David Ralph: Consultant Urologist and Specialist in Sexual Medicine, Harley Street, London

David Ralph is a Consultant Urologist at the Institute of Urology, London. He has a wide interest in all aspects of sexual medicine and leads an active research programme with PhD and MD fellows.

Mr David Ralph has written many chapters on Peyronie’s disease and the surgical and medical management of erectile dysfunction.  He is the biggest implanter of penile prostheses in the UK with two clinical fellowship programmes to teach on this.  Mr Ralph is an accomplished microsurgeon who established and teaches on the Royal College of Surgeons Microsurgery for Andrologists course. In clinical practice his microsurgery skills are of particular benefit to men requiring surgery for fertility problems or vasectomy reversal.

His other main area of interest is phalloplasty or total penile reconstruction whereby an artificial penis is constructed. This is mainly performed following gender reassignment but also for such problems as penile cancer.

David Ralph has previously been President of the British Society for Sexual Medicine (BSSM) and Andrology Section President of the British Association of Urological Surgeons (BAUS). He organised the European Society of Sexual Medicine (ESSM) Congress in London in 2004. He is heavily involved in the patient organizations of the Sexual Dysfunction Association (SDA) in the UK and its European equivalent ESDA.

Urological expertise and treatments offered

Treatment for kidney stones and kidney obstruction 

Kidney stone treatment

• Non-surgical treatment

• Lithotripsy

• Ureterorenoscopy for kidney stones in the ureter

• Ureterorenoscopy for kidney stones in the kidney                                 

• Percutaneous nephrolithotomy (PCNL)
  
  

Kidney obstruction treatment

• Robotic and laparoscopic pyeloplasty

• Endopyelotomy

• Prevention of kidney stones
  
  

Treatment of prostate cancer and other prostate conditions

Men's sexual health

• Treatment of Peyronie’s disease can involve non-surgical or surgical treatment.  Non-surgical treatments such as medication and counselling can be helpful, while surgical treatments include the Nesbit procedure, incision and grafting, and penile prostheses

• Vasectomy reversal
• Treatments for male infertility
  
  

Stress, urge and mixed incontinence treatment

• Acupuncture

• Artificial Urinary Sphincter (AUS)
• Botox injections for the overactive bladder
• Male sling for stress incontinence
• Step-by-step treatment for incontinence
• Sacral neuromodulation
• Tension Free Vaginal Tape – Transobturator Route (TVT-O)
• Urethral bulking agents