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When you have such a large erection that you don't need a belt because your pants are very hitched.
Man that girl is so hot! She gave me hitch-cock!
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Derived from the words 'hitch' (meaning 'limp') and 'cock' (not a rooster), is a synonym of the term limp dick.
The word around school is that he's a bit of a hitch cock.
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