Hemorrhoid surgery with dyspareunia, or even urinary retention, is a common complication for the following reasons: 1. Early on, it is mostly related to anesthesia not being fully awake during surgery; 2. After awakening from anesthesia, pain can cause reflexive dyspareunia; 3. At a later stage, inflammation at the site of hemorrhoid surgery stimulates the pelvic floor muscles, including the bladder sphincter, which can cause dyspareunia; 4. Difficulty in defecation after surgery can affect urinary discharge, especially in postoperative Constipated patients with poor bowel discharge can induce difficulty in urination; 5. Discomfort in defecation and poor bowel movement after a longer recovery period may be related to the corresponding complications after surgery, such as anal stenosis, incomplete wound healing, and pain caused by delayed healing of anal fissure, which can induce difficulty in urination.