The spelling of the word "Tivoli douche" might seem a bit odd to some people. However, it makes sense when you break it down phonetically using the International Phonetic Alphabet (IPA): /tɪˈvoʊli duʃ/. The first syllable, "Ti," is pronounced as "tih," while "voli" is pronounced as "voh-lee." "Douche" is pronounced as "doosh." So, when put together, the pronunciation is "tih-voh-lee doosh." Understanding the phonetic breakdown of words can help make their spellings more clear and make communication easier.
The application of a hot d. to the abdomen of one lying in a bath of cooler water.
A practical medical dictionary. By Stedman, Thomas Lathrop. Published 1920.