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Re: HELP!! Urgent advice required!!
If she checks out OK at the vets. Then I would look at changing her toilet facilities. Add more trays, try a hooded if you have open or vice versa, change the open for a larger deeper tray, change the position of the trays - make sure they are private, change the litter - there is a litter called Cat Attract, it contains an additive that is supposed to make a cat want to pee there, I have heard good things about it.
Clean where she goes with a solution of biological washing powder. You can also buy solutions such as urine off, that take away the smell completely even on old spots.
It could be that even if she doesn't have a urinary tract infection now, she did at one point and as has already been said, they associate the pain of peeing with the tray and look for somewhere soft to go. If she has been doing this for 4 years then it has formed a habit, so you will have to go right back to basics to teach her to use her tray again. A large dog crate that you can put her in over night, with just enough room for a bed food, water and a tray may help. It focus her mind on where she is supposed to pee.
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