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EDITORIAL COMMENT

      Direct-to-consumer (DTC) advertising is a well-established phenomenon with tremendous decades-long growth.
      • Schwartz LM
      • Woloshin S
      Medical marketing in the United States, 1997-2016.
      However, the advent of the internet and promulgation of social networking has facilitated the evolution of this model to a sprawling variety of industries including healthcare. Several popular online services are available that seemingly remove the “middle-man” experience constituted by office visits, insurance companies, and even trained specialists. DTC internet-based electronic consultation and prescription services addressing Men's Health issues such as erectile dysfunction appear to be one such natural and popular market extension as demonstrated by massive gains in online visitor traffic.
      • Wackerbarth JJ
      • Fantus RJ
      • Darves-Bornoz A
      • et al.
      Examining online traffic patterns to popular direct-to-consumer websites for evaluation and treatment of erectile dysfunction.
      Consequently, there is widening concern regarding the appropriateness and adequacy of care delivered or facilitated by so-called non-urological medical professionals (NUMPs).
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      References

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        • Woloshin S
        Medical marketing in the United States, 1997-2016.
        JAMA. 2019; 321: 80-96https://doi.org/10.1001/jama.2018.19320
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        • Fantus RJ
        • Darves-Bornoz A
        • et al.
        Examining online traffic patterns to popular direct-to-consumer websites for evaluation and treatment of erectile dysfunction.
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