Green’s Dictionary of Slang

pile drive v.

[pile-driver n. (1)]

(gay) to have sex with someone.

[US]R. Gover One Hundred Dollar Misunderstanding 41: He curl my blackass right up double an he piledrive like he is tryin’ t’stan me on my poor ol Pickaninny head.
[US]L. Kramer Faggots 24: Pile drive that ramrod cock right through my brain!

In derivatives

In phrases