I use some toilet paper to wipe off most, then a wet, wrung out, baby washcloth to really get the area squeaky clean. I use the baby sized washcloths as I find they're not as awkward as the big ones, and they don't get too soiled as I've gotten off 90% of the gunk with the TP already.
33 years old, dx with Crohn's in 1998. Currently on :
Clofazimine 100mg daily,
Rifampin 600mg daily, and Clarithromycin 2 tabs daily
and Cipralex 10mg/day for anxiety.
Hydroxyzine, percocet, Ativan as needed.
5g pharmaceutical grade Omega 3's, 1000IU's Vitamin D3 daily
2 Perianal fistulas, and 1 more suspected. Crohn's only at end of colon, cecum. Remi, Asacol, Salofalk, Imuran, Humira did nada. Built immunity to long-term Cipro use, which also induced panic attacks.