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Background  Αim of the study was to determine the effect of mirabegron, used for overactive bladder (OAB) treatment, on female sexual function.    Methods  Eighty five sexually active women suffering from overactive bladder were prospectively enrolled in this study. Females were divided into two groups. In Group A (control), 48 patients received no treatment and in Group B, 37 patients received mirabegron 50 mg/daily for 3 months. Patients were evaluated with FSFI-Gr at the beginning of the study and again after a period of 3 months.    Results  In Group B, there was a significant increase post-treatment compared to baseline ( p  < 0.001) in total FSFI (20.3 (3.8) to 26.6 (4.2)) and all domains (desire: 3.0 (1.2) to 4.8 (1.2)), arousal: 3.0 (0.8) to 4.8 (0.9), lubrication: 3.9 (1.1) to 4.8 (1.2), orgasm: 3.6 (0.8) to 4.8 (1.0), satisfaction: 3.2 (0.4) to 4.0 (0.8) and pain: 3.2 (0.8) to 4.4 (1.2)). In Group A, there were no statistically significant changes in pre- and post-observation values.    Conclusions  This study is one of the few demonstrating that management of OAB with mirabegron improves female sexual function.    Trial registration  TRN  ISRCTN17199301 , 20/10/2017, retrospectively registered.

The effect of mirabegron, used for overactive bladder treatment, on female sexual function: a prospective controlled study