remove implication urethral_fisting (190) -> urethral (14583)
create implication vaginal_fisting (818) -> vaginal_penetration (355992)
create implication cloacal_fisting (66) -> cloacal_penetration (3678)
create implication anal_fisting (2827) -> anal_penetration (403802)
remove implication vaginal_fisting (818) -> vaginal (463143)
remove implication cloacal_fisting (66) -> cloacal (4785)
remove implication anal_fisting (2827) -> anal (489778)
create implication slit_fisting (30) -> fisting (4967)
create implication slit_fisting (30) -> slit_penetration (2739)