Although this study was conducted in an animal model, the implications may be meaningful for human clinical practice. Electrocautery is widely used in pediatric and adult penile surgery due to its efficiency in achieving hemostasis. However, our findings raise concerns about potential retrograde neurodegenerative effects following electrocautery-assisted penile surgery. The observed damage to pudendal nerve [der Hauptnerv des Damms] structures and associated testicular denervation may help explain some cases of idiopathic male infertility or sexual dysfunction that emerge following circumcision, especially in procedures performed with thermal devices.