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Dr. Terence Chapman

Urologic Oncology
Columbia, SC
27 years experience male

Locations

Columbia Urological Associates

Columbia, SC

Address

1301 Taylor St, Suite 1A, Columbia, SC
Directions

About

Bio

Dr. Chapman is fellowship trained in urologic oncology, robotic and laparoscopic surgery. He has expertise in the diagnosis and management of urologic cancers (including active surveillance for prostate cancer) as well as extensive experience in stone disease, PSA testing, BPH and general urology. He has performed over 1000 minimally invasive (robotic and laparoscopic) procedures.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Urologic Oncology

Urology

Languages spoken

English

Doctor Q&A

233 Answers
15 Agrees
The number of answers this doctor has agreed with.
A 53-year-old male asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Need a new workup: Clearly this should be considered a recurrence. A complete evaluation (at a cancer center if possible) is in order and a simple physical exam (ie, rec... Read More
A 76-year-old male asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
PSA: Psa is an excellent way to monitor response to most prostate cancer treatments. After surgery, the ideal result would be less than 0.01 ng/dl. After r... Read More
A 47-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
See answer: Stone size predicts chance of spontaneous passage. There is some evidence that Alpha blockers can facilitate passage of ureteral stones close to the b... Read More
A 27-year-old female asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
See a urologist: While this may be inflammatory, the lack of symptoms is concerning. Any bacterial presence should be treated based on a culture and careful followup p... Read More
A 24-year-old male asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Unknown: Varicoceles (swollen spermatic veins) are fairly common. They can be associated with discomfort, shrinkage (or "atrophy") of the testicle on that side... Read More
A 39-year-old male asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Too broad a question: Perhaps read about prostate cancer on wikipedia for a general review. This question is too broad for the scope of this site as only 400 characters are... Read More
A 48-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
No: This is highly improbable with respect to risk of impregnation which i assume is the reason for the question.
A 36-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Depends on age: Laboratories often report a level of 4 as a "normal" cutoff. This is based on the original research on psa. However, most urologists use age adjusted ... Read More
A 21-year-old female asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
See a uro or derm: This is probably normal, but for such issues it may be best to have it examined by a urologist or dermatologist. By description alone it is difficult ... Read More
A 49-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
See your doctor: Congestive heart failure is usually treated with diuretics and other medications tailored to your situation. The advice of your internist oncologist, ... Read More
A 22-year-old female asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Possibly: By "water infection"i assume you mean a "urinary tract infection" or uti. Some utis can involve the kidney and thus facilitate entry of bacteria into ... Read More
A 26-year-old male asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Unlikely: This seems like an extensive amount of pain to attribute to varicocele. While not impossible, it might be wise to look for other causes of this pain.
A 41-year-old female asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Yes: The irritation from the procedure and the stent can cause bleeding. A little blood goes a long way in the urine and is quite normal in these circumst... Read More
A 28-year-old male asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Swollen veins: A varicocele is an enlargement of a network of veins called the pampiniform plexus which is part of the spermatic cord. This can give rise to discomfo... Read More
A 23-year-old male asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Unlikely: Infectious causes for prostate cancer have been postulated, but there is little evidence at this time that sexually transmitted diseases have a direct... Read More
A member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Physical therapy: Specialized treatment called pelvic floor physiotherapy has been shown to be helpful in post-prostatectomy incontinence. Kegel technique can be review... Read More
A 78-year-old male asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
No: Not recommended in general but in special cases it might be reasonable.
A member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
See answer: There has been a slight excess of bladder cancers detected in patients who have taken Actos (pioglitazone) compared to others who do not. This appears... Read More
A female asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
No: There is no evidence that UTI causes cancer in the kidney. It can cause scarring of the kidney and stones in rare cases, but kidney cancer is not asso... Read More
A 58-year-old male asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Yes: By itself, a psa of 0.9 in a 58 year old man implies a very low (but not zero) risk for the development of clinically significant prostate cancer base... Read More
A 25-year-old female asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Uncertain: I am not certain that this question has ever been specifically examined, ie whether cowper's secretions transmit hiv, but safe sex practice implies th... Read More
A 37-year-old female asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Yes: Stone pain can come and go and vary in its severity. The pain can also be sensed in different areas depending on the location of the stone and the per... Read More
A 47-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Not necessarily: Leuprolide is a common form of lhrh agonist which is used in the treatment of prostate cancer. It reduces the hormone testosterone to low levels, kill... Read More
A 33-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Many: The first line of treatment for this is androgen deprivation. In addition, there are medicines which reduce the risk of fractures with Denosumab showi... Read More
A 23-year-old male asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
See answer: Most men with varicocele will be fertile. Some infertile men with varicocele may see improvement in sperm quality with varicocele repair. If you have ... Read More
A 37-year-old female asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Yes sometimes: Ultrasound technology can identify tumors in the bladder, but this is not a common method of detection. The fact that is is visible on ultrasound does... Read More
A 17-year-old male asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Reconsider: My advice would be to avoid such activity.
A 37-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
No: There is no evidence that masturbation improves lower urinary tract symptoms or meaningfully changes the size of the prostate.
A 30-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
None: A wound infection should not affect psa levels significantly.
A 62-year-old male asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
It depends: It matters how this reading fits your prior psa values if any. If it is an isolated reading or even your first ever, then repeating the psa ink the ne... Read More
A 33-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
See answer: Prostate specific antigen (psa) is an enzyme which is secreted by the prostate gland and appears to play a role in the liquefaction of semen. Thus it ... Read More
A 17-year-old male asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
It's ok: That shouldn't be a problem (as long as you are not in public)!
A 32-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
See answer: The development cancer is in most cases a part of the aging process. It has been proposed that dietary factors, eg, high animal fat intake, may play a... Read More
A 36-year-old female asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Yes: This is due to the fact that pressure generated in the bladder during voiding is transmitted through the stent and felt in the kidney as pressure or p... Read More
A 19-year-old male asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
No: You need not worry, but if you have seen significant shrinkage of the testis, repair of the varicocele may be warranted. Seek a second opinion if you ... Read More
A 44-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Yes: It is possible to have symptoms truly attributable to bladder cancer without *seeing* blood in the urine (hematuria), though perhaps more uncommon to ... Read More
A 21-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Possibly: But the odds are dramatically reduced compared to no condom. Warts can appear at the base of the penis where the condom did not cover for example. Ure... Read More
A 28-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
See below: Generally speaking, patients with calcium kidney stones should attempt to increase fluid intake to make a minimum of 2.5 quarts of urine per day, redu... Read More
A 24-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Absolutely: Many stds can cause harmful or life threatening injury to a newborn. For example, chlamydia is the most common cause of blindness in the "third" world... Read More
A 21-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Smokers: Smokers by far are the largest risk group in this country. Other risks groups include aniline dye and tire workers and possibly patients who have rece... Read More
A 21-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Sometimes: The vast majority of kidney cancer cases are not inherited (sporadic). There are a handful of syndromes known to be associated with different types of... Read More
A 20-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
More common in men: In 2012, an estimated 73, 510 cases are predicted, with 55, 600 in men and 17, 910 in women. This represents 7% of new cancers in men and is the fourt... Read More
A 34-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Not likely: If you didn't know you had a bladder infection then you didn't have a bladder infection. In other words you had bacteria in the urine without symptoms... Read More
A 33-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
For early stages: For superficial cancer which does not invade the muscular layer of the bladder, BCG administered in the bladder is superior to chemotherapy drugs admi... Read More
A 36-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
See explanation: Anaplastic is a descriptive term for the microscopic appearance of the tumor which may also be labelled "poorly differentiated". This typically transl... Read More
A 38-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
No: I-125 brachytherapy is an effective treatment for low risk and some intermediate risk prostate cancers, but not bladder cancer.
A 24-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Time of exposure: Most bladder cancers in the usa are likely a result of long term exposure of the urothelial lining of the urinary tract to water soluble toxins (eg, f... Read More
A 27-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
A 33-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
No: There is no evidence that this is effective for the prevention of bladder cancer.
A 35-year-old member asked:
Dr. Terence Chapman
Urologic Oncology 27 years experience
Yes: Fatigue, urinary and bowel symptoms are common with external beam radiation but are typically mild and transient. Urinary symptoms may be more intense... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
384
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Chapman is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Chapman is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
thanks im currently on a clinical trail on a rad001 drug but since it is a clinical trial my concern is how much can my body give
HealthTap member
Thank you, your answer was very helpful! She also had urine in blood & her doc diagnosed as kidney infection
HealthTap member
Thank you, your answer was very helpful! I was yold l have 70/40 percect kidney cancer from a small cyst

Education & Training

Medical/Graduate school

Rush Medical College, IL
Graduated 1995MD

Residency

UNIVERSITY OF VIRGINIA MEDICAL CENTER

Residency

UNIVERSITY OF VIRGINIA MEDICAL CENTER

Awards

Alpha Omega Alpha
Top Urologic Oncologist, First Place, National - Winter
2013
Top Urologic Oncologist, First Place, National - Summer
2013

Affiliations

Society of Urologic Oncology
American Urological Association
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less