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Prof David Ralph
Westmoreland St Hospital
Wimpole St
Tel: 07710280782
Fax: 02074863810
Prof David Ralph profile picture
  • Professor of Urology
  • Department of Targeted Intervention
  • Div of Surgery & Interventional Sci
  • Faculty of Medical Sciences

Mr David Ralph is Consultant Urologist at UCLH and an Honorary Senior Lecturer at UCL,London since 1996. His training included General surgery at St Thomas’s and St Mary’s Hospitals London, and Urology at Leeds and the St Peter’s Hospitals London. He is a Fellow of both the London and Edinburgh surgical colleges and has also obtained a BSc in Biochemistry and an MS in London.

Since appointed in 1996, he has built up the Andrology department at UCLH from a single man unit into a department of six consultants, 6 clinical fellows, MD and PhD students and junior staff. It is now the largest, most prestigious Andrology department in the world with over 50 international observorships per year and the highest number of tertiary referrals in the UK.

His practise is entirely confined to Andrology with the main interests being penile reconstruction, Peyronie’s Disease, Penile cancer, Erectile dysfunction with prosthetic Urology and male infertility. He runs a large multidisciplinary erectile dysfunction service with a European training fellowship for penile prosthesis implantation and is Director of the Erectile Dysfunction Clinical Trials Unit.

He has held many prestigious positions, the most notable including the Chairman of the BAUS section of Andrology, President of the British Society of Sexual Medicine and President of the European Society for Sexual Medicine (ESSM). He is also President of the Sexual Advice Association charity and a specialist advisor to NICE.

He also founded the national penile cancer centre at UCLH, the international training centre for penile prostheses insertion and the major phallic reconstruction unit. It is also the biggest priapism centre in the UK.

He has over 200 peer reviewed publication, 60 chapters and books, 500 international presentations and 500 invited lectures. He has been awarded the Brantley Scott medal in 2016 for recognition of his international contribution to Prosthetic Urology and the British Society For Sexual Medicine Career Award in 2017.

Research Summary

As clinical lead of benign Andrology, I supervise and coordinate all research done in the department.

Both clinical and translational research is performed at various levels to include

PhD, MD, MSc, clinical fellows and medical students I have supervised 16 higher degrees, generated £1.84m in grants and £1.2m from pharmaceutical trials, 5 as principal investigator which has funded this research.

The main areas of research in the lab are Peyronie’s Disease and priapism with collaboration within UCL (Prof Porter), nationally with Anglia Ruskin University (Prof Cellek) and internationally with Leuven University (Prof Albersen). From our translational work we have been internationally recognised for changing the American and European clinical guidelines on priapism.  We also have collaboration within UCL with Oncology (Prof Kelly), and Endocrinology (Prof Conway).

Clinical research is encouraged with many home and international fellows performing retrospective case studies and prospective audits. To date this has produced  218 peer reviewed publications (42 in high impact journals) as well as 60 chapters and books.

Our main areas of interest include prosthetic urology, male infertility, penile reconstruction and all aspects of male sexual dysfunction

Medical students are encouraged to do research with us with many projects via Aca Medics being performed with a recent publication on Fournier’s gangrene being successful.

I also encourage all to present our work at national and international meeting, with 481 presentations so far, 17 of which were awarded prizes. I am on the editorial board of European Urology, Journal of Sexual Medicine and the British Journal of Urology International and frequently peer review articles as a reviewer for other journals. 

As well as being the Chair of the WHO Consultation of Sexual Medicine, I am a special advisor for NICE in the management of Peyronie’s Disease and on the government commissioning panels for penile prosthesis, sperm retrieval and gender dysphoria.

UCL Andrology is at the forefront of research and is internationally recognised for it.

Teaching Summary

At undergraduate level I perform weekly clinical teaching and lecture on the Urology module. I am also a personal tutor to 5 students per year and am an internal and external examiner at MBBS.

At postgraduate level I lead the Andrology teaching at UCLH. Higher surgical trainees rotate through the unit for training in Surgical Andrology to join the 3 surgical fellowships, either from the UK or overseas, that has established UCLH as the main Andrology centre to train UK Andrologists. I am part of the internal departmental teaching programme with weekly seminars and I lecture to the deanery trainees on Andrology subjects. I am also part of the FRSC(Urol) revision course where viva practice is performed.

I teach on the education faculties of the British, European and American Urological societies. The courses have CME accreditation and good student feedback. As president of the European Society for Sexual Medicine (ESSM) I have set up, and teach on, the school of sexual medicine. We now have an exam and certification and are in the final stages of establishing Sexual Medicine as a specialty recognised by the UEMS. I also helped design the national curriculum for Urological training in the UK. I am also on the Andrology guideline panels for BAUS and BSSM .

I have personally organised 43 courses to teach delegates, with the current 2 annual live surgery courses at UCLH attracting over 150 international delegates each. I also run an annual microsurgery workshop to teach Urologists the finer points of infertility reconstruction. I have also performed international live surgical demonstrations 72 times at surgical courses with lively discussion. I have been invited to give 532 lectures worldwide, 8 of which were plenary at the AUA and EAU annual congresses.The most notable lectures were:

Reconstruction of the genital cripple- BAUS guest lecture,                Manchester 2008

Penile reconstruction for micropenis -French Academy of Surgery,  Paris 2011

Modern management of ischaemic priapism-BAUS guest lecture, AUA  San Diego 2014

Management of ischaemic priapism- Plenary session, AUA-            New Orleans 2015

Modern management of Peyronie’s Disease-Plenary session,EAU  Madrid 2015

Presidential lecture- The Absent Penis- Phallic construction in men-ESSM, Madrid 2016

Critical discussion- the transgender patient-Plenary session AUA   Boston 2017

Penile implants in Peyronie’s Disease and priapism. Plenary EAU    London 2017

Academic Background
1996   Master of Surgery London
1988   Fellow Of The Royal College Of Surgeons London
1983   Bachelor of Medicine/Bachelor of Surgery London
1980   Bachelor of Science London
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