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.
When a couple is engaging in intercourse, paricualarry doggy style, and the rear partner takes a pinecone and shoves it in the anus or vagina, and then drop kicks it. May and probably will cause Anal or Vaginal bleeding.
Jane: "John, not so rough."
John: "I'll show you rough."
*inserts pinecone*
Jane: "Owwwwh, what was that?"
John: "You'll see."
*drop kicks pinecone*
Jane: "OWWWWHHHH!!!, YOU MOTHERFUCKER, It's over!!!"
John: Finally that bitch left, but SHIT, I have blue balls now!!!
Jim: "Dude did you listen to me and give your girlfriend the Philidelphia Pinecone?"
John: "Yah bro thanks alot, it actually worked, but I have blood on my sheets now."
When a man/woman is giving you slow sensual head and before you climax you reach up with your finger curled in the shape of a hook you pick him/her up by the butthole
Dude I totally gave Cindy a Philidelphia Meat Hook last night.