remove implication urethral_fisting (179) -> urethral (13128)
create implication vaginal_fisting (753) -> vaginal_penetration (324235)
create implication cloacal_fisting (56) -> cloacal_penetration (3270)
create implication anal_fisting (2421) -> anal_penetration (368322)
remove implication vaginal_fisting (753) -> vaginal (423340)
remove implication cloacal_fisting (56) -> cloacal (4241)
remove implication anal_fisting (2421) -> anal (446642)
create implication slit_fisting (23) -> fisting (4383)
create implication slit_fisting (23) -> slit_penetration (2358)