<span lang="en">My scrotum is quite tight against the body even after a hot bath. About 1.5 cm between testicles and body. Normally, there is no space. Can I still access and change it? Or does the switch end up far away from the testicles?</span>
Many thanks for your question. In your particular case, it would be necessary to check whether you can palpate the vas deferens and whether the implant the size of a gummy bear can still be inserted there.
Perhaps it is then so far under the skin that the switching mechanism is no longer palpable. If this is the case, the switching mechanism would have to be performed by a physician in a minimally invasive operation under local anesthesia. In practice, the valve is only switched on when a child is to be conceived. As soon as the woman is pregnant, the valve is closed again. With the birth of the child you are sterile again. In your case, you would have to go to the urologist twice for each child you wish to conceive to activate the valve. Otherwise, it should work just like normal.