The balloon enema of 1.5 ltr. is administered. The patient suffers from obesity and constipation. The enema is prepared. The patient lies in the hospital bed with his legs spread wide. The doctor skilfully opens the patient's asshole and pushes the balloon tube deep into his ass cunt. The enema broth is running and because of sheer excitement, the patient can no longer hold back his orgasm. The sow hosed down during this, but the enema continues.