To perform this you must be an expert at Tibetan throat singing. The actual act is sexual in nature as you would bend over your partner and start singing into their asshole. Has to be high or low pitch vibrations strong enough to feel it on the insides.
I'm gonna take you home and show you how to Tibetan death whistle baby.
An Italian cream stick is where you rip off the end of a Italian bread stick, shove your dick into the breadstick and then cum in the breadstick and feed it to somebody.
"we had pasta that night so I gave her an Italian Creamstick for desert"