{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T06:30:20Z","timestamp":1766385020213,"version":"3.48.0"},"reference-count":45,"publisher":"Wiley","license":[{"start":{"date-parts":[[2025,12,21]],"date-time":"2025-12-21T00:00:00Z","timestamp":1766275200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Andrology"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Ejaculatory dysfunction (EjD) is a prevalent sexual disorder. Because of the private nature of this condition, few patients are willing to discuss it openly or seek medical help, as this may cause them embarrassment. Internet searches are increasingly becoming the primary source of health information for individuals with sexual dysfunctions. However, given the wide variability in online resource quality, rigorous evaluation of both content reliability and textual accessibility becomes essential.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We systematically analyzed the top 100 Google search results for each of the following EjD\u2010related terms: premature ejaculation (PE), delayed ejaculation (DE), retrograde ejaculation (RE), anejaculation, painful ejaculation, anorgasmia, and hematospermia. After applying pre\u2010defined inclusion\/exclusion criteria, two board\u2010certified urologists independently evaluated eligible websites using standardized tools: the\n                      <jats:italic>Journal of the American Medical Association<\/jats:italic>\n                      (JAMA) benchmark criteria (for credibility), the DISCERN instrument (for health information quality), and validated readability metrics (Flesch Reading Ease [FRE], Gunning Fog index, and Simple Measure of Gobbledygook [SMOG] index).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Our systematic evaluation of 345 websites revealed that commercial entities constituted the predominant source (\n                      <jats:italic>n<\/jats:italic>\n                      = 221, 64.1%) of online health information regarding ejaculatory dysfunction. Quality assessment using the DISCERN instrument demonstrated \u201cfair\u201d ratings for resources addressing PE, DE, RE, and anorgasmia, while those covering anejaculation, painful ejaculation, and hematospermia scored in the \u201cpoor\u201d range. Analysis of ejaculatory disorder websites revealed mean JAMA benchmark scores of 2.0, with disclosure as the highest\u2010scoring domain. Additionally, FRE scores for these websites indicate a reading difficulty level categorized as \u201cdifficult\u201d, which is comparable to college\u2010level reading proficiency.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Conclusion<\/jats:title>\n                    <jats:p>While online resources on EjD may serve as supplementary patient education materials, our analysis reveals significant limitations in their readability. These findings underscore the need for developing standardized quality control measures to systematically monitor and manage health information available online.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/andr.70161","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T06:26:38Z","timestamp":1766384798000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Quality and Readability Analysis of Ejaculatory Dysfunction Online Resources"],"prefix":"10.1111","author":[{"given":"Juncheng","family":"Ma","sequence":"first","affiliation":[{"name":"Department of Urology the First Affiliated Hospital of Anhui Medical University  Hefei China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Urology the Second Affiliated Hospital of Anhui Medical University  Hefei China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiushi","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Urology the First Affiliated Hospital of Anhui Medical University  Hefei China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xueping","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Urology Weifang People's Hospital  Weifang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5417-2356","authenticated-orcid":false,"given":"Hui","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Urology Peking University First Hospital Institute of Urology Peking University Andrology Center  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6003-5182","authenticated-orcid":false,"given":"Xiansheng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Urology the First Affiliated Hospital of Anhui Medical University  Hefei China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/biology11050686"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrurol.2012.147"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2025.04.010"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2022.05.003"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.esxm.2016.07.002"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.2196\/37339"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.986"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23173"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296\u2010022\u201005165\u20106"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/bco2.87"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/and.12612"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/jsxmed\/qdad060.224"},{"key":"e_1_2_10_14_1","unstructured":"Google Search engine.Google LLC2025 Accessed May 25 2025https:\/\/www.google.com."},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.2196\/25602"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.53.2.105"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjo.2021.09.006"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010021\u201010218\u20109"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1997.03540390074039"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0897\u20101897(96)80254\u20100"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.725840"},{"key":"e_1_2_10_22_1","unstructured":"WebFX.Readability test tool2025 Accessed May 25 2025https:\/\/www.webfx.com\/tools\/read\u2010able\/."},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742\u20101241.2010.02408.x"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0312832"},{"issue":"2","key":"e_1_2_10_25_1","article-title":"Enhancing Readability of Online Patient\u2010Facing Content: The Role of AI Chatbots in Improving Cancer Information Accessibility","volume":"22","author":"Abreu A. 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