Could use a little improvement or two. First, the thread to screw the nozzle on is very coarse and tends to cross-thread the nozzle. Also, the nozzle could be a little longer since douching one's self requires some reaching. Other than that, the cleansing action is just right and the angle of the nozzle does allow for some prostate stimulation. I would like to see a version of this with a length of hose between the reservoir bulb and the tip. The hose could even be sold separately. This would allow more control of the bulb, which, especially when filled, can be a little awkward to hold and control during insertion and while inserted. Correcting the little glitches and the addition of a hose would make this a 5-star review from me.