Medical devices that useful during electrocauterization procedures. The present invention encompasses a needle-tipped electrocautery device in which the needle tip is housed within the body of the device when the device is not in use. When an extension mechanism on the electrocautery stylus is activated, the tip is exposed and may be used for surgical procedures. The mechanism may be either mechanically driven or electronically driven. The present invention thereby dramatically reduces the risk of injury or infection by inadvertent pricks from an electrocautery tool.