Objective To investigate the clinical effect of press needle acupuncture combined with general measures on urinary retention after opeartion of mixed hemorrhoids. Methods A total of 74 female patients who underwent mixed hemorrhoid ligation and stripping surgery from January 2022 to December 2024 were selected and randomly divided into an observation group and a control group, with 37 cases in each group. The observation group was treated with press needles combined with analgesia, while the control group was treated with general analgesia alone. After treatment, the postoperative first urination time,abdominal symptom scores, smooth urination scores, catheterization rate, and effective rate were compared between the two groups. Results After the intervention, the observation group showed shorter time of first postoperative urination （P<0.05）, lower abdominal symptom score at first postoperative urination （P<0.05） and smooth urination score at first postoperative urination （P<0.05）, and higher effective rate （P<0.05） than the control group. Conclusion Press needle acupuncture combined with general analgesiais more effective than conventional treatment in the prevention and treatment of urinary retention after mixed hemorrhoids surgery, effectively improving perioperative medical experience and accelerating postoperative rehabilitation, which is worthy of clinical promotion and application.