A perineal spray attachment for use with a conventional toilet seat and which is specifically designed to be mounted to the underside of the seat for manipulation by either right or left hand. The attachment includes a discharge nozzle mounted at an end of an arcuately shaped conduit that is rigidly secured to a combination control valve and handle that is used to move the nozzle from a non-deployed position immediately beneath a portion of the toilet seat to a deployed position generally centrally of the opening in the toilet sear. The attachment also includes an inline venturi injector for entraining cleansing and other topical agents into the fluid flow through the discharge nozzle. The handle incorporates a valve for controlling liquid flow to the nozzle and which valve is actuated by an individuals thumb after the nozzle has been manipulated to the deployed position.