Devices and methods for using adjunctive cooling to promote recovery of function following pelvic surgery include a uretral catheter and a cryogenic cautery device. A system for producing chilled irrigation fluid recirculates the chilled fluid through a catheter inserted into the patients urethra to provide a low temperature during and following surgery. A surgical cautery device is equipped with cryogenic emitters which spray cryogenic fluid on the cautery site prior to and/or following thermal cautery to reduce inflammation and related damage from such cauterization. The various embodiments are advantageously used together.