I have had to have this done in a real medical setting not once butt twice,. Both time was after I had hemorrhoid surgery, or a cyst removed of the top of my coccyx or pretty darn close to it anyway.
During the first cyst removal, or opening it up rather to see what he could see, I had to hold my right cheek open for his and his partner to get a good look, then once they knew what they were looking at and dealing with they taped my cheeks open to the table and went to work, but still having to lay there with me holding me open, well that wasn't easy. Then once they determined what needed to be done, they taped my cheeks open to the table and wen to work.
The nest morning I needed to have the packing removed, so again I found myself bent over the exam table again, pants down and ready for my dressing change. Problem is though, I didn't have my pants down far enough and had to be told to drop 'em at least to my knees so he could get at the area he needed to see. Make perfect medical sense at the time and still does., but doens't mean it was any less embarrassing. Again both doctors were in the room doing this. So I reach back with my right hand and spread my right cheek, exposing myself once more to the both of them. Grrrrr!
Then the third time I went in there I actually had a haemorrhoid that needed to be open and drained. So this time he put me on my back on the stirrups. Again, the other doctor came into assist. So there I was all up in the stirrups completely exposed needless to say. He ask me if I would put my hands under my bilateral buttocks to give them some leverage he needed to see better. Well, she saw everything better too, which was also embarrassing too, lol. But somehow we got the job done and were able to open the roid up, remove the clot and put a few stitches in my backside. Even before the meds wore off I was still hurting, but was much better than how i went in feeling, trust me. The pressure was off. However, the net day I was back in his office again, pants down around my ankles, bent over his exam table once again, helping to spread my right cheek so that they could look at the progress and do any cleaning that needed to be done before I had to fly off and back to amishvill USA.