remove implication urethral_fisting (194) -> urethral (15399)
create implication vaginal_fisting (847) -> vaginal_penetration (369468)
create implication cloacal_fisting (67) -> cloacal_penetration (3848)
create implication anal_fisting (2977) -> anal_penetration (419517)
remove implication vaginal_fisting (847) -> vaginal (480634)
remove implication cloacal_fisting (67) -> cloacal (4979)
remove implication anal_fisting (2977) -> anal (509164)
create implication slit_fisting (31) -> fisting (5171)
create implication slit_fisting (31) -> slit_penetration (2906)