One of the problems, after 5 years with a neobladder is infections.
Since last spring, I have been self cathing, twice daily (on AM waking and just before bed) to make sure I am empty.
Residual urine often is the cause of 'pouchitis'.
No kangaroo joke here, you can't have a bladder infection with no bladder. They have to call it pouchitis.
Bizarre.
Anyway, since self cathing, I have had no problems with cloudy or dark urine. No infections and I seem to be able to empty my neobladder more efficiently now.
In the AM, I try to empty it on my own, and then chart the output with the catheter.
I usually have about 100-200cc left over....which is enough to give a bacteria a running start.
I use a simple 16 fr drainage catheter, not a indwelling one with the balloon.
Ask your urologist is this is an option for you.
Get trained in doing a 'clean procedure' with the catheter.
Semi-sterile procedure. Lots of hand washing and washing the catheter for reuse a few times.
This may reduce the infection occurances, and the severity of them.
If you run a fever don't wait to see the doctor. Call immediately if you hit 101.
Any antibiotic takes a day to get working, so waiting is never an option.