After carefully examining the rectum with fingers, an anoscope is used to check the intestinal condition, revealing hardened feces, prompting the start of an enema treatment. Using a glass enema syringe, medicinal fluid is injected, and the patient is fitted with disposable paper pants, instructed to hold the liquid. While massaging the abdomen in this state, the urge to defecate becomes unbearable, causing the solution to leak from the anus and soil the paper pants. Next, 1000cc of colored special solution is administered via high-pressure enema using an irrigator. A small irrigator introduces lukewarm water into the rectum, and by adjusting the height of the device, repeated inflow and outflow thoroughly cleanse the intestinal walls. A syringe enema delivers a stronger solution, and with a paper diaper placed over the anus, abdominal massage follows, resulting in loud expulsion sounds as residual feces fill and dirty the diaper. The patient is then seated on a gynecological examination table with leg restraints, legs spread wide, and all four limbs restrained. Anal and rectal dilation training begins. After thorough finger massage, dilating bougies are inserted into the anus, starting as thin as a little finger and gradually increasing to a thickness exceeding an adult male's thumb. Insertion of instruments releases built-up intestinal gas, and finally, a massive silicon anal plug modeled after the shape of the large intestine is inserted as deeply as possible into the rectum.