The act of a woman giving a backwards hand-job to a male, while the pinky finger is two knuckles deep inside the penis hole.
Person 1: Fuck bro, my dick hole is so sore and swollen after last night..
Person 2: Oh man, did you pick up an STI?
Person 1: Nah, Sharon got carried away last night and gave me a Twisty Pisty.
Person 2: Worth it?
Person 1: Yea man, there's no better feeling than simultaneously bleeding and cumming at the same time.