Man, I'm chuckling at all the folks talking about dev catering to patrons with extreme anal fetishes.
As one of the people into that, I occasionally browse the threads which bring up games that focus on it. Apa made a comment on one of them that they were gonna do a game with it (it's right at the start of their posting history, if you want to check), since there weren't enough around. Lo and behold, here's their game. Guess what's in it? Extreme anal. They're primarily doing this because it's what they enjoy, so if you're hanging around hoping it's going away, well, you're probably shit out of luck.