Ryan P. Terlecki, MD, FACS

Ryan P. Terlecki, MD, FACS

Atrium Health Wake Forest Baptist

Winston-Salem, North Carolina

Ryan P. Terlecki, MD, FACS, is a reconstructive urologist for Atrium Health Wake Forest Baptist Medical Center, an academic Level 1 trauma center in Winston-Salem, North Carolina. Dr. Terlecki holds the rank of Professor and the title of Vice Chair of Research for the Department of Urology. In addition, Dr. Terlecki is Director of the Men’s Health Clinic, Director of Medical Student Education, and Fellowship Director for Reconstructive Urology. He holds a joint appointment in the Department of Obstetrics and Gynecology.

Dr. Terlecki earned his medical degree from Wayne State University School of Medicine and completed residency in general surgery and urology at Detroit Medical Center. Following his residency, Dr. Terlecki completed two separate fellowships in reconstructive surgery. He completed a fellowship at the University of Colorado’s Denver School of Medicine and at UT Southwestern Medical Center in Dallas, Texas.

Dr. Terlecki’s 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’s areas of expertise include urethral stricture disease, male sexual dysfunction, male incontinence, Peyronie’s disease, chronic testicular pain, hypogonadism, and infertility. He is a member of the Society of Genitourinary Reconstructive Surgeons (GURS), a member of the American Urological Association (AUA), and past president of the North Carolina Urological Association (NCUA).

Talks by Ryan P. Terlecki, MD, FACS

Anterior Urethroplasty – Bulbar (A Primer For Part-Time Plumbers)

Ryan P. Terlecki, MD, FACS, emphasizes key elements for success in urethral surgery, focusing on preoperative planning, technical precision, and effective patient management.

A central message in this 11-minute presentation is to set realistic patient expectations while acknowledging that success is never guaranteed even with advanced surgical techniques. Terlecki compares conservative endoscopic management with surgical options, emphasizing that surgical planning requires careful consideration of anatomy, patient history, and the specifics of the stricture.

Dr. Terlecki stresses meticulous preparation, including the importance of standard protocols. Preoperative collaboration with anesthesia and other specialties is encouraged, along with video primers to prepare team members. Intraoperative decisions, such as when to transition from endoscopic to open surgery, are highlighted as critical moments requiring flexibility. He stresses that surgeons should stay calm under pressure and stick to their plan, even when faced with unexpected challenges.

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Simplified Management of Male Genital Pain

Ryan P. Terlecki, MD, FACS, presents a focused and practical approach to managing male genital pain, emphasizing simplification in both diagnosis and treatment. In this presentation, he stresses the importance of thorough patient history and physical examination and introduces a streamlined diagnostic framework to identify the underlying causes of genital pain.

Dr. Terlecki advocates for an intake questionnaire, physical exam, and lab work, focusing on symptom relief and quality of life as primary treatment goals. He reviews various medical causes of symptoms and possible treatment solutions, including referrals to other health practitioners, such as pain management specialists, orthopedists, or even alternative medicine providers. His insights provide a clear and actionable framework for urologists seeking to improve outcomes for patients suffering from this often debilitating condition.

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