Hi!
I came across this while looking for reviews of the Tushy and since I just installed one Friday night (6/19/15) (...after having to fix other toilet issues that I found out about when I went to install it...) I thought I'd share my three days worth of experience:
1) After using it for a few days, I totally think it's worth it. Even though it's cold water from the wall valve, I find it refreshing. Maybe not so much come January, though... (If it hadn't required drilling holes for accessing the hot water, I'd've spent the extra for one on Amazon that is a different brand, same style but has a hot water hookup, too.)
2) It uses water from the wall at a point before it enters your toilet at all, so you're not using any toilet water, not even from the tank.
3) The nozzles sit above the water in the bowl and retract when they're not spraying water, and there is a cover in front of them, so even if you're a little explosive, you shouldn't have to worry about getting anything in the nozzles, just on the cover.
4) Not mentioned, but I find it to be quite forceful even on the low setting. I ease it up and never even get to the low setting most of the time. I have a persistent fissure that it seems to hit spot on and it's uncomfortable if I don't twist around a bit. I imagine if one has hemorrhoids, this bidet might not be the best option, but it may also have to do with how much water is coming through my wall outlet, or the fact that I couldn't get the little brass compression washer that came with my new wall valve to stay in the new wall valve while I was hooking everything up so I just left it out.
5) If you have kids, don't ever let them know that if there is nobody sitting on the toilet, it will shoot water across the room when you turn it on. I wasn't expecting that when I turned it on after installing it to see how it works and water hit the door across from the toilet. :ylol: