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This butt plug has a rubber tube through which liquids can run when it is expanded! Once the plug is inserted, take the hand pump to inflate it to the desired size. Next, the large rubber tube can be hooked to an enema bag. When the enema needs to be administered, the liquid flows through the enema plug into the anus. The inflatable plug prevents the plug and enema from being pushed out until the desired time is reached. When you are finished, release the air through the pressure relief valve.