remove implication urethral_fisting (174) -> urethral (12573)
create implication vaginal_fisting (743) -> vaginal_penetration (310903)
create implication cloacal_fisting (55) -> cloacal_penetration (3089)
create implication anal_fisting (2305) -> anal_penetration (352879)
remove implication vaginal_fisting (743) -> vaginal (406629)
remove implication cloacal_fisting (55) -> cloacal (4039)
remove implication anal_fisting (2305) -> anal (427420)
create implication slit_fisting (19) -> fisting (4202)
create implication slit_fisting (19) -> slit_penetration (2244)