The research, clinical practice and development needs of urology nurses in the UK are poorly understood. Through a postal questionnaire all current members of the British Association of Urological Nurses (BAUN) were surveyed to obtain baseline data related to their views on research, clinical practice and development needs. Fifty-one per cent of BAUN members (n = 292) responded. The results of the survey produced a mixed picture of issues in British urological nursing. While the majority of respondents had considerable experience and enthusiasm for their specialty, a number of issues were identified that have implications for the development and delivery of clinical practice in the future. A plethora of different titles used by nurses was uncovered, raising questions on the dual issues of public identity and protection, and the lack of nationally recognized education programmes leading to recognition of nursing practice at an advanced level. Urology nurse specialists were identified as having considerable input into the design and delivery of services in contrast to non-specialists who suggested that their input was not valued to the same degree. Difficulties were identified in relation to not only the availability of education but also in the areas of employer release and funding to support ongoing clinical development. The findings of the survey have great significance for the development of British urological nursing. The results offer an opportunity to understand urological nursing needs within a political context, offering an opportunity to explore changes that may be required to address areas of need in research, clinical practice and development. The study also offers a view of UK- based practices and issues to an international community for comparison and contrast.