The insertion of the word ho, into a sentence(generaly a quote) where the word did not previously exist, to add drama or expand the understanding of a subject.
Anthony said "In health class they told us that girth dosen't matter, it only takes 3 inches to get the job done, unless the girls a hoe."
In this case he ad-libedahoe to describe the reciever of the girth. ie. "unless the girls a hoe."