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The 'Panama Pump' is a sexual act involving two women and two (or more) men.
One women lies on top of the other perpendicular..
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When one's testes are dimpled and slightly flattened at the edges, in the manner of a fedora. Extremely painful to experience, but..
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The woman performs oral sex on the man, while he jumps up and down taking pictures.
Mike: Hey Mark! I heard Joe gave that old woman the..