, 22% featured a physician, and 18% featured a urologist. Average DISCERN score was 2.9 with 68% of videos rated as moderate to poor quality (DISCERN=3). Videos featuring a physician had a higher DISCERN quality score (2.7v3.3,p=0.003). 48% of videos featured surgeries. Videos featuring physicians were more likely to mention surgeries (8/11=73%v16/39=41%). The most popular surgery featured was transurethral resection (8%) followed by laser vaporization of the prostate (6%). 70% of videos promoted home remedies/supplements for management of BPH. These videos were more actionable than ones without (0.37v0.26,p=0.04). Saw palmetto was featured in 20% of videos and described positively (8), negatively (1), and with no effect (1). 69% of home remedy videos contained a link to purchase a featured product. User comments/engagement were analyzed: 94% requested medical advice, 91% provided advice, 89% provided support. Videos featuring a physician had more user comments. Conclusions: Less than 25% of the 50 most popular videos on YouTube discussing BPH featured a physician. These videos were higher quality than those without. Home remedy videos were more likely to encourage patients to take action and often contained a link to purchase a featured product. Less than 50% featured surgeries. Patients appeared more engaged and desired more information. Ultimately with the growth in access to information via Youtube and other social media platforms (Reddit, TikTok) a stronger Physician presence is needed to disseminate accurate, fast information to the pubic. SOURCE OF Funding: No financial disclosures.
