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49, 95%CI -7.25 to -3.27, P less then 0.001, I 2 = 96%). Similar outcomes were also found in subgroup analyses. In a detailed analysis of specific ****ual function domains, the severity of LUTS was associated with erectile dysfunction, intercourse satisfaction, and overall satisfaction, except for ****ual desire. Conclusion The study demonstrates an association between exposure of lower urinary tract symptoms and risk of ****ual dysfunction in male. Assessment of ****ual function is necessary for patients with lower urinary tract