Clinical recommendation	Evidence rating	References
Topical steroids, antibacterial soap, and topical capsaicin 0.006% cream are effective for the treatment of idiopathic pruritus ani.	B	6–8
OnabotulinumtoxinA (Botox) injected into the internal anal sphincter, topical nitroglycerin, and topical calcium channel blockers are treatment options for anal fissures.	B	11, 12
No single treatment for anogenital warts has demonstrated superiority over any other treatment.	C	22, 23
For the treatment of grade III hemorrhoids, excisional hemorrhoidectomy has higher remission rates but increased pain and complication rates compared with rubber band ligation.	B	30