This paper describes the results of a retrospective study performed on 385 cats with feline lower urinary tract disease. The study was conducted to obtain epidemiological data and to evaluate clinical symptoms and the results of laboratory tests in a population of Polish cats with symptoms of lower urinary tract disease. The analysed population comprised feline patients of the veterinary clinic at the University of Warmia and Mazury in Olsztyn who had not been treated prior to admission. Medical history was obtained for all patients. Urine samples were collected mostly, but not solely, by cystocentesis. Feline idiopathic cystitis was diagnosed in most cats (60.7%), while urinary tract infections were noted in only 7.8% of patients. Urethral obstruction caused by mucus plugs was observed in 17.4% of animals. Urolithiasis was observed in 13% of cats, 5% of whom were also diagnosed with urinary tract infections. Hyperplastic changes were identified in only 1% of the studied population. In 59% of cats, feline lower urinary tract disease was accompanied by urethral obstruction. Cats with feline idiopathic cystitis were the youngest animals in the analysed population, and the risk of urinary tract infections and neoplasia increased with age. Our results, obtained over a period of six years in a Polish feline population, show that sex, neutering, age, living conditions and diet influence the type of urinary tract disease, data which are consistent with those obtained in other countries.