Uncircumcised penis in a more aroused state (but not quite fully erect yet) displaying 2nd degree hypospadias (birth defect). Penis length at this level of erection is about 4.5 inches. Urethral meatus ("pee hole") is now located about 1.25 inches back on distal shaft from what should be its normal location at the tip of the glans ("head" of the penis). Penis is being held by its hooded foreskin. Pubic hair on scrotum has been clipped so that angiokeratoma lesions are visible.