Evaluation of the effectiveness of products for comprehensive perianal skin care in conservative treatment of patients with hemorrhoids and anal fissures

Introduction . Hemorrhoids are one of the most common proctological disorders affecting a significant portion of the adult population. In recent years, efforts have been focused on developing conservative treatment methods that minimize invasive interventions while maintaining high efficacy. Aim . To evaluate the effectiveness and safety of Prestogel® for comprehensive perianal skin care as an adjunct to standard therapy in the treatment of hemorrhoids and anal fissures. Materials and methods . The study included a two-center prospective comparative analysis of 218 patients: the control group of 110 (50.5%) patients received treatment including diet therapy, basic pharmacotherapy using systemic and local drugs to relieve symptoms; the main group of 108 (49.5%) patients received basic therapy equivalent to the main group in combination with the use of Prestogel® for comprehensive perianal skin care. Results . The results demonstrated significant advantages of using Prestogel® in combination with basic therapy compared to standard therapy alone. The main group showed more pronounced symptom regression, including pain, bleeding, itching, and burning, at all stages of the study. The greatest difference between the groups was observed on day 14 of treatment, confirming the effectiveness of Prestogel® in accelerating symptom resolution. Discussion . Modern methods of conservative treatment of hemorrhoids include the use of systemic and local drugs. Venotonics, dietary fiber, suppositories with natural components, ointments with corticosteroids and anesthetics are used with varying effectiveness. Our study showed a rapid and pronounced effect in reducing symptoms such as pain, itching and bleeding when using the Prestogel® complex anal skin care product. Conclusion . Prestogel® for comprehensive perianal skin care can be recommended as a rational addition to basic conservative therapy for patients with acute and chronic hemorrhoids and anal fissures. It may also be recommended for routine use in daily clinical practice.