The difficulty in dyeing microfiber synthetic leather filled with ordinary polyurethane presents a significant challenge in maintaining the uniformity and highly realistic appearance of the resulting products. In the present study, a type of acid-dyeable polyurethane (PU-MDEA; MDEA=N-methyldiethanolamine) was synthesized, and its chemical structure and dyeing properties were investigated. Nuclear magnetic resonance analysis indicated that cationic groups were successfully incorporated into the PU-MDEA backbone via chain extension using MDEA. The amorphous nature of PU-MDEA was determined by differential scanning calorimetry, X-ray diffraction, and polarizing optical microscopy. Owing to the strong binding between these cationic groups and acid dye, as well as the reduced resistance to dye penetration, PU-MDEA showed better dyeability toward the acid dyes studied herein when compared with the control sample (microfiber synthetic leather filled with ordinary polyurethane). The adsorption isotherm experiment revealed that the dyeing process conformed to the Langmuir model, thereby indicating that the acid dyes attached to PU-MDEA via strong ionic bonding rather than van der Waals forces or hydrogen bonding. Additionally, it was found that the wastewater resulting from the dyeing of the microfiber synthetic leather filled with PU-MDEA exhibited environmentally friendly characteristics when compared with that displayed by the control sample (microfiber synthetic leather filled with ordinary polyurethane). Thus, the current results show the potential of PU-MDEA, as a filler, in the manufacture of microfiber synthetic leather to achieve fast dyeing rate, high dye uptake, and good color fastness, thereby improving the uniformity and highly realistic appearance of the resulting products.