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Philadelphia side car 

The act of a male inserting his penis into another persons colostomy hole and fucking it till completion. Sometimes used as payment for drugs or kink satisfaction.
Paramedic: “This patient has herpes around her colostomy port.”
Doctor: “ahh the good old Philadelphia Side Car.”

Philidelphia Side Car 

When a man loves a woman....or a man....
It is when there is an ostomy (hole or outing where your colon or small intestines will come out, usually seen with a bag in place because they drain the shit) placed and another man uses this ostomy hole as a place where he may have sex. Almost like anal sex, but not quite much pleasure for the receiver...
He was so horned up he had to use the Philidelphia Side Car to get off.
Philidelphia Side Car by Aug2013 September 3, 2010