I've used less advanced versions for a few years. The quality varies; the most recent one we put in is pretty horrible to use (but better than nothing). I've always wanted to try a real Toto, especially with the drying feature. A word of warning for female users: > Habitual use of bidet toilets aggravates vaginal microflora, either by depriving normal microflora or facilitating opportunistic infection of fecal bacter…
> Over washing the anus risks removing the sebum, which lubricates the surface. There have been reports of problems caused by over drying of peripheral areas
> This leaves the body vulnerable to dermatitis and possibly invasion of staphylococcus aureus bacteria.
From https://pmc.ncbi.nlm.nih.gov/articles/PMC8553346/
> Outbreaks of resistant bacteria have been reported to be due to the contamination of the cleaning nozzles of bidet toilets in hospitals
I.e. the nozzles do get contaminated and if body isn't able to fend off the contamination bidet use can cause infection.
From https://www.journalofhospitalinfection.com/article/S0195-670...
> Of the 292 [hospital] toilet seats sampled, warm-water nozzles of 254 (86.9%) were found to be contaminated by one or more of the following organisms
I'm not convinced this is actual sanitation.
Edit: I should say, I know due to physical and diet circumstances taking a shit might leave you with more or less of a mess that could be uncomfortable or inconvenient - but I don't think unqualified praise for bidet use, suggesting bidets as a superior lifestyle choice, etc is good.