Over the past decade, remarkable advances have been achieved in clinical evidence-based research on acupuncture for urological disorders. Clinically, acupuncture has been extensively integrated into the management of diverse urological conditions, including stress urinary incontinence （SUI）, overactive bladder, urinary retention, chronic prostatitis/chronic pelvic pain syndrome, and benign prostatic hyperplasia, with proven substantial therapeutic efficacy in relieving symptoms and improving patients' quality of life. In terms of evidence-based breakthroughs, a growing body of high-quality clinical evidence—including randomized controlled trials and Meta-analyses—has driven updates to international clinical practice guidelines. Notably, acupuncture has been granted a strong recommendation grade for the first time in the treatment of female SUI and chronic pelvic pain, marking a pivotal elevation in its evidence-based status in urological supportive care. Moving forward, efforts should be directed toward optimizing clinical research protocols, strengthening investigations into the dose-response relationships of acupuncture (e.g., needle retention time, treatment frequency) and its underlying therapeutic mechanisms, and advancing the systematic integration of acupuncture with modern urological medicine. These initiatives are intended to refine treatment regimens and provide more individualized, optimized therapeutic options for patients with urological disorders.