Evidence map›Paper›PMID 41485076›Full record

ArticleBMC urology2026

From ChatGPT to DeepSeek: assessing the accuracy and readability of AI-generated erectile dysfunction responses.

Kemal Demirhan, Anil Erdik, Haci Ibrahim Cimen, Osman Kose, Hasan Salih Saglam

Abstract readComparative Study
In one paragraph

Article in BMC urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kemal DemirhanDepartment of Urology, Gerede State Hospital, Bolu, Türkiye.ORCID http://orcid.org/0000-0002-1373-5239
Anil ErdikDepartment of Urology, Karasu State Hospital, Sakarya, Türkiye.ORCID http://orcid.org/0000-0002-5132-7447
Haci Ibrahim CimenDepartment of Urology, School of Medicine, Sakarya University, Sakarya, Türkiye. hicimen@sakarya.edu.tr.ORCID http://orcid.org/0000-0002-0824-3926
Osman KoseDepartment of Urology, School of Medicine, Sakarya University, Sakarya, Türkiye.ORCID http://orcid.org/0000-0002-1053-3551
Hasan Salih SaglamDepartment of Urology, School of Medicine, Sakarya University, Sakarya, Türkiye.ORCID http://orcid.org/0000-0002-8904-1612

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to compare responses generated by DeepSeek, a new large language model, and ChatGPT to erectile dysfunction (ED)–related questions.

methodsThe study was conducted by posing online queries to both ChatGPT-4o (OpenAI, United States) and DeepSeek V3 (Hangzhou DeepSeek Artificial Intelligence, China). The most frequently asked questions about ED were identified using Google Trends. The responses from both artificial intelligence (AI) were evaluated by three board-certified urologists, who rated their accuracy on a scale of 1 to 4. Readability was assessed using the Flesch Reading Ease Score (FRES), Flesch-Kincaid Grade Level (FKGL), and Gunning Fog Score (GFS).

resultsDeepSeek V3 received a significantly higher total reviewer score compared to ChatGPT-4o (4 (IQR 1) vs. 3 (IQR 1); p = 0.016), and its responses contained more words on average (233 (IQR 113) vs. 139 (IQR 99), p = 0.004). While no significant difference was observed in FRES (-5.7 (IQR 17.5) vs. -10.1 (IQR 17.7), p = 0.140), both FKGL ( 16.5 (IQR 1.9) vs. 17.9 (IQR 2.7), p = 0.034) and GFS (18.8 (IQR 4.9) vs.20.6 (IQR 5.8), p = 0.016) scores were significantly lower for DeepSeek-V3, indicating superior readability.

conclusionWhile both ChatGPT-4o and DeepSeek-V3 generated fluent and readable responses, DeepSeek-V3 consistently provided longer, more comprehensive, and highly readable answers,accompanied by higher expert-rated accuracy to ED-related questions. These findings highlight the potential of newer AI models—driven by rapid competitive advancements—to effectively address patient inquiries in sensitive medical domains like ED.

Indexed as

Artificial IntelligenceComprehensionErectile DysfunctionGenerative Artificial IntelligenceHumansLarge Language ModelsMaleSurveys and QuestionnairesArtificial intelligenceChatGPTDeepSeekErectile dysfunction

Identifiers

PMID41485076
PMCPMC12866075

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.