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Philadelphia sidecar 

When one engages in coitus with a colostomy stoma, using the stoma as a site of entry for a cock or some other pleasurable instrument.
The philadelphia sidecar I got from Tom last night nearly perforated my bowel!
Philadelphia sidecar by Nursy January 15, 2009

philly sidecar 

Ostomy sex. The act of putting a penis into an ostomy site, be it a colostomy, ileostomy, etc., for intercourse. Popular among prisoners as a means to get cigarettes or pay off debts.
You didn't know Gilman was into Philly sidecars? Where do you think he picked up smoking?
philly sidecar by uptodate April 30, 2008

Philly sidecar 

Removing a colostomy bag and using the hole in a sex act.
damn that girl was kinky, she want a philly sidecar

Detroit Sidecar 

Similar to Malaysian Plinko, however in this particularly nasty version of stoma sex, a male participant inserts his penis into a persons Colostomy opening.
Guy: "What on the menu?"

Pro: "Are you a cop? No, well then, Hand Job $20, BJ $50, straight sex $200, or my specialty, Detroit Sidecar $400."
Detroit Sidecar by Hey Guy… February 28, 2013

Swedish Sidecar 

This is when a female is driving a vehicle with a male in the passenger seat and she leans over to give oral sex to the male passenger while he grabs the wheel
"yah dude while me and Tracy were driving over here we had a little Swedish Sidecar action going on"

"Dude , next time Michelle drives .. BAMM!!! Swedish Sidecar time"
Swedish Sidecar by Raven7.0 March 31, 2009

philly sidecar 

the act of inserting your penis into someone's colostomy hole
I couldn't believe Dr Jones did a philly sidecar on that poor patient!!
philly sidecar by JBZ73 August 30, 2005