Urinary dysfunction is a common complication in elderly stroke patients, primarily manifesting as urinary incontinence, dysuria, and urinary retention. It can lead to complications such as urinary tract infections, renal impairment, and bladder stones, induce psychological problems including anxiety and depression, and increase economic burden. Currently, there remains a gap in management guidelines for urinary dysfunction in this population in China. Developing evidence-based guidelines that meet international standards is of great significance for standardizing clinical practice and improving prognosis.Formulated collaboratively by multidisciplinary experts, this guideline adheres to internationally recognized clinical practice guideline development processes, based on the GRADE system and RIGHT reporting standards, while integrating clinical realities. It systematically covers five core domains: classification, assessment, treatment, complications, and follow-up of our country. The guideline aims to provide a standardized diagnostic and therapeutic framework for medical institutions at all levels, optimize the full-cycle management of urinary dysfunction in elderly stroke patients, enhance their quality of life, and reduce the risk of complications.