remove implication urethral_fisting (173) -> urethral (12347)
create implication vaginal_fisting (729) -> vaginal_penetration (305713)
create implication cloacal_fisting (49) -> cloacal_penetration (3020)
create implication anal_fisting (2267) -> anal_penetration (346299)
remove implication vaginal_fisting (729) -> vaginal (399975)
remove implication cloacal_fisting (49) -> cloacal (3953)
remove implication anal_fisting (2267) -> anal (419495)
create implication slit_fisting (19) -> fisting (4137)
create implication slit_fisting (19) -> slit_penetration (2190)