Periplaneta americana (L.) (Blattaria: Blattidae), the American cockroach, is the most important invasive urban pest of sewer environments colonizing there with high significance of human public health and household allergens need to be controlled. Therefore this practical approach systematic review perform internationally to highlight and provide a detailed P. americana control in sewers. Among 474 searched papers, 129 of those were selected to become this practical approach systematic review of the American cockroach control in sewers. To control the American cockroaches, many studies have been conducted in various fields describing from an angle. The results were classified and discussed in getting cockroaches from sewers into buildings and their elimination, insecticide susceptibility, application of dust, bait and Inesfly paint insecticide formulations, biocontrol, and futuristic action categories. A recommending manner to achieve a successful P. americana cockroach control in sewers is using a combination of Integrated Pest Management (IPM) strategies resulted in significant reductions of cockroach infestations and asthma health outcomes. Use of the American cockroach breeding thelytoky, push–pull strategies and an automated sewer robot, and integrating health into the future buildings may be new approaches of the American cockroach control strategies.