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).

Disclosures:

Dr. Terlecki has the following disclosures:
Consultant with grant support: Boston Scientific
Advisory Board: Boston Scientific

Talks by Ryan P. Terlecki, MD, FACS

The Prostate – Most Diseased Organ in the Male Body

Posted by Ryan P. Terlecki, MD, FACS | Mar 2020

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.

Urinary Health Issues Following Treatment for Prostate Cancer

Posted by Ryan P. Terlecki, MD, FACS | Mar 2020

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.

Conquering Burnout: Where the Rubber Meets the Road to Resilience

Posted by Ryan P. Terlecki, MD, FACS | Jul 2019

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.

Bladder Neck Contractures After Prostatectomy

Posted by Ryan P. Terlecki, MD, FACS | Jan 2018

Dr. Ryan P. Terlecki, MD, FACS, discusses bladder neck contractures and the causes behind them, the possible sources of the symptoms, the outcomes of what has been done in the past, and what could potentially work in the future.

Prostate Cancer Survivorship: Value to Patients & Providers