Evidence map›Paper›PMID 41695713›Full record

SynthesisPeerJ2026

The efficacy of tranexamic acid in reducing intraoperative bleeding during transurethral resection of the prostate for benign prostatic hyperplasia (BPH): a systematic review and meta-analysis of randomized controlled trials.

Yanwei Zhang, Ming Liu, Fengze Sun, Bin Wang, Yicheng Guo, Yuchen Qian, Jitao Wu

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PeerJ, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Yanwei Zhang *Binzhou Medical University, Second Clinical Medical College, Yan Tai, Shan Dong, China.
Ming Liu *Binzhou Medical University, Second Clinical Medical College, Yan Tai, Shan Dong, China.
Fengze SunYantai Yuhuangding Hospital, Department of Urology, Yan Tai, Shan Dong, China.
Bin WangYantai Yuhuangding Hospital, Department of Urology, Yan Tai, Shan Dong, China.
Yicheng GuoYantai Yuhuangding Hospital, Department of Urology, Yan Tai, Shan Dong, China.
Yuchen QianYantai Yuhuangding Hospital, Department of Urology, Yan Tai, Shan Dong, China.
Jitao WuYantai Yuhuangding Hospital, Department of Urology, Yan Tai, Shan Dong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Benign prostatic hyperplasia (BPH) is a common urinary system disease in elderly men, and transurethral resection of the prostate (TURP) is the gold standard for treating BPH. However, this surgery often leads to intraoperative and postoperative bleeding. Tranexamic acid (TXA) is an antifibrinolytic drug commonly used for hemostasis. This study aims to investigate the hemostatic effect of tranexamic acid in TURP surgery. Aim: Evaluate the efficacy of tranexamic acid in TURP surgery. Methods: We systematically searched the PubMed, Embase, EBSCO, Cochrane Library, and Web of Science databases for randomized controlled trials (RCTs) on TXA treatment for bleeding during transurethral resection of the prostate (TURP), published up to December 2025. Data analysis and management were performed using Review Manager version 5.3. Result: After applying the predefined inclusion and exclusion criteria, a total of eight studies involving 611 patients were included in our meta-analysis. The results of our analysis indicated that the TXA group significantly outperformed the control group in three outcomes: intraoperative blood loss ( Conclusions: Compared to the control group, TXA significantly reduces intraoperative and postoperative bleeding in TURP surgery, making it valuable for anemic patients and in reducing surgical complications.

Indexed as

Antifibrinolytic AgentsBlood Loss, SurgicalProstatic HyperplasiaTranexamic AcidTransurethral Resection of ProstateHumansMalePostoperative HemorrhageRandomized Controlled Trials as TopicTreatment OutcomeAntifibrinolytic AgentsTranexamic AcidHemostatic efficacyMeta-analysisPerioperative bleedingTranexamic acidTransurethral resection of prostateUrological surgery

Identifiers

PMID41695713
PMCPMC12906259

What OpenQuestion holds

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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.