There are a large number of Americans that think:

1. Anything touching them there makes them gay - still not sure how your hand and TP is any different
2. It will hurt - yeah… IDK
3. It’s gross, or it doesn’t get you clean - uh…wiping some paper on it does? how???

According to alibaba it’s a “Professional DIY portable wireless battery powered smart abs ems electric body abdomen muscle stimulator”