In Japan, it is recommended that human clinical practice guidelines should be created based on the guide for the preparation of clinical practice guidelines defined by Mind. In this review, the author created a pilot guideline for feline idiopathic cystitis (FIC) according to this guide. Based on several published articles, it was possible to create a guideline including FIC clinical questions (causes, symptoms, treatment) and recommendations (mainly treatment). On the other hand, since this was conducted on a trial basis, it is necessary to cooperate with members of related academic societies and other organizations to create more objective clinical practice guidelines. In conclusion, it is possible to create a reliable clinical practice guideline with the procedure as summarized in this article, but it takes a lot of time and cost to realize it, and careful judgment and further consideration are required to created it.

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Urography, cystoscopy and cytology were performed in three dogs suspected of having a tumor of the bladder neck during ultrasonography. Study results, however, demonstrated no evidence of intravesical mass or tumor but revealed an inward bulge of the normal mucosa (pseudomass) at the vesicourethral junction in all three cases. Although cystoscopy was the most reliable diagnostic method, possibly pathognomonic findings were also identified on ultrasonographic and urographic images, suggesting that cystoscopy is not always indicated for diagnosis of a bladder pseudomass.

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Artificial urethral sphincter port system was attached to a dog with persistent urinary incontinence after ectopic ureteral surgery. After the AUS port system was installed, urinary incontinence could be completely cured, although it was necessary to adjust the amount of saline in the cuff frequently according to rise of the urethra internal pressure by hyperplasia of the tissue around the cuff.

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In humans, the risk of kidney disease is reportedly lower in individuals who consume a large amount of a powerful antioxidant known as proanthocyanidin (PAC). In the present study, we administered blueberry stem extract (0.2-0.6 mL/kg/day) containing a high concentration of PAC orally for 3-4 months in two Beagles and a Maltese dog with reduced kidney function and monitored changes in their kidney and Liver function. We demonstrated that the level of blood urea nitrogen was reduced in all dogs while the level of creatinine was also reduced simultaneously in one dog (two dogs).

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An update to the 2007 American College of Veterinary Internal Medicine (ACVIM) consensus statement on the identification, evaluation, and management of systemic hypertension in dogs and cats was presented at the 2017 ACVIM Forum in National Harbor, MD. The updated con- sensus statement is presented here. The consensus statement aims to provide guidance on appropriate diagnosis and treatment of hypertension in dogs and cats.

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[in Japanese]

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