The Inflatable Enema Plug provides optimal cleansing. It features a large rubber tube that allows fluids to pass through while the plug is inserted. Simply connect the tube to an enema bag (not included) and allow the fluids to flow from the enema plug and into the colon. The CleanStream Inflatable Enema Plug expands to fit you comfortably. It features a hand pump and a deflation valve. The Plug itself is 4.5 inches long and can be expanded to have a diameter of up to two inches.