The prevalence of feline lower tract disease, irrespective of cause, has been reported to be approximately 1.5% to 8%. It has been estimated that 10% to 20% of cats with these disorders have urethral plugs or urolithiasis. Most of the small diameter calculi do not produce any problems in animals. However, the larger ones can become lodged in the urethra and obstruction may then ensue. Cats with urethral strictures are more susceptible to becoming obstructed. Abnormalities can develop as a result of repeated past procedures within or around the urethra urinary tract. Subsequently, obstruction can develop in one, two or more segments of the urethra. The occlusions frequently occur in a single segment of the urethra, but sometimes multiple occlusions are present in the same patient. The treatment of elderly cats can be challenging. This article presents the case of a 15-year-old male cat with obstructions in two segments of the urethra successfully treated with surgery. The cat recovered although it required multiple hours of surgery and the post-operative course had been complicated. Surgical treatment of urethral obstruction can be successful even in elderly cats.
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