I have gotten several antibiotic resistant UTI's and a few regular UTI's since getting my Urostmies in May 2020. I don't get any of the typical symptoms because I had a cystectomy. I never knew I had one unit it reached my kidneys making me really, really sick ending up hospitalized. I am getting better at noticing even the slightest changes in my urine such as smell, foamy, etc. I use OTC (AZO) urinalysis sticks and/or drop by my Uro's office to drop off a be sample (so they can also run a culture). Getting a clean catch when sporting bilateral urostmies is a challenge as well. Getting a sample from a bag is simply not accurate in my mind. You just need to be very in tune with your body. It has taken me a while but I'm getting better at it.