Sustainable water management may strongly benefit from an integrated approach. Additionally, an integrated urban water management policy considering the various urban water flows and the possible interactions between the water sector and the remaining urban activities can benefit if based on an urban metabolism based analysis. This article assesses water flows of Lisbon Metropolitan Area considering the conventional water supply system and wastewater treatment system flows and also the hydrological cycle flows, and proposes a global set of indicators to perform a benchmarking analysis of the 18 municipalities of the region. Results highlighted the heterogeneous nature of the Metropolitan area in terms of water management - either in terms of management entities (predominantly public or municipalized), water consumption (varying from 227.4l/hab.day in Palmela to 402.7l/hab.day in Seixal), wastewater treatment (10 out of 18 municipalities already undergo secondary or tertiary wastewater treatments), runoff indices (depending on the municipality's level of urbanization), among other. Through the output volumes it was also assessed the potential of the municipalities to reuse wastewater for potable or non-potable urban uses, as well as the potential to harvest and harness rainwater. The main constraints to an integrated water management were identified and some potential solutions were measured and proposed even though they need further assessment, particularly in a cost-benefit perspective. (C) 2013 Elsevier B.V. All rights reserved.