The new overactive bladder drug Mirabegron (Betmiga, Astellas) has recently been added to the joint Staffordshire drug formulary. This breakthrough drug in the treatment of overactive bladder and urgency urinary incontinence causes active relaxation of bladder muscle contraction and has been shown to reduce the number of times a patient voids during the day and decreases the number of incontinence episodes each day. This once a day treatment is the latest treatment for this debilitating condition with minimal side effects. At the Staffordshire Urology Clinic we continue to offer bladder botox injections, peripheral tibial nerve stimulation (PTNS) and in depth empathetic assessment, advice and treatment for all patients with bladder dysfunction.