The invention discloses a kit for detecting a treponema pallidum antibody in urine, a preparation method and a use method. The kit comprises a detection test strip. The detection test strip comprisesa sample pad, a combination pad, a nitrocellulose membrane, absorbent paper and a PVC bottom plate, wherein the sample pad, the combination pad, the nitrocellulose membrane and the absorbent paper aresequentially adhered to the PVC bottom plate; the combination pad is coated with a recombinant protein A (SPA)-colloidal gold marker, and the nitrocellulose membrane is respectively coated with a detection line composed of TP recombinant antigen and a quality control line composed of rabbit anti-SPA. Besides, a urine sample is concentrated through a concentration medium, so that the content of the treponema pallidum antibody in urine is increased, and the sensitivity of the kit for detecting the treponema pallidum antibody in the urine is improved. The detection sensitivity can be improved by2 to 6 times. While the kit is used, the urine is used as a detection sample, and sampling operation can be conducted in asafe, simple, convenient and noninvasive manner. And the kit is high in sensitivity, strong in specificity, convenient to operate and suitable for detection under various conditions.