When you stick your penis in their ass and and they turn vertically so that your dick is being twisted and then pull out as a screwdriver would then insert the penis into their mouth to screw back in the screw.
Wow Mary really got that sideways screwdriver when he put it in her mouth twice eh?
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Something to scream when you stub your toe or headbutt a doorframe
*Stubs toe*
"SHIT ME SIDEWAYS WITH A SCREWDRIVER"
*walks on like nothing happened"