Bridging the Gap in Patient Guidance: Quality Analysis of Kegel Exercise Videos on YouTube

This study aimed to evaluate the content and quality of YouTube videos on Kegel exercises, focusing on their reliability for patients managing conditions such as premature ejaculation, urinary incontinence, and post-pelvic surgery recovery.

A cross-sectional analysis was conducted using the keyword "Kegel exercises" on YouTube. The top 100 videos were screened, and 60 met the inclusion criteria. Videos were evaluated using the Kegel Video Evaluation Score (KVES) and the Global Quality Scale (GQS). Video metrics such as duration, views, likes, and comments were recorded, and statistical analyses were performed to assess correlations and inter-rater reliability.

The mean KVES and GQS scores were 17.26 ± 4.38 and 3.36 ± 1.09, respectively, with 60% of videos categorized as high quality. Nonphysician health professionals uploaded the highest-quality videos for instructional content. A strong correlation between KVES and GQS was observed (Spearman's ρ = 0.924, p < 0.001), validating the evaluation tool. Video duration positively impacted content comprehensiveness, while views and likes did not correlate with quality.

In contrast to previous studies highlighting low-quality medical content on YouTube, this study shows that high-quality Kegel exercise videos are prevalent, suggesting their potential as reliable educational resources. Clinician involvement is essential in guiding patients to trustworthy content and fostering collaboration with content creators to improve digital health information.