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Dr. James Sanford McIntosh, MD

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Specializes in: Urology (Urinary Tract Disease)

Professional interests include: benign prostatic hyperplasia (enlarged prostate), urinary incontinence, kidney cancer, and more.

19001 East 48th Street South
Independence, MO 64055

(816) 836-8831

Dr. James Sanford McIntosh, MD is an urologist in Independence, MO specializing in urology (urinary tract disease). Dr. James Sanford McIntosh, MD is affiliated with ADVANCED UROLOGIC ASSOCIATES INC.

Office Locations

Address:

19001 East 48th Street South
Independence, MO 64055

Address:

110 NE Saint Luke's Boulevard Suite 255
Lee's Summit, MO 64086

Address:

12330 Metcalf Avenue Suite 500A
Overland Park, KS 66213

Some issues Dr. James Sanford McIntosh, 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.

abdominal imaging	58
biological response modifier (BRM) therapy	60
blood draw	215
chemotherapy	60
CT scan	58
diagnostic procedures	11
doctor visit	1023
hospital care	82
inpatient care	82
lab tests	1508
minimally invasive procedures	134
minor procedures	11
pelvic imaging	79
potassium test	39
stent placement (stenting)	10
ultrasound (sonogram)	21
urologic procedures	654

**Gender**
Male	389
Female	166

**Ethnicity**
Non-Hispanic White	530
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	286
From 75 to 84	148
85 and over	70
Less than 65	51

Hypertension	70
High Cholesterol	57
Stroke	5
Ischemic Heart Disease	37
Depression	18
Chronic Kidney Disease	32
Asthma	5
Osteoperosis	6
Atrial Fibrilation	13
Heart Failure	14
Chronic Obstructive Pulmonary Disease	15
Diabetes	33
Dementia	9
Cancer	30

abdominal imaging	37
blood draw	63
CT scan	37
diagnostic procedures	12
doctor visit	834
hospital care	74
inpatient care	74
lab tests	1105
minimally invasive procedures	113
minor procedures	12
pelvic imaging	48
potassium test	24
ultrasound (sonogram)	11
urologic procedures	430

**Gender**
Male	343
Female	142

**Ethnicity**
Non-Hispanic White	460
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	227
From 75 to 84	130
85 and over	70
Less than 65	58

Hypertension	67
High Cholesterol	59
Stroke	8
Ischemic Heart Disease	36
Depression	18
Chronic Kidney Disease	33
Asthma	6
Osteoperosis	6
Atrial Fibrilation	15
Heart Failure	16
Chronic Obstructive Pulmonary Disease	17
Diabetes	33
Dementia	9
Cancer	33

abdominal imaging	30
cancer surgery	18
CT scan	30
diagnostic procedures	16
dissection	19
doctor visit	864
excision	19
hospital care	82
inpatient care	82
lab tests	1150
lymph node procedures	19
minimally invasive procedures	135
minor procedures	16
pelvic imaging	29
pelvic surgery	19
potassium test	34
urologic procedures	438

**Gender**
Male	678
Female	298

**Ethnicity**
Non-Hispanic White	922
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	456
From 75 to 84	288
85 and over	138
Less than 65	94

Hypertension	68
High Cholesterol	63
Stroke	5
Ischemic Heart Disease	38
Depression	20
Chronic Kidney Disease	34
Asthma	12
Osteoperosis	7
Atrial Fibrilation	13
Heart Failure	19
Chronic Obstructive Pulmonary Disease	15
Diabetes	35
Dementia	12
Cancer	33

abdominal imaging	14
blood draw	184
CT scan	14
diagnostic procedures	14
doctor visit	804
hospital care	128
inpatient care	128
lab tests	1079
minimally invasive procedures	95
minor procedures	14
pelvic imaging	13
potassium test	16
urologic procedures	409

**Gender**
Male	384
Female	162

**Ethnicity**
Non-Hispanic White	513
Black	13
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	266
From 75 to 84	163
85 and over	65
Less than 65	52

Hypertension	72
High Cholesterol	58
Stroke	6
Ischemic Heart Disease	40
Depression	20
Chronic Kidney Disease	39
Asthma	18
Osteoperosis	7
Atrial Fibrilation	14
Heart Failure	16
Chronic Obstructive Pulmonary Disease	17
Diabetes	35
Dementia	14
Cancer	28

abdominal imaging	16
blood draw	222
cancer surgery	16
CT scan	16
diagnostic procedures	17
dissection	16
doctor visit	757
excision	16
hospital care	126
inpatient care	126
lab tests	938
laser treatment	11
lithotripsy (stone fragmentation)	11
lymph node procedures	16
minimally invasive procedures	152
minor procedures	17
pelvic imaging	15
pelvic surgery	16
potassium test	17
stent placement (stenting)	10
urologic procedures	411

**Gender**
Male	402
Female	137

**Ethnicity**
Non-Hispanic White	505
Black	16
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	277
From 75 to 84	150
85 and over	65
Less than 65	47

Hypertension	71
High Cholesterol	55
Stroke	4
Ischemic Heart Disease	39
Depression	20
Chronic Kidney Disease	37
Asthma	5
Osteoperosis	5
Atrial Fibrilation	16
Heart Failure	19
Chronic Obstructive Pulmonary Disease	17
Diabetes	33
Dementia	12
Cancer	28

abdominal imaging	10
blood draw	181
cancer surgery	13
CT scan	10
diagnostic procedures	13
dissection	13
doctor visit	768
excision	13
foreign body removal	13
hospital care	93
inpatient care	93
lab tests	917
lymph node procedures	13
minimally invasive procedures	126
minor procedures	13
pelvic imaging	9
pelvic surgery	13
potassium test	20
urologic procedures	383

**Gender**
Male	425
Female	166

**Ethnicity**
Non-Hispanic White	554
Black	17
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	294
From 75 to 84	173
85 and over	74
Less than 65	50

Hypertension	70
High Cholesterol	62
Stroke	5
Ischemic Heart Disease	37
Depression	22
Chronic Kidney Disease	39
Asthma	6
Osteoperosis	6
Atrial Fibrilation	13
Heart Failure	18
Chronic Obstructive Pulmonary Disease	14
Diabetes	32
Dementia	14
Cancer	27

abdominal imaging	17
cancer surgery	11
CT scan	17
diagnostic procedures	19
doctor visit	836
foreign body removal	16
hormone therapy	17
hospital care	90
inpatient care	90
lab tests	910
laser treatment	21
lithotripsy (stone fragmentation)	21
minimally invasive procedures	152
minor procedures	19
pelvic imaging	16
stent placement (stenting)	20
urologic procedures	429

**Gender**
Male	444
Female	135

**Ethnicity**
Non-Hispanic White	543
Black	21
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	283
From 75 to 84	185
85 and over	74
Less than 65	37

Hypertension	72
High Cholesterol	66
Stroke	6
Ischemic Heart Disease	41
Depression	22
Chronic Kidney Disease	40
Asthma	6
Osteoperosis	8
Atrial Fibrilation	11
Heart Failure	15
Chronic Obstructive Pulmonary Disease	15
Diabetes	31
Dementia	11
Cancer	31

abdominal imaging	9
cancer surgery	13
CT scan	9
diagnostic procedures	11
dissection	13
doctor visit	741
excision	13
foreign body removal	19
hormone therapy	20
hospital care	68
inpatient care	68
lab tests	769
laser treatment	15
lithotripsy (stone fragmentation)	15
lymph node procedures	13
minimally invasive procedures	177
minor procedures	11
pelvic imaging	8
pelvic surgery	13
stent placement (stenting)	29
urologic procedures	394

**Gender**
Male	445
Female	140

**Ethnicity**
Non-Hispanic White	543
Black	23
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	296
From 75 to 84	188
85 and over	62
Less than 65	39

Hypertension	71
High Cholesterol	62
Stroke	4
Ischemic Heart Disease	45
Depression	22
Chronic Kidney Disease	44
Asthma	5
Osteoperosis	5
Atrial Fibrilation	13
Heart Failure	16
Chronic Obstructive Pulmonary Disease	14
Diabetes	34
Dementia	11
Cancer	30

cancer surgery	40
diagnostic procedures	30
dissection	36
doctor visit	1377
excision	36
foreign body removal	34
hormone therapy	21
hospital care	23
inpatient care	23
lab tests	1413
laser treatment	29
lithotripsy (stone fragmentation)	29
lymph node procedures	36
minimally invasive procedures	331
minor procedures	30
pelvic surgery	36
potassium test	12
stent placement (stenting)	54
urologic procedures	752

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. James Sanford McIntosh, MD for Medicare patients.

The highest averages for the top procedures that Dr. James Sanford McIntosh, MD treated as an urologist in Independence, MO were lab tests, urologic procedures, blood draw and minimally invasive procedures.

abdominal imaging	24
biological response modifier (BRM) therapy	60
blood draw	173
cancer surgery	18
chemotherapy	60
CT scan	24
diagnostic procedures	15
dissection	19
doctor visit	891
excision	19
foreign body removal	20
hormone therapy	19
hospital care	85
inpatient care	85
lab tests	1088
laser treatment	19
lithotripsy (stone fragmentation)	19
lymph node procedures	19
minimally invasive procedures	159
minor procedures	15
pelvic imaging	28
pelvic surgery	19
potassium test	23
stent placement (stenting)	25
ultrasound (sonogram)	16
urologic procedures	481

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. James Sanford McIntosh, MD.

**Gender**
Male	351
Female	134

**Ethnicity**
Black / African American	9
Asian / Pacific Islander	0
Non-Hispanic White	457
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	142
85 and over	61
Less than 65	42
65 to 74	238

Average of Total of Conditions of Medicare patients treated by Dr. James Sanford McIntosh, MD From 2013 - 2021

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

Hypertension	56
High Cholesterol	48
Stroke	4
Ischemic Heart Disease	31
Depression	16
Chronic Kidney Disease	29
Asthma	6
Osteoporosis	5
Heart Failure	13
Chronic Obstructive Pulmonary Disease	12
Diabetes	26
Atrial Fibrillation	10
Cancer	24
Dementia	9

Education & Training

He has a state license in Kansas.

Licensed In: Kansas

Affiliations & Hospitals

Dr. James Sanford McIntosh, MD is associated with these hospitals and organizations:

ADVANCED UROLOGIC ASSOCIATES INC

Ratings & Reviews

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General Payments

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

**Payments by Company**
NxThera, Inc.	$980 Rezum $872	$108
NeoTract Inc.	$36 Urolift $36
Takeda Pharmaceuticals U.S.A., Inc.	$23 Uloric $13	AMITIZA $10
Pfizer Inc.	$15 XTANDI $15
Novo Nordisk Inc	$13 $13

**Types of Payments**
Gift	$861
Food and Beverage	$191
Education	$15

Biography

Dr. James McIntosh is a physician who specializes in urology (urinary tract disease). These areas are among his clinical interests: bladder cancer, benign prostatic hyperplasia (enlarged prostate), and kidney stones. He has an open panel in Independence, MO according to Doctor.com.