These are very nice enema cleaning systems. Its douche and enema nozzle is ready to use as a shower attachment. Each The Shower Enema Kit Model includes its set of head nozzles. It also comes with a 5 foot or 7 foot metal hose so that you have room for cleansing. One end of the hose screws into your shower, the other end is where you attach your choice of nozzle. Use your shower knob to regulate the force flow of the water through the hose.