Difficulty in urination after total hysterectomy may be caused by physiological factors such as drinking too little water, nervousness, etc., or it may be caused by spasm of bladder sphincter or postoperative infection. 1. Physiological factors: If the patient drinks too little water after the operation, nervousness, not accustomed to urinate in bed, may lead to difficulty in urination. This is a normal phenomenon, no need to worry too much, appropriate intake of water, maintain a positive and optimistic state of mind, can be relieved. 2. Spasm of bladder sphincter: some patients may experience temporary spasm of bladder sphincter after total hysterectomy, which may lead to temporary closure of urine and difficulty in urination. 3. Postoperative infection: If the patient’s postoperative care is not appropriate, resulting in local secondary infection, there may be difficulty in urination, perineal discomfort, burning sensation in the urethra, accompanied by fever, lumbar pain, and carnal hematuria and other symptoms. There are many reasons that cause patients to have difficulty urinating after total hysterectomy, it is recommended to go to regular hospitals and undergo relevant examinations, so as to clarify the cause of the disease and timely treatment.