Which douche is most effective?

LaradoEnah LaradoEnah
Universal water works system
Related to: 
I was looking at some douches and was wondering what's more effective as a general: hand based or shower based? Just genera lack of knowledge comparing their effectiveness, the differences in pressure, sanitary differences, other fun besides just douching, etc. Thanks much!
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ToyGeek ToyGeek
Personally I think that thing looks like an accident waiting to happen. The reviews look troubling as well:

LaradoEnah LaradoEnah
Thank you! would you be more likely to just use a hand held one?
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