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Dr. T. Brian Brian Willard, MD

Accepting New Patients
(Dr. Thomas Brian Willard, M.D.)

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Specializes in: Urology (Urinary Tract Disease)
University of North Carolina at Chapel Hill School of Medicine (1998)
Professional interests include: interstitial cystitis, benign prostatic hyperplasia (enlarged prostate), kidney cancer, and more.
222 East Medical Lane Suite 101
West Columbia, SC 29169

Dr. T. Brian Brian Willard, MD is an urologist in West Columbia, SC specializing in urology (urinary tract disease). He graduated from University of North Carolina at Chapel Hill School of Medicine in 1998 and has 26 years of experience. Dr. T. Brian Brian Willard, MD is affiliated with LEXINGTON HEALTH INC.

View Doctor's Full Profile (803) 739-3660

Office Locations

Address:

222 East Medical Lane Suite 101
West Columbia, SC 29169

Address:

3016 Longtown Commons Drive Suite 205
Columbia, SC 29229

Some issues Dr. T. Brian Brian Willard, MD can help you with:

Benign Prostatic Hyperplasia (Enlarged Prostate)

Benign prostatic hyperplasia (BPH) is a noncancerous condition in which the prostate gland becomes enlarged. BPH affects about half of men between the ages of 50 and 60, and approximately 80% of men over 80. As the prostate grows in size, it can press down on the tube where urine flows out of the body (the urethra) and cause urinary problems.

Medication can relieve mild to moderate symptoms of BPH, such as frequent urination, incomplete bladder emptying, a weak urine stream, and straining while urinating. However, other forms of treatment may be more appropriate if an individual has pain with urination, frequent urinary tract infections, or is unable to urinate. The size of the prostate and the severity of their symptoms will determine the type of treatment they need. If the prostate is not very large, doctors will likely recommend a transurethral procedure. This minimally invasive technique involves the insertion of a scope into the urethra. The most common transurethral procedures for BPH are:

  • Transurethral incision of the prostate or TUIP, where the surgeon uses the scope to make small cuts in the area of the prostate that meets the bladder. These cuts will open up the pathway for urine and allow it to flow with more ease.
  • Transurethral needle ablation or TUNA, where needles are inserted through the scope and into the prostate. The needles use radiofrequency waves to destroy excess prostate tissue.
  • Laser prostate ablation, where lasers pass through the scope to melt away the part of the prostate causing urine blockage.
  • Transurethral resection of the prostate or TURP, where the inside of the prostate is trimmed and removed one tiny piece at a time using the scope.

If the prostate is too big for a transurethral procedure, an individual may need a simple prostatectomy, which can be done in one of three ways: laparoscopic, robotic, or open. During a laparoscopic simple prostatectomy, a surgeon makes several small incisions on the belly. Then they insert a long tube with a camera into one of the cuts and surgical instruments into the others. Using the camera to see inside the belly, they carefully removes the enlarged part of the prostate. Robotic simple prostatectomy uses the same techniques as the laparoscopic method, but the surgery is done with the help of a robot. For men with very large prostates, open simple prostatectomy may be the best treatment option. This surgery differs from the other approaches in that it requires a much larger incision.

Most transurethral treatments for BPH, like TUIP, TUNA, and laser prostate ablation, are done in the doctor's office or outpatient surgery center. TURP and simple prostatectomy, however, need to be performed in the hospital and require an average stay of one to three days. Patients should wait a week before doing any strenuous activities after a TUIP, TUNA, or laser prostate ablation, and about four to six weeks after a TURP or simple prostatectomy. Although these treatments improve BPH symptoms for most patients, it is important to be aware of the risks involved, such as urine control issues, tightening of the urethra, and erectile dysfunction.

Kidney Stones

Kidney stones are hard deposits that form in the kidneys, made up of minerals that are normally present in urine. They can vary in size, from as small as a grain of sand to as large as a nickel, occasionally even larger. Sometimes they lodge in the kidney, and sometimes they break free and make their way out through the urinary tract, which can be extremely painful.

Kidney stones can be smooth or jagged and are yellow to brown in color. They are mostly comprised of the minerals calcium, oxalate, and phosphorus. Examining the stones to see what they are made of can show what caused the stone to be formed in the first place. For example, a stone made of mostly calcium, which is the most common type, can happen any time the urine becomes too concentrated due to dehydration or a blockage in the kidney. A uric acid stone forms when acid levels in the urine get too high, usually due to excessive consumption of animal protein such as meat and fish. A struvite stone is a sign of certain infections, and a cystine stone can be due to a genetic disorder that raises the risk of kidney stones.

The most common symptom of kidney stones is pain, either in the back or lower abdomen, or severe pain when urinating. There may also be blood in the urine. Treatment for kidney stones depends on how large the stone is. Very small stones can pass out of the body on their own, and they do not require treatment other than drinking adequate water and taking pain killers. Larger stones need to be broken apart and removed. The main treatment options are:

  • Shock wave lithotripsy, which uses sound wave vibrations to break apart the stone
  • Percutaneous nephrolithotomy, or the use of a very tiny tool (like a wire inserted through the back) to break apart and remove the stone
  • Ureteroscopy, a thin tube inserted through the urethra and bladder to the stone, where tiny tools can grasp the stone and remove

People who have had one kidney stone are at risk of developing another. To reduce this risk, patients are given instructions specific to the type of stone they developed. Generally the instructions will include drinking more water to dilute the urine, but it may also involve lowering sodium intake or eating less meat.

Urinary Tract Infection (UTI)

A urinary tract infection, or UTI, happens when bacteria enter the body through the opening where urine is normally released. The bacteria infect the lining of the urethra and bladder, turning them red and inflamed. This causes pain in the abdomen or pelvic area, a burning sensation during urination, a sense of urgency about going to the bathroom, frequent urination, and urine that smells bad and looks cloudy, or even contains traces of blood. If the urinary tract infection is severe, it may travel all the way to the kidneys, a more serious kind of UTI called pyelonephritis. Patients with this kidney infection might have blood in their urine, feel back pain, and develop a fever.

Urinary tract infections are extremely common: 12% of all men and 40-50% of all women will have a urinary tract infection during their lifetime. They are more common in women because women have shorter urethras, so bacteria have a shorter distance to travel from the outside of the body to the bladder and cause an infection. Some people also have urethras that are an unusual shape or have an obstruction in the urethra that makes getting a UTI more likely. Also, certain chronic illnesses like diabetes weaken the immune system, so any bacteria in the body are more likely to cause an infection.

A urinary tract infection can be diagnosed very quickly by a doctor. A sample of urine can be examined under a microscope for the presence of bacteria or white blood cells. There are also diagnostic strips that can be used to test a urine sample without the need for a microscope. Once a diagnosis is made, treatment is a course of oral antibiotics, and most patients feel better within just a few days. There are some things that patients can do themselves to help reduce the risk of getting a urinary tract infection in the future. Stay well hydrated, wipe from front to back after going to the bathroom, wear breathable cotton undergarments, and don't hold it in when patients feel the urge to go.

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. T. Brian Brian Willard, MD for Medicare patients.

The highest averages for the top procedures that Dr. T. Brian Brian Willard, MD treated as an urologist in West Columbia, SC were lab tests, urologic procedures, blood draw and minimally invasive procedures.

abdominal imaging 57
ablation 31
anorectal procedures 14
biological response modifier (BRM) therapy 50
blood draw 579
cancer surgery 17
catheterization 25
chemotherapy 50
cryotherapy 11
CT scan 43
diagnostic procedures 59
dissection 18
doctor visit 1215
excision 18
foreign body removal 12
hormone therapy 85
hospital care 95
incontinence surgery 26
inpatient care 95
lab tests 1252
laser treatment 25
lithotripsy (stone fragmentation) 26
lymph node procedures 18
minimally invasive procedures 350
minor procedures 68
pelvic imaging 48
pelvic surgery 18
potassium test 103
stent placement (stenting) 33
ultrasound (sonogram) 31
urologic procedures 702

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. T. Brian Brian Willard, MD.

Gender
Male 727
Female 206
Ethnicity
Black / African American 94
Asian / Pacific Islander
Non-Hispanic White 816
Native American / Alaskan Native
Hispanic
Other 5
Age
75 to 84 311
85 and over 100
Less than 65 58
65 to 74 463

Average of Total of Conditions of Medicare patients treated by Dr. T. Brian Brian Willard, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. T. Brian Brian Willard, MD treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension 58
High Cholesterol 49
Stroke 3
Ischemic Heart Disease 33
Depression 13
Chronic Kidney Disease 26
Asthma 5
Osteoporosis 3
Heart Failure 11
Chronic Obstructive Pulmonary Disease 9
Diabetes 25
Atrial Fibrillation 9
Cancer 19
Dementia 6

Education & Training

Dr. T. Brian Brian Willard, MD graduated from University of North Carolina at Chapel Hill School of Medicine in 1998. He has a state license in South Carolina.

Medical School: University of North Carolina at Chapel Hill School of Medicine (1998)

Licensed In: South Carolina

Affiliations & Hospitals

Dr. T. Brian Brian Willard, MD is associated with these hospitals and organizations:

LEXINGTON HEALTH INC

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General Payments

These charts describe general payments received by Dr. T. Brian Brian Willard, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

Payments by Company
Astellas Pharma US Inc $28,669 Myrbetriq
$20,043 		XTANDI
$8,253 		Vesicare
$82
$290
Ferring Pharmaceuticals Inc. $22,068 FIRMAGON
$22,056
$12
Photocure Inc $6,682 Cysview
$6,682
Coloplast Corp $2,834 SPEEDICATH
$893 		FEMALE INCONTINENCE
$840 		PENILE RECONSTRUCTION
$544 		ALTIS
$236 		MALE INCONTINENCE
$115 		Other
$205
Auxilium Pharmaceuticals, Inc. $647 TESTIM
$508 		STENDRA
$57 		TESTOPEL
$49 		XIAFLEX
$33 		ERECAID
$1
Other $5,828 BOTOX
$527 		PROVENGE
$519 		ZYTIGA
$455 		Da Vinci Surgical System
$421 		XGEVA
$316 		Other
$3,590
Types of Payments
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $36,570
Food and Beverage $12,089
Travel and Lodging $9,124
Consulting Fee $6,915
Honoraria $1,400
Other $630

Research Payments

Dr. T. Brian Brian Willard, MD has received 11 research payments totaling $36,268.

Biography

Dr. T. Willard's area of specialization is urology (urinary tract disease). Areas of expertise for Dr. Willard include benign prostatic hyperplasia (enlarged prostate), kidney stones, and urinary tract infection (UTI). Dr. Willard attended medical school at the University of North Carolina at Chapel Hill School of Medicine. He has an open panel in West Columbia, SC according to Doctor.com.

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