When I started going to Munich on business in the 1990's I was surprised that a the number of medical supply stores that had bags, bubs and cans on display in the shop window. I went so far as to go into a store to buy one, and asked if there were any clinics. I was given the number of a nurse who would give enemas, but I didn't have the time to check it out, was she purely clinical or was there a sexual side?
My experience from people I know, enemas were popular in both Jewish and Italian households, in fact in one of Sam Levinson's books he wrote about the "friendly enema," and even read the story on one of the TV talk shows of the '60s.
I never thought enemas were very popular in Australia, but there at least a dozen colonic clinics in Melbourne, and, as prostitution is legal, there seems to be one or two ladies in many brothels, especially the upscale ones, who will give or take. Depending on how much you want to spend, from $300 up, you can get enemas and intercourse, top or bottom, for a spare $1,000 you can have the time of your life. There is even a place called Fetish House, Google it. Say hello to Cherry Mistress for me!
All the erotic enema clinics in the U.S. will say right off the top "no sex." However that seems to be up to the individual, happy endings are often available, and if enough cash is applied, in some cases other play is possible.
There was/is a brothel in Winnemucca, Nevada that had a lady who worked weekends very much into enemas and anal, she live in Oregon and, unfortunately, she got caught traveling to Nevada in violation of her parole. Rumor has it she now freelances out of Prineville.
I've spent a lot of time in Vietnam in the last three years, no evidence of enemas or colonics here, but, 51 years ago I had a lover in Pleiku who was into everything anal, and we did manage to acquire and enema bag for our play. Nothing like discovering a true anal erotic.
I have seen enema equipment for sale in China, in a display case in a department store.
In my early days of finding other enema erotics I didn't find them in what I considered the more sexualy open places like San Frabcisco or Portland, Oregon. Many of my contacts were from the conservative midwest, in particular Ohio and Indiana. Once, when I was in Fort Wayne on business, I had gone to the railway station to take pictures. There were two teenage girls sitting on a bench, they were looking at bulb syringe they had just purchased, not a douche syringe, an enema syringe. I jokingly asked them what they were going to do with it, and they came right out and said "we give each other enemas." They said one of them had gotten one in the hospital and now they really liked them... Being as they were obviously underage I felt it was in my best interest to say no more and go about taking train pictures. That was in the 1980's and shortly after I met a lady from Fort Wayne, divorced because she liked kinky sex and her ex was plain vanilla... but that's a story for another post.
Based on what I see of on-line enema videos, Russia looks like at least sexual enemas are popular.