I wasn't sure what to expect from this product. I think I expected it to "rinse" me, but instead, it's what it says--an enema device. It fits comfortably and the hose is long enough and very flexible. Some reviewers seem to want to lie down while they use this. I can't understand that. I just stand up in the shower and insert it. After filling myself up for a few minutes with warm water, I have to go and sit on toilet. In about 10 minutes everything inside comes out in a rush. This provides the cleaning. To be completely sure, I can repeat the process until everything comes out clear. That is the technique.After using Cleanstream this way a few times, I tried out the smaller head, the thin one with only one hole at the end. This indeed does provide a rinse, going deep inside and flushing out the dirt. You can repeat until nothing but clear comes out and then rinse it out of the tub with the same nozzle. I have a single handle shower though and so when I adjust the pressure, it also reduces the temperature. This isn't a huge issue, and if you want warmer water, you could put a control valve at the water source to reduce the flow. However, the cooler water isn't uncomfortable, and the diverter valves are problematic anyway (see below) so I didn't choose this option. There's also some enema effect from this "rinse" application, but it's much milder and only results in a "muddy" discharge, sort of the color of pee.The fault in the product is in the diverter head. It is metal, but poorly made. After about three uses it completely fell apart, and while it was working, the water flow was never fully diverted to one or the other outlet (shower head or enema tube). It always leaked, and in addition, the hose is so slinky that it needed a place to be held in place. I got some sticky hooks from Home Depot to attach to the wall and this more or less worked, but I found it awkward and unattractive.I shopped around for some other diverters, from Delta and other companies, but they cost around $30 or more, the cost of the entire device, and reviews said they weren't very satisfactory either, at least after a while.Therefore, I've come to the conclusion that the best way to use this device is to simply take the shower head off and attach the enema tube and then repeat this as necessary. It's hardly ideal, but it works, which is more than can be said for the ugly and faulty diverter assembly.
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