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• W2114508142 abstract "You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Medical and Nonsurgical Therapy1 Apr 20131517 TESTOSTERONE REPLACEMENT THERAPY AND THE WORLD WIDE WEB: AN ASSESSMENT OF THE QUALITY OF INFORMATION Daniel T. Oberlin, Puneet Masson, Robert E. Brannigan, and Kevin T. McVary Daniel T. OberlinDaniel T. Oberlin Chicago, IL More articles by this author , Puneet MassonPuneet Masson Chicago, IL More articles by this author , Robert E. BranniganRobert E. Brannigan Chicago, IL More articles by this author , and Kevin T. McVaryKevin T. McVary Springfield, IL More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.2995AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Hypogonadism is the fastest growing condition in the United States and prescriptions for testosterone replacement therapy (TRT) are exponentially rising. Increasingly, many patients seek medical providers via the internet regarding TRT despite considerable variability in information quality and content. We reviewed how providers in large metropolitan areas promote TRT on their patient-oriented websites. METHODS TRT provider websites were identified using Google search and the terms “testosterone replacement” and the name of the five most populous US cities (New York City, Los Angeles, Chicago, Houston, and Philadelphia). Providers websites were identified based on number of hits, with a minimum of 10 websites per region. These websites were assessed for 1) type of medical provider, 2) benefits of TRT, 3) risks associated with TRT, and 4) quality of information. RESULTS The websites for 70 providers offering TRT were assessed. The distribution of provider websites per city included the following: NYC 15, LA 11, Chicago 16, Houston 16, Philadelphia 12. 24 out of 70 (34%) advertised TRT-clinics were directed by non-physicians, 34 (49%) were run by non-urology/non-endocrine physicians, and only 12 (17%) were urologist- or endocrinologist-managed. Overall, 14 out of 70 (20%) websites disclosed industry relationships. 95% of websites promoted the benefits to to include improved sex drive, cognitive improvement, increased muscle strength, or improved energy levels. Only 19/70 (27%) of all providers described any side effect of TRT. Websites directed by a urologist or endocrinologist were twice as likely to discuss risks of TRT (41% vs 20%, p =0.05) compared to TRT clinic websites run by other providers. 15/70 (21%) of all websites actually refuted that TRT was associated with significant side-effects. 31% of provider websites run by a urologist or endocrinologist described gynecomastia as a potential risk of TRT versus 16% if run by other physicians or non-medical personnel; 7.1% refuted gynecomastia as a potential side effect of TRT. CONCLUSIONS The majority of websites that promote TRT do not mention treatment risks. Urologists and endocrinologists are in the minority of providers promoting TRT on the internet, and are more likely to discuss potential risks compared to their counterparts. There is substantial variability in quality of content on TRT provider websites, which may contribute to misinformation regarding this expanding field. Patients seeking treatment for hypogonadism need to be accurately informed and counseled of the risks and benefits of TRT. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e621-e622 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Daniel T. Oberlin Chicago, IL More articles by this author Puneet Masson Chicago, IL More articles by this author Robert E. Brannigan Chicago, IL More articles by this author Kevin T. McVary Springfield, IL More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W2114508142 title "1517 TESTOSTERONE REPLACEMENT THERAPY AND THE WORLD WIDE WEB: AN ASSESSMENT OF THE QUALITY OF INFORMATION" @default.
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