Professional background
Pippa Sangster is a consultant urologist at UCLH specialising in andrology. She is the lead for male factor infertility within the reproductive medical unit. She is also a board member for the European Association of Urology’s Andrology section.
She is an honorary associate professor at University College London.
Pippa qualified from Guy's and St Thomas's medical school. She has further degrees in Psychology (BSc) and achieved the gold medal in the Urology MSc.
As well as completing general urological training, she spent three years sub-specialising in andrology at St George's and Guy's hospitals, before carrying out a fellowship at UCLH. She has been a consultant at UCLH since 2017.
Her specialist interest is male factor infertility, particularly in regard to surgical sperm retrieval (microTESE), vasectomy reversal and epididymal reconstruction. UCLH has a very strong fertility preservation service and Pippa runs the male service, with strong interests in spermatogonial stem cell preservation in young men with about to received chemotherapy/radiotherapy. She has built strong links with the reproductive medicine unit, endocrinology, haematology and oncology to ensure the fertility of these patients can be preserved or helped.
In addition to providing surgical care to men requiring penile implants, Peyronie’s disease correction, testicle pathology and endocrine/hormonal stimulation. She runs the multidisciplinary Klinefelter clinic covering the endocrine, psychological and urological needs for boys and men with Klinefelter disease.
Pippa runs the benign andrology fellowship at UCLH, including running the application and interview process and the surgical and educational timetable for the large benign team. She is a lecturer for the MSc in reproductive health and runs several projects with these students.
She is well published and spends much of her time giving talks at an international and national level.
Research interests
- Male infertility
- Male fertility preservation
- General andrology
- Genital microsurgery
- Erectile dysfunction
- Penile prosthesis
- Peyronie's disease
Publications
- Intracavernosal injection of aviptadil and phentolamine for refractory erectile dysfunction. Al-Mitwalli A, Holden F, Di Giovanni A, Gobbo A, Shah M, Chiriaco G, Sangster P, Ralph D, Lee WG.J Sex Med. 2025 May 10;22(5):726-730. doi: 10.1093/jsxmed/qdaf067.
- Pharmacological non-hormonal treatment options for male infertility: a systematic review and network meta-analysis. Al Wattar BH, Rimmer MP, Teh JJ, Mackenzie SC, Ammar OF, Croucher C, Anastasiadis E, Gordon P, Pacey A, McEleny K, Sangster P.BMC Urol. 2024 Jul 29;24(1):158. doi: 10.1186/s12894-024-01545-1.
- Systematic review of bilateral epididymal leiomyomas. Pang KH, Walkden M, Haider A, Sangster P, Alnajjar HM, Muneer A, Lee WG.Ann R Coll Surg Engl. 2025 Jul 24. doi: 10.1308/rcsann.2025.0022. Online ahead of print.PMID: 40702966
- Quality of life outcomes following penile prosthesis insertion in the post-ischaemic priapism setting. Dighero I, Naylor K, Looney A, Holden F, Mount C, Johnson M, Lee WG, Ralph D, Sangster P.Int J Impot Res. 2025 Jul 25. doi: 10.1038/s41443-025-01073-y
- United Kingdom data collection of semen quality in transgender adolescent females seeking fertility preservation. Ralph P, Mahoud M, Schlager D, Lee WG, Wafa R, Williamson E, Butler G, Ralph D, Sangster P.Fertil Steril. 2025 Feb;123(2):313-321
- Imaging findings in suspected penile fracture: alternative diagnoses and surgical correlation. von Stempel C, Kirkham A, Cayetano Alcaraz A, Ralph D, Christopher N, Muneer A, Sangster P, Alnajjar H, Li CY, Walkden M, Allen C, Pendse D, Ramachandran N, Heffernan Ho D, Dickinson L, Hubbard R, Giganti F, Lee WG.Br J Radiol. 2024 Nov 1;97(1163):1850-1855
- Pharmacological non-hormonal treatment options for male infertility: a systematic review and network meta-analysis. Al Wattar BH, Rimmer MP, Teh JJ, Mackenzie SC, Ammar OF, Croucher C, Anastasiadis E, Gordon P, Pacey A, McEleny K, Sangster P.BMC Urol. 2024 Jul 29;24(1):158
- Fertility preservation and realignment in transgender women. Bayar E, Williams NJ, Alghrani A, Murugesu S, Saso S, Bracewell-Milnes T, Thum MY, Nicopoullos J, Sangster P, Yasmin E, Smith JR, Wilkinson S, Pacey A, Jones BP.Hum Fertil (Camb). 2023 Jul;26(3):463-482
- Mitchell, R.T., Lane, S., Sangster, P. (2024). Fertility Preservation in Prepubertal and Adolescent Males Facing Gonadotoxic Therapies: Recent Developments and New Insights. In: Nagy, Z.P., Varghese, A.C., Agarwal, A. (eds) Cryopreservation in Assisted Reproduction. Springer, Cham.
- Klinefelter syndrome: going beyond the diagnosis. Butler G, Srirangalingam U, Faithfull J, Sangster P, Senniappan S, Mitchell R.Arch Dis Child. 2023 Mar;108(3):166-171.
- Urological and Gynaecological Considerations for the Use of Gonadotropin-releasing Hormone Analogues in Transgender and Nonbinary Adolescents: A Narrative Review. Lee WG, Butler G, Carmichael P, Rashid T, Yasmin E, Morley R, Barrett J, Christopher N, Sangster P.Eur Urol Focus. 2023 Jan;9(1):35-41.
- Reproductive outcomes after surgical sperm retrieval in couples with male factor subfertility: a 10-year retrospective national cohort. Lewin J, Lukaszewski T, Sangster P, Williamson E, McEleny K, Al Wattar BH, Yasmin E.Fertil Steril. 2023 Apr;119(4):589-595
- Fertility preservation and realignment in transgender women. Bayar E, Williams NJ, Alghrani A, Murugesu S, Saso S, Bracewell-Milnes T, Thum MY, Nicopoullos J, Sangster P, Yasmin E, Smith JR, Wilkinson S, Pacey A, Jones BP.Hum Fertil (Camb). 2023 Feb 17:1-20.
- Sperm Retrieval: Who Does It Best? Sangster P. Eur Urol. 2022 Oct;82(4):385-386. doi: 10.1016/j.eururo.2022.06.003. Epub 2022 Jun 25
- The importance of the urologist in male oncology fertility preservation. Micol LA, Adenubi F, Williamson E, Lane S, Mitchell RT, Sangster P.BJU Int. 2022 May 10.
- Klinefelter syndrome-Considerations in management during the SARS-CoV-2 pandemic. Sarah Qian 1, Jennie Faithfull 1 2, Philippa Sangster 3, Gary Butler 4 5, Umasuthan Srirangalingam 1 Clin Endocrinol (Oxf) 2021 Jul 26;
- Stimulation of Leydig and Sertoli Cellular Secretory Function by Anti-Oestrogens: Clomiphene. Micol LA, Cakir ÖO, Sangster P, Ralph DJ.Curr Pharm Des. 2021;27(23):2669-2681.
- Tele-handover: Lessons and improvements from a simple change to virtual meeting. Dinneen E, Hubbard R, Reid T, Edison E, Osinibi E, Kasivisvanathan V, Baker H, von Stempel C, Sangster P, Allen C, Heffernan-Ho D, Allen S, Wood D, Ralph D, Smith D.BJU Int. 2021 Jun;127(6):743-745
- Fertility preservation provision in the NHS: a national assessment of care policies.
- Latif S, Martins Da Silva S, Davies M, Mavrelos D, Foo X, Sangster P, Lane S, Yasmin E.Hum Fertil (Camb). 2022 Apr 10:1-6.
- Microdissection TESE (mTESE) following adult orchidopexy for undescended intra-abdominal and inguinal testicles - surgical techniques and outcomes from a single-centre cohort. Sangster P, Alnajjar HM, Ahmed K, Christodoulidou M, Williamson E, Kelly JD, Dawas K, Ralph D, Muneer A.Andrology. 2020 Jan;8(1):166-170
- Stem-cell regenerative medicine as applied to the penis. Pozzi E, Muneer A, Sangster P, Alnajjar HM, Salonia A, Bettocchi C, Castiglione F, Ralph DJ; Trauma, Reconstrctive Urology Working party of the EAU. Cur Opin Urol. 2019 July; 29 (4):443-449
- An analysis of the frequency of Y-chromosome microdeletions and the determination of a threshold sperm concentration for genetic testing in infertile men. Johnson M, Raheem A, De Luca F, Hallerstrom M, Zainal Y, Poselay S, Mohammadi B, Muneer A, Sangster P, Ralph DJ. BJUI 2019, Feb; 123(2):367-372
- Microbubble-enhanced ultrasound to demonstrate urethral transection in a case of penile fracture. Oliver Czarnecki, Conrad Brice von Stempel, Pippa Sangster, Miles Walkden. BMJ Case Reports 2017; doi:10.1136/bcr-2017-220073.
- Peyronie’s disease. Urology news. Kalejaiye, A, Sangster P, Ralph D 2017
- Complications of transperineal template-guided prostate biopsy: A single centre experience in 109 cases. Thomas Cronin, Lorna Neill, Johanne Nelson, Rachel Stewart, Philippa Sangster, Bijan Khoubehi. Surgical Practice, Volume 21, Issue 3, August 2017:103–106
- Biomaterials in urinary incontinence and treatment of their complications, Sangster P & Morley R. Indian Journal Urology. 2010; 26 (2), 221-229
- Assessment of urodynamic and detrusor contractility variables in patients with overactive bladder syndrome treated with botulinum toxin-A: is incomplete bladder emptying predictable?. Sahai A, Sangster P, Kalsi V, Khan MS, Fowler CJ, Dasgupta P. British Journal of Urology. 2009 Mar;103(5):630-4
- Health economics and intradetrusor injections of botulinum for the treatment of detrusor overactivity. Sangster P, Kalsi V. British Journal of Urology, 2008 Jul 25;102 Suppl 1:17-9.
- The Neurogenic bladder. Sangster, P. Urology News, 2006, Jan-Feb
- The use of minilaparoscopy in pelvic oncological surgery. Sangster, P. Ind, T. International Seminars in Surgical Oncology 2006, 3:9