I don't have a handheld shower, and never have specifically washed my butt... The water just kinda goes there? I suppose I never thought about it being unsanitary or anything.
umm...i don't know where you were visiting, but we most certainly have handheld showers in canada. the only place you usually can't find them are in some hotels...but of course in canada we wash our butts with a good maple syrup scrub and use a hockey stick to wipe
30 weight or heavier.