Dr. Terence Chapman
Urologic Oncology
Columbia, SC
28 years experience male
Locations
Columbia Urological Associates
Columbia, SC
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.
SpecialtiesDoctors 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.
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 21-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 years experience
No: There is no evidence that this is effective for the prevention of bladder cancer.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 27-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 years experience
Yes--Highest in RI: See the data at http://www.Cancer.Org/acs/groups/content/@epidemiologysurveilance/documents/document/acspc-036845.Pdf.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 24-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 55-year-old female asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 years experience
Fuhrman grade: The fuhrman grading system is the most widely accepted system of grading kidney cancer. It ranges from 1 to 4, with 1 and 2 considered low grade while... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 32-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 32-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 years experience
Variable: Generally speaking, the single strongest predictor of growth rate of kidney cancer is fuhrman grade. Grade refers to microscopic features of the tumor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 76-year-old male asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 years experience
Treat or observe: Renal carcinoma is a primarily surgical disease. Most patients likely benefit from excision of tumors with the option of partial kidney removal allowi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 27-year-old female asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 years experience
Building blocks: Porphyrins are building block molecules which form part of heme a major component of hemoglobin, the oxygen carrying molecule in blood.
Porphyrins... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 53-year-old male asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 24-year-old male asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 24-year-old male asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 years experience
See answer: Varicocele is thought to raised rom "back pressure" from the central venous system where the pressure is higher, to the testicle via the testicular (o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A female asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 58-year-old male asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 23-year-old male asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 55-year-old female asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 years experience
Not long: In general, observation of 8 cm kidney cancers (renal carcinoma or rcc) is not common, except in extenuating circumstances such as poor health, very o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 39-year-old male asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 years experience
Perhaps: If the treatment is harming quality of life significantly then stopping may be wise. Finasteride can have significant sexual side effects which may pe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 44-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 years experience
Yes: Potassium citrate is a useful drug for prevention of many, if not most types of stone formation. Though there may be different metabolic defects in di... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 years experience
Typically: Specifically, blood in the urine (hematuria) is highly associated with bladder cancer. In early stages it may be only microscopic whereas in some case... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 44-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 years experience
Immune system based: Bcg is a weakened bacteria in the family of germs that causes tuberculosis. In bladder cancer, it is believed that interactions of BCG and molecules i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 years experience
Urodynamics: Urodynamics refers to the process of testing the bladder for its ability to accommodate filling, the pressure at which it does so, symptoms that filli... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 20-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 28-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 years experience
No: I-125 brachytherapy is an effective treatment for low risk and some intermediate risk prostate cancers, but not bladder cancer.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 26-year-old male asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 years experience
Not really: Prostate cancer is rarely evident on cystoscopy unless it is in later stages. Prostate needle biopsy prompted by abnormal psa test and/or abnormal rec... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 39-year-old male asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 23-year-old male asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 31-year-old female asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 years experience
See your doctor: Postpartum fever should be evaluated thoroughly and promptly. It may be a UTI but other causes should be considered as well. Make an appointment asap ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 26-year-old male asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 22-year-old female asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 37-year-old female asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 48-year-old member asked:
Can miniscule amount of precum pass through two layers of cloth if one of the layer is slightly wet?
Dr. Terence Chapmananswered
Urologic Oncology 28 years experience
No: This is highly improbable with respect to risk of impregnation which i assume is the reason for the question.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 41-year-old female asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 19-year-old male asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 36-year-old female asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 27-year-old female asked:
Dr. Terence Chapmananswered
Urologic Oncology 28 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
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
385
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 or tip was very helpful! Thank you doc, this is highly useful information for me.
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
Publications
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