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In a conventional vasectomy, the scrotum is numbed with an injection of local anaesthetic into the skin on either side above the testes. The No-Scalpel vasectomy starts with a more effective technique to anaesthetise the skin and the vas.A small cut is then made in the numbed area with a scalpel and the vas deferens on each side dissected out in turn. The doctor finds the vas deferens under the skin and holds it in place with a special ring clamp.