Perineal pain and difficulty in urination will generally consider whether there is urinary tract inflammation and infection, urinary tract stones or foreign bodies, tumors and other lesions caused by the need to combine with the patient’s medical history, symptoms and signs, auxiliary examination to comprehensively determine the causes of pain and difficulty in urination. 1. Urinary tract infection: urinary tract inflammation and infection caused by perineal pain and dysuria, generally the white blood cells in the urine will be significantly higher, some patients will also have fever, malaise and other discomforts, after a full course of anti-infective treatment, the symptoms will have significant improvement. 2. Urinary tract stone or foreign body: urinary tract stone or foreign body caused by perineal pain and difficulty in urination, usually the patient will have a history of implantation of urethral foreign body or history of urinary stones, can be clarified by ultrasound and other examinations, after lifting the obstruction, the condition can be improved. 3. Tumor: the perineal pain and dysuria caused by tumor, the patients are mainly elderly, and often accompanied by hematuria, need to improve further examination to clarify the diagnosis and early treatment. Perineal pain and difficulty in urination should first be identified as the cause of the disease and treated according to the cause of the disease, and should go to regular hospitals to find a professional doctor to avoid delaying the condition.