remove implication urethral_fisting (183) -> urethral (13663)
create implication vaginal_fisting (787) -> vaginal_penetration (335346)
create implication cloacal_fisting (61) -> cloacal_penetration (3415)
create implication anal_fisting (2552) -> anal_penetration (380844)
remove implication vaginal_fisting (787) -> vaginal (437278)
remove implication cloacal_fisting (61) -> cloacal (4445)
remove implication anal_fisting (2552) -> anal (461843)
create implication slit_fisting (27) -> fisting (4580)
create implication slit_fisting (27) -> slit_penetration (2499)