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romuh doog is correct. The Sanistand was made for standing over; hence the "stand" part of its name. Just which direction you stand I'm not sure. I think a womens will have to chime in and explain. The only time I've seen women pee is on camping trips and they squated on the ground. True story: my sister once did that in a bunch of poison ivy; her buttocks were later used as an illustration in a medical book.
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