3 definition by The Doctor of NY

When having sex with a person with a colostomy or ileostomy bag. Additionally the three “natural” holes must be filled. These include oral, anal, and vaginal. So hitting “the four points” would be oral, anal, vaginal and ostomy (either colostomy or ileostomy).

Colostomy-To-Mouth. The sexual act of inserting a penis into a partner’s colostomy and then inserting the penis into the mouth of the partner. Similar to ATM, however with the ease and pleasure of a colostomy (i.e feeling peristalsis)

When a person continues or even increases suction while performing felacio after orgasim and the joy become pain after being sucked dry.