I've seen these "clean out" comments before, and what does it actually mean? I mean, one can douche and flush out most of the solid matter, but it's not like you can actually disinfect your lower intestine.
Personally, I always do check myself before fun-time using my fingers as deep as two fingers can go. Usually I get nothing but mucus, and I'm good to go. But if my rectum has solids in it, then no, not tonight, poor doggy needs to take a cold shower.
The results are good. Doggy has tied me 100+ times over the years. Never has he had a sheath infection, which seems like the most likely bad outcome. I think a dog's immune system is strong enough that that just doesn't happen.