In an obviously misguided attempt at mocking the playoff structure of the NCAA tournament, we’re inviting readers to enjoy matchups of actual fetishes in a voter-powered tournament, culminating in April with the Nasty Fetish Final Four. That tournament continues today with Round One action. Remember, you’re voting for what you consider the more nasty fetish.

5. Autoerotic Asphyxiation

Literal Meaning: “Hypoxyphilia is a paraphilia which is a sub-category of sexual masochism. Also known by terms such as asphyxiophilia, autoerotic or sexual asphyxia, this potentially lethal sexual practice refers to sexual arousal that is produced while reducing the oxygen supply to the brain.”

The Intarwebs say: As seen in “In the Realm of the Senses.”

Notable Advocates: Brandon Jacobs, Erik Estrada, Timothy Geithner

13. Stoma Fucking

Literal Meaning: “One who fantasizes about penetrating a surgically creating orifice, either in the in the colon or the esophagus.”

MySpace says: The best crunk/regional Mexican band out there.

Notable Advocates: Freddy Adu, Alfred Molina, Josh Whedon