The puppy pads are a great idea. Easy peasy switch. I know it can be pricy I've seen them at Costco recently.
We had this problem with our guy Harry. He was a older cat and had difficulty squatting down to go so he'd usually go outside of the box even though he was inside the box. (He was in the right place but his bum was at the edge he would usually be standing upright so when he went it obviously landed outside the box) I tried a box with extra high walls that did not work one bit, it actually made it worse because he was also a bigger cat so he had difficulty turning around in it. Then I got a jumbo size box like this one http://m.petco.com/shop/en/petcosto...itter-boxes-and-pans/petmate-giant-litter-pan it's insanely huge. Slightly higher walls than the average box but not too high for a older guy to jump over. But the size of the box roughly 2 feet wide and 3 feet long did the trick. He never peed outside of the box after that. Except when he had a uti.
Also if you can try to catch them in the act, just so you can see how they are going. Do they look like they are having difficulty going, or maybe in pain if you hear a yelp. Do they try to go and are unsuccessful several times until they can make? Since this isn't normal for them maybe it's being triggered by a UTI or something else health wise.
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At the times when I've watched him he seems to be squatting normally and in the right place. No straining. He makes approx three normal sized clumps per day. I've seen cats with UTI infections straining and producing a few drops.
I bought a huge tray that filled almost the whole bathtub and he spilled outside of it. It was so big and awkward to take out of the tub when it was full of litter that I switched back to the two boxes side by side.
I bought a package of puppy pads and in the few days since I've had them under the boxes he hasn't had any accidents. So fingers crossed this will be an infrequent problem and the puppy pads will make it easier to clean up if it does occur.
thanks for the advice