Policies, Institutions and Regulation (PIR) aspects matter for different sectors’ growth and inclusive sustainable development, but there is little information in the literature on how to evaluate the effects of PIR on management options and outcomes or, on how positive results PIR changes can bring. In terms of stormwater management systems, or urban drainage, PIR is also a controversial and absent matter. Multidisciplinarity, several actors, countless formal and informal rules, and strong contextual path dependence make the subject complex and intricate. Considering the enabling environment, an alignment between policies, institutions and regulations is required to achieve good results and provide sustainable services. This study conducted a hybrid literature review of peer-reviewed papers in this field to provide an overview of how researchers have been studying PIR relations. The gaps show that the understanding of the PIR is fragile, as an important element for analyzing of results to be achieved, including SDG6, the financing and obtaining funds, guarantees and grants for the execution, delivery, operation and maintenance urban stormwater services and infrastructure. The contribution of this review is not only about what exists, but also mainly about what does not exist, since the void keeps waiting to be filled.