The CleanStream Shower Enema System has been improved! This enema kit now includes a free narrow nozzle. New, longer 6 foot hose makes your enema time much more convenient. You use the shower knob to regulate the force of water through the hose into their ass. This allows for a more gradual and comfortable enema experience. This is a very neat enema system. Its douche/enema nozzle is outfitted for use as a shower attachment. The Shower Enema Kit comes with two nozzles, one is 5" and the other is 3.5". It also comes with a 6ft (2m) metal hose. One end of the hose screws into your shower, the other end is where you attach your choice of nozzle. Where the Shower Enema Kit connects with your shower it has a valve that directs the water either through the nozzle and into you or to the shower head.