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Urologist Dr. Aaron Spitz explains the no-needle, no-scalpel vasectomy procedure: Instead of using a needle to numb the scrotum, an air jet device is used to spray anesthesia directly into the scrotum and vas deferens; instead of using a scalpel to pierce the scrotum, a small scissor tip is used to pierce the skin and severe the vas deferens. “It’s the Cadillac of vasectomies,” Dr. Spitz affirms.