I had a 4th degree(the nasty of the nasty). It felt like my anus was going to fall to the floor for the first couple weeks. I found that getting a bottle with a top on it(like a water bottle from the store with the "pull to open" tops, the hospital gave me one when I left) worked the best with warm water, in the shower of course. Also, ALSO! invest in the over the counter antiseptic spray(DERMOPLAST). :) Hope this helps!