Eighty-four year olds with painful urination, the most common clinical cause of urethritis, but also cystitis, prostatitis, urethral stones, tumors, trauma, etc., the corresponding treatment includes general treatment, drug treatment, surgical treatment, etc.. 1. Urethritis, cystitis and other inflammatory diseases: mainly caused by bacterial infection, can be given antibacterial drugs, such as levofloxacin, etc., when the pain is severe, can be given ibuprofen and other painkillers. 2. Prostatitis: seen in male patients, divided into bacterial prostatitis and non-bacterial prostatitis, clinically can be given amoxicillin and other antibacterial drugs, accompanied by frequent urination, urinary urgency and other symptoms, can also be given tamsulosin and other medications to improve the condition of the patient can also be given to the hot compresses, infrared irradiation and other physical therapy. 3. Urethral calculi: In addition to the use of ibuprofen and other pain medications, if necessary, can also be given to the transurethral lithotripsy. 4. Urethral tumor: patients with urethral tumor will have urinary pain, mostly accompanied by urinary difficulty and other symptoms, and can be given transurethral resection of the tumor. If the tumor is malignant, radiotherapy and chemotherapy (such as adriamycin, etc.) can also be combined to assist the treatment. 5. Urethral trauma: there is a clear history of trauma, and surgical treatment such as urethral anastomosis can be given to severe cases. To summarize, if the eighty-four year old man has urinary pain, the specific situation is recommended to go to the hospital, improve the auxiliary examination, in order to clarify the condition, the drug needs to be used under the guidance of a professional physician.