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A 9-year-old neutered male domestic shorthair cat presented to the referring veterinarian with stranguria, dysuria, and haematuria. On examination, the cat had a large, firm bladder and was unable to pass urine via manual expression. Prior to the acute onset of these symptoms, the owners only noted occasional urination outside the litter tray. The referring veterinarian attempted to pass a urinary catheter, but this was unsuccessful. Based on radiographs (Fig.
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