An irrigation tool that includes a handle configured for grasping by a hand of a user of the tool having a handgrip displaceable using the hand in a manner that selectively controls the rate of flow of irrigation fluid discharged from the tool. The handgrip includes a compressible chamber mounted to the handle via at least one fluid coupling with the chamber compressible by manually squeezing the handgrip to discharge irrigation fluid. The chamber can be provided by a bulb in operable cooperation with a fluid coupling that provides an irrigation fluid flow-modulating control valve arrangement responsive to the magnitude and rate of applied squeezing force. The tool can include an aspirator having a suction passage integrally formed in the handle with a suction control valve operable using the same hand used to control irrigation fluid flow producing a hand-held hand operated combination irrigation and suction tool.