Yet another slang term for heterosexual coitus.
Wanda: I'll have the sausage stuffed clam tonight.
Randy: What's that?
Wanda: Need I explain? (Makes a gesture with her hands of one finger going in and out of a cavity made out of the other hand.)
Randy: Ohhh! (Exposes his instantaneously erect penis.)
Wanda: You got the idea now cock me hard!