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The effect of mirabegron, used for overactive bladder treatment, on female sexual function: a prospective controlled
A Zachariou1,2, C Mamoulakis3, M Filiponi4
1Department of Urology, School of Medicine, Ioannina University, Ioannina, Greece. zahariou@otenet.gr.
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.
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