Duke,
Good to see you! Glad it helped.
There are abnormal cells with a neobladder because it is made out of intestine and a neobladder will always look like world war three is going on in there. So a urine test will always seem like infection from a blood test. You can't go on that anymore because it is going to be symptom based. I've had a UTI (once) since getting the neobladder and you will know when it happens. Weird feeling, sometimes pain, often change in smell of urine, sometimes fever, etc.
It is still worth getting the urine cytology every year. It is just best to have it done by someone who understands neobladders. There will be atypical cells but they need to do the extra work to figure out if it is cancer or not.
I'm doing great! Thanks for asking!
Mike