I like my bidet a lot, but I wouldn't consider it a substitute for an enema, regardless of how the button is labeled. The water force required to get into the pouch is considerably rougher (IMO) than a properly lubricated, gently inserted enema, and the water from a bidet won't reach the pouch's more remote areas. I'm not a big fan of enemas for pouch emptying, except as a last resort, but if you need an enema I'd recommend doing it properly.