Objective To develop an expert consensus on perioperative and continuing care for urostomy patients, aiming to provide standardized and specialized care across the continuum of care to reduce the incidence of stoma-related complications. Methods Evidence was retrieved from domestic and international electronic databases and relevant websites, including clinical decision support documents, guidelines, expert consensus reports, evidence summaries, systematic reviews, etc. on urostomy care. A preliminary consensus draft was developed and subjected to two rounds of Delphi expert consultation. An expert panel meeting was subsequently held to discuss and revise each item, resulting in the final consensus version. Results A total of 15 experts participated in the Delphi process, with response rates of 93.75% and 100% for the two rounds, respectively. The expert authority coefficient was 0.949, and the Kendall′s coefficients of concordance were 0.698 and 0.820 (both P<0.05). The final consensus covers six key areas:preoperative management, intraoperative management, postoperative management, stoma self-care and education, home-based management, psychosocial support and follow-up.Conclusion This expert consensus on perioperative and continuing care for urostomy patients is scientifically sound, methodologically rigorous, and authoritative. It serves as a practical reference for clinical nurses to deliver standardized care across the continuum of care