I do not know how it works at Mayo as far as seeing PT, I actually do the majority of my health care elsewhere.

The wand has 2 ends, one for vaginal insertion and one for rectal, so it can be used for either. The company I bought mine from (Intkmate Rose) has great tutorial videos on YouTube. I have only used the rectal route. I will also feel that things need to come out but will not, but after I use the wand (sometimes for a very short time, even as short as a minute) I will have a movement.