The most common types of small extra-anal meatus are dermatomes or external hemorrhoids. First of all, if pain occurs, it is caused by external hemorrhoids causing venous thrombosis around the anus, which may cause pain. There is also pain if an infection occurs, or if a localized perianal abscess forms. Therefore, if there is a small meatus outside the anus and painful symptoms occur, it is recommended to visit the anorectal surgery department. The cause of the disease can be clarified through face-to-face examination and anal examination. If it is just a simple inflammation, line anti-inflammatory treatment, symptomatic treatment is good. If there are external hemorrhoids and the condition is serious, surgery may be required. Therefore, if a small fleshy mass appears in the anus with pain, it is recommended to go to the hospital.