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A significant characteristic of the infrequent voiders syndrome is the intentional restriction of fluid intake in order to reduce need to urinate throughout the day. This pattern has been linked to urinary stone formation. Embon and colleagues9 studied 708 patients with diagnosed urolithiasis through the use of questionnaires and 24-hour urine collections. Low urine volume, described in the paper as chronic dehydration (19%), was the second most prevalent finding after idiopathic hypercalciuria. Interestingly, 40 of the 98 patients who were classified as chronically dehydrated noted poor water intake as at least one of the reasons for this.9
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In a prospective study of over 45,000 men with no history of kidney stones, Curhan and colleagues10 found that those who had greater than 2500 mL of fluid intake per day had a statistically reduced risk of developing urolithiasis over 4 years of follow-up, as compared with control subjects who had less than 1275 mL of fluid intake per day (multivariate adjusted relative risk [RR] = 0.71; 95% CI, 0.52–0.97; adjustment factored in age, profession, thiazide use, alcohol intake, and dietary intake of calcium, animal protein, and potassium).10 The sequelae of those with infrequent voiders syndrome appears to consist of development of urinary tract infections, renal failure, urolithiasis, and bladder dysfunction caused by detrusor weakness.
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