remove implication urethral_fisting (186) -> urethral (13775)
create implication vaginal_fisting (788) -> vaginal_penetration (338253)
create implication cloacal_fisting (63) -> cloacal_penetration (3452)
create implication anal_fisting (2650) -> anal_penetration (384264)
remove implication vaginal_fisting (788) -> vaginal (440858)
remove implication cloacal_fisting (63) -> cloacal (4493)
remove implication anal_fisting (2650) -> anal (465985)
create implication slit_fisting (30) -> fisting (4694)
create implication slit_fisting (30) -> slit_penetration (2533)