Artificial Intelligence in Patient Education: ChatGPT for Penile Prosthesis Surgery Counseling, a Likert Scale Analysis

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Autori principali: Gabriele Tulone, Nicola Pavan, Rosa Giaimo, Alchiede Franco Simonato, Alfonzo Salzano, Davide Cosentino, Francesco Claps, Alchiede Simonato
Natura: Artículo Open Access
Pubblicazione: Wiley 2026
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author Gabriele Tulone
Nicola Pavan
Rosa Giaimo
Alchiede Franco Simonato
Alfonzo Salzano
Davide Cosentino
Francesco Claps
Alchiede Simonato
author_facet Gabriele Tulone
Nicola Pavan
Rosa Giaimo
Alchiede Franco Simonato
Alfonzo Salzano
Davide Cosentino
Francesco Claps
Alchiede Simonato
Gabriele Tulone
Nicola Pavan
Rosa Giaimo
Alchiede Franco Simonato
Alfonzo Salzano
Davide Cosentino
Francesco Claps
Alchiede Simonato
collection Wiley Open Access
contents Artificial Intelligence in Patient Education: ChatGPT for Penile Prosthesis Surgery Counseling, a Likert Scale Analysis Gabriele Tulone Nicola Pavan Rosa Giaimo Alchiede Franco Simonato Alfonzo Salzano Davide Cosentino Francesco Claps Alchiede Simonato Andrology Abstract Introduction Erectile dysfunction (ED) significantly impacts quality of life. For patients unresponsive to conservative treatments, penile prosthesis implantation represents an effective solution with high satisfaction rates. However, the complexity and sensitive nature of the procedure often generate multiple patient concerns. Artificial intelligence (AI) chatbots such as ChatGPT are increasingly used for medical information, although concerns remain regarding accuracy and misinformation. This study aimed to evaluate the clarity, accuracy, and clinical appropriateness of ChatGPT's responses to frequently asked questions (FAQs) on penile prosthesis surgery. Methods Fifteen representative FAQs were identified from patient forums and educational platforms. Questions were submitted to ChatGPT (GPT‐4, November 2024) in a single session. A panel of seven expert urologists evaluated responses using a four‐point Likert scale across four domains: clarity, medical accuracy, relevance, and risk of misinformation. Results All responses achieved mean scores above 3, indicating overall clinical acceptability. The highest ratings were observed for relevance (3.40 ± 0.54) and clarity (3.37 ± 0.57). Slightly lower scores were reported for medical accuracy (3.19 ± 0.67) and risk of misinformation (3.18 ± 0.59). A strong positive correlation was found between clarity and relevance ( ρ = 0.80), while medical accuracy correlated with lower misinformation risk ( ρ = 0.77). Conclusions ChatGPT provides generally clear, relevant, and clinically acceptable responses for patient education in penile prosthesis surgery, although minor clarifications are often required. It may serve as a supportive tool to complement traditional counseling but cannot replace physician–patient communication, which remains essential for individualized care and informed decision‐making. 10.1111/andr.70236 http://creativecommons.org/licenses/by/4.0/
doi_str_mv 10.1111/andr.70236
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publishDate 2026
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spellingShingle Artificial Intelligence in Patient Education: ChatGPT for Penile Prosthesis Surgery Counseling, a Likert Scale Analysis
Gabriele Tulone
Nicola Pavan
Rosa Giaimo
Alchiede Franco Simonato
Alfonzo Salzano
Davide Cosentino
Francesco Claps
Alchiede Simonato
Andrology
Artificial Intelligence in Patient Education: ChatGPT for Penile Prosthesis Surgery Counseling, a Likert Scale Analysis Gabriele Tulone Nicola Pavan Rosa Giaimo Alchiede Franco Simonato Alfonzo Salzano Davide Cosentino Francesco Claps Alchiede Simonato Andrology Abstract Introduction Erectile dysfunction (ED) significantly impacts quality of life. For patients unresponsive to conservative treatments, penile prosthesis implantation represents an effective solution with high satisfaction rates. However, the complexity and sensitive nature of the procedure often generate multiple patient concerns. Artificial intelligence (AI) chatbots such as ChatGPT are increasingly used for medical information, although concerns remain regarding accuracy and misinformation. This study aimed to evaluate the clarity, accuracy, and clinical appropriateness of ChatGPT's responses to frequently asked questions (FAQs) on penile prosthesis surgery. Methods Fifteen representative FAQs were identified from patient forums and educational platforms. Questions were submitted to ChatGPT (GPT‐4, November 2024) in a single session. A panel of seven expert urologists evaluated responses using a four‐point Likert scale across four domains: clarity, medical accuracy, relevance, and risk of misinformation. Results All responses achieved mean scores above 3, indicating overall clinical acceptability. The highest ratings were observed for relevance (3.40 ± 0.54) and clarity (3.37 ± 0.57). Slightly lower scores were reported for medical accuracy (3.19 ± 0.67) and risk of misinformation (3.18 ± 0.59). A strong positive correlation was found between clarity and relevance ( ρ = 0.80), while medical accuracy correlated with lower misinformation risk ( ρ = 0.77). Conclusions ChatGPT provides generally clear, relevant, and clinically acceptable responses for patient education in penile prosthesis surgery, although minor clarifications are often required. It may serve as a supportive tool to complement traditional counseling but cannot replace physician–patient communication, which remains essential for individualized care and informed decision‐making. 10.1111/andr.70236 http://creativecommons.org/licenses/by/4.0/
title Artificial Intelligence in Patient Education: ChatGPT for Penile Prosthesis Surgery Counseling, a Likert Scale Analysis
topic Andrology
url https://onlinelibrary.wiley.com/doi/10.1111/andr.70236