Vibegron, mirabegron, and other add-on therapies for persistent overactive bladder symptoms in α1-blocker-treated men with benign prostatic hyperplasia: a systematic review and Bayesian network meta-analysis

To compare the efficacy and safety of vibegron, mirabegron, and other add-on therapies for overactive bladder (OAB)/storage symptoms persisting despite α1-blocker treatment in men with benign prostatic hyperplasia (BPH), focusing on the indirect vibegron-mirabegron comparison.

We searched PubMed, Web of Science, CENTRAL, ClinicalTrials.gov, and Google Scholar through 27 August 2026. Bayesian random-effects network meta-analyses used mean differences for continuous outcomes and odds ratios (ORs) for study-reported treatment-period adverse events (AEs). Confidence was appraised with CINeMA.