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In general, you will empty the internal pouch or bladder by inserting a catheter through the stoma to drain the urineevery 2 hours for the first few weeks after urinary diversion surgery, and every 4 to 6 hours as the pouch stretches and can hold more urine or as your bladder heals keep the skin around the stoma cleanbefore and after you use a catheter, gently clean the skin around the stoma and dry the skin completely irrigate, or flush out, the internal pouch using a syringe and sterile water or normal saline to remove mucus that can build up inside the pouch If you have trouble inserting the catheter into your stoma, contact your health care professional right away