Abstract: Objective: To investigate the current status and adverse reactions of preoperative bowel preparation for urological surgery in China, and to provide reference for further optimization of intestinal preparation management in ERAS nursing. Methods: From November 1, 2022 to March 1, 2023, 84 hospitals in China were recruited by convenient sampling method. A self-designed questionnaire was used to investigate the current status of preoperative bowel preparation for urological surgery. Results: The highest frequency of Mechanical Bowel Preparation (MBP) used in urinary system operations were prostate puncture (81.0%), radical resection of bladder tumor (78.6%), radical resection of prostate cancer (70.2%), and the lowest frequency used was ureterolithiasis surgery (35.7%). For most urological surgeries, MBP was more frequently used in tertiary hospitals than in non-tertiary hospitals (P<0.05). The top three adverse reactions during bowel preparation were abdominal distension (31.1%), affected sleep (27.4%) and nausea (14.7%). Conclusion: MBP is still the main method for preoperative bowel preparation in urology surgery. Surgeons in hospitals tend to choose different preoperative bowel preparation methods for urology surgeries. In the future, under the premise of ensuring patient safety, the experience and research results of intestinal preparation before urology surgery should be further popularized to promote the enhanced recovery of patients.

Key words: urological surgery; Mechanical Bowel Preparation; non-Mechanical Bowel Preparation; investigation; Enhanced Recovery After Surgery