Dear friends today I am going to work with you to learn some of the problems that can occur after a mixed hemorrhoid surgery and some related treatments. Because each problem has a lot of content, I will explain it in about 5-6 articles, so I hope you understand. We often hear from our patients in the clinic that they are in pain after mixed hemorrhoid surgery, they can’t relieve themselves of stool, they have a lot of pain, they have difficulty urinating, and they even describe symptoms that can be summed up in one idiom: life is worse than death. So is it like what they say after mixed hemorrhoid surgery? The answer is no. So, I would like to take this opportunity to learn about this piece of knowledge and let you know some ways to deal with it. The problems that can occur after a mixed hemorrhoid surgery are roughly: urinary retention (in fact, I think it is more appropriate to use poor urination), incisional infection, pain, edema, hemorrhage, constipation, and so on. I will explain them in order, and after all the problems are explained, I will again list the above problems in the order that I, as a medical professional, am concerned about and pay attention to them. Friends can compare the importance you attach to the above issues, so that we can understand each other in the future, whether it is the doctor and you in pre-operative communication, or for yourself, for the colleagues around you, friends popular knowledge, supervisors on the condition of your staff, so that you can easily pass the surgical hurdle and recover quickly. As the name implies, poor urination is the difficulty of urination after surgery, poor discharge, small abdominal distension, bladder fullness, or frequent urination, but each time and can not be discharged or dripping and down. Causes: The causes are various and can be broadly divided into anesthesia aspects, surgical stimulation, wound pain, psychological and environmental factors, and others. Anesthesia The friends who are sensitive to anesthetic drugs are prone to urinary incontinence because the bladder forceful muscle is weak after anesthesia and the anesthetic drugs disappear slowly; surgical stimulation The surgical area of mixed hemorrhoids is located behind the urinary tract, and local stimulation can lead to congestion in the lower part of the urinary tract, tissue fluid gathering leading to edema, causing urinary incontinence; pain Internal hemorrhoid surgery is generally painless, but as long as the external hemorrhoids are dealt with there will be pain, incision The less the incision, the less painful it is. Local pain can cause local muscle spasm, resulting in dyspareunia; in addition, too much or too tight filling in the rectum after surgery can also cause dyspareunia. Psychological and environmental factors The patient’s internal fear of surgery, excessive tension, or the patient’s previous strong established environment psychology, after changing to a group environment, leads to dyspareunia. Other Patients with prostate hypertrophy, urethral stricture or old age, bladder contraction weakness, etc. Treatment: It can be divided into two aspects: patients themselves and medical workers. Patients themselves to overcome their fears, you can get some experience through self-suggestion, self-encouragement and learning from good patients in the same ward; or use a warm water bag to heat the small abdomen to relieve sphincter spasm; In addition, since you enter the hospital, it is a collective environment, in this place, we are all the same identity, patients, appropriate to reduce their own requirements of the environment will help you recover. Medical workers should be careful and meticulous in surgical operations, gentle movements, reasonable arrangement of incisions, reduce the number of incisions. Avoid rough and unplanned movements. Many friends, including some medical staff, always question why so many fluids should be transfused after surgery. In fact, part of it is to accelerate the metabolism of anesthetic drugs in your body, replenish blood volume, and promote the recovery of functions. Pay attention to the pain problem raised by patients, postoperative pain-free or mild pain is beneficial to reduce the occurrence of other problems after surgery. Patients, I think you should also change some of your perceptions, such as the notion that pain injections and pain medication are bad. In fact, one or two occasional pain reliefs are not very harmful to you. On the contrary, the less pain you have 24 or 48 hours after surgery will help you recover from the wound. Acupuncture therapy Acupuncture or moxibustion with acupuncture points such as Zhongji, Guan Yuan, Qi Hai and Shen Que; due to the anal filling of gauze or when the pressure is too tight, you can relax the dressing appropriately 8 hours after surgery; pharmacological intervention Give medication appropriately, such as Neostigmine injections at the bilateral foot San Li points and oral Halle capsules. After the above treatment, if the urine is still not discharged, we should actively communicate with the patient and give catheterization and indwelling urinary catheter to avoid other bladder problems and damage to the urinary tract.