Ryan P. Terlecki, MD, FACS

Ryan P. Terlecki, MD, FACS

Wake Forest Baptist Health

Winston-Salem, North Carolina

Ryan P. Terlecki, MD, is a reconstructive urologist for Wake Forest Baptist Health, an academic Level 1 trauma center in Winston-Salem, North Carolina. His positions include Vice Chair and Associate Professor of Urology, Director of the Men’s Health Clinic, Director of Medical Student Education, and Fellowship Director for Reconstructive Urology. He is also the President of the North Carolina Urological Association. His publications cover multiple areas of trauma and reconstruction and his research is focused primarily on models of wound healing and regeneration in the lower genitourinary system. Dr. Terlecki completed two separate fellowships in reconstructive surgery following his residency, and is a member of the Society of Genitourinary Reconstructive Surgeons (GURS). Dr. Terlecki’s areas of expertise include urethral stricture disease, male sexual dysfunction, male incontinence, Peyronie’s disease, chronic testicular pain, hypogonadism, and infertility.


Articles by Ryan P. Terlecki, MD, FACS

The Prostate – Most Diseased Organ in the Male Body

Ryan P. Terlecki, MD, Vice Chair and Associate Professor of Urology, as well as Director of the Men’s Health Clinic at Wake Forest University Baptist Medical Center, reviews data on inflammation and the prostate’s microbiome as well as general prostatic anatomy in order to establish a better understanding of the biological factors which are connected to PCa and BPH development. High rates of prostatic disease (64% of men by the age of 70 have PCa) suggest that many of the causes of PCa stem from the anatomy and microbiome of the prostate. Dr. Terlecki notes that data supports the notion that PCa and BPH prevalence rise with age, are hormone-dependent, and are associated with inflammation. He takes a close look at these factors and the inner workings of the prostate to display how over the course of an individual’s life, decreases in hormone production causes gland function impairment, resulting in overall prostatic inefficiencies which lead to a gradually increasing chance of developing PCa or BPH.

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Urinary Health Issues Following Treatment for Prostate Cancer

Ryan P. Terlecki, MD, Vice Chair and Associate Professor of Urology, as well as Director of the Men’s Health Clinic at Wake Forest University Baptist Medical Center, discusses the relative incidence of urinary issues following primary and salvage prostate cancer therapies including radical prostatectomy, radiation therapy, and salvage cryotherapy.  He goes on to describe challenges to urinary health for patients undergoing treatment, proposes language for counseling patients pre and post-operatively, as well as highlighting effective treatment options for various types of urinary issues.

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Conquering Burnout: Where the Rubber Meets the Road to Resilience

Ryan P. Terlecki, MD, FACS, explains the phenomenon of physician burnout as it relates to urologists and outlines the threats it poses to physician wellness. Using his personal experience as a urologist, he discusses practical tips for improving operational efficiency and striving for an improved work/life balance, such as practicing mindfulness, time management, and monotasking. 

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