A sexual act in which one partner performs an elbow drop onto the other's exposed testicles, similar to the move popularized by the Columbus, Ohio born WWE fighter Randy "Macho Man" Savage.
"hey did you hear about John and Jessica? Apparently Jessica gave John a Columbian Ball Buster."

"Wow that must've felt great for John!"
by pimpster69420 September 17, 2023
Get the Columbian Ball Buster mug.