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1) Can you tell me more? Does he come inside the house and the urinate outside of the cat box? where is he going? any blood in the urine?
It would be wise to rule out a urinary tract infection to be sure that this is not the cause of the vocalization before using the toilet. This can be done by a visit to your vet and sampling of urine. The results will be given to you within a few minutes in most cases.If there is nothing found, talk to your vet about trying some behavioral meds if you feel this is behavioral. Prozac or elavil may be choices for him. Other options would include trying rescue remedy or other natural supplement meant to help with behavioral issues and also pheromone diffusers like feliway.
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Unless he's seeking to be near someone after the vocalization, this seems unlikely. However, it IS very like cats to try to draw attention to themselves when they are having medical problems. It is my concern that there may be an underlying UTI here that he's bringing attention to. The only way to be certain is to have him checked by your vet. UTI's are very common in adult male cats.