Omg, why do discussions on GN always bring back past memories - some of which haunt me to this day? It was my "job" (1980) to administer enemas to ladies who came onto the ante natal ward in a London hospital prior to going into labour. I had to shave the area first, then warm up the enema and insert. I was actually thinking how good I was at it until one day a lady presented with such bad piles I couldn't see what I was doing and I didn't want to hurt her. The trouble was I couldn't leave her on the table to go and get assistance in case she toppled off. I think I eventually accosted someone passing in the corridor to fetch the sister. Embarrassing.
I reckon it was High, Hot and Hope for the best from the operator's pov, but maybe High, Hot, and Horrific for the patient.
Sorry TMI.