Background: Postpartum urinary symptoms are common and may adversely affect women’s physical, psychological, and social well-being. This study assessed the prevalence and factors associated with postpartum urinary symptoms among women attending two hospitals in Shendi, Sudan. Methods: A hospital-based descriptive cross-sectional study was conducted at Al Mak Nemir University Hospital and Shendi Teaching Hospital from July 2024 to January 2025. The study included 98 women attending the hospitals within the first six weeks after childbirth who fulfilled the study inclusion criteria. Data were collected using an interviewer-administered questionnaire after obtaining informed consent and were analysed using SPSS version 26. Results: Postpartum urinary symptoms were reported by 34 of 98 women (34.7%). Among the 34 symptomatic women, the most frequently reported symptoms were urgency (13/34, 38.2%), frequency (9/34, 26.5%), and nocturia (6/34, 17.6%). In the bivariate analysis, statistically significant associations were reported for age (p=0.029), educational level (p=0.027), occupation (p=0.024), residence (p=0.013), circumcision (p=0.001), body mass index (BMI; p=0.025), mode of delivery (p=0.028), duration of labour (p=0.018), episiotomy (p=0.014), early removal of urinary catheterisation (p=0.001), and postpartum complications (p=0.031). Parity was not significantly associated with symptoms (p=0.066). Conclusion: Approximately one-third of the women in this hospital-based sample reported urinary symptoms during the first six weeks postpartum. Several sociodemographic and obstetric characteristics showed statistically significant associations. Larger studies using clearly defined urinary outcomes and adjusted analyses are needed to confirm these findings.