remove implication urethral_fisting (180) -> urethral (13459)
create implication vaginal_fisting (777) -> vaginal_penetration (331782)
create implication cloacal_fisting (60) -> cloacal_penetration (3368)
create implication anal_fisting (2519) -> anal_penetration (376686)
remove implication vaginal_fisting (777) -> vaginal (432964)
remove implication cloacal_fisting (60) -> cloacal (4381)
remove implication anal_fisting (2519) -> anal (457060)
create implication slit_fisting (25) -> fisting (4505)
create implication slit_fisting (25) -> slit_penetration (2452)