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Dr. John Robert Case, MD

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Specializes in: Urology (Urinary Tract Disease)

Tulane University School of Medicine

Professional interests include: urinary tract infection (UTI), male infertility, prostate cancer, and more.

18915 Meisner Drive
San Antonio, TX 78258

(210) 499-5158

Dr. John Robert Case, MD is an urologist in Boerne, TX specializing in urology (urinary tract disease). He graduated from Tulane University School of Medicine. Dr. John Robert Case, MD is affiliated with CHRISTUS Health, Baptist Health System, Urology San Antonio, Baptist Hospital and UROLOGY SAN ANTONIO PA.

Office Locations

Address:

134 Menger Springs Road Suite 1210
Boerne, TX 78006

Address:

18915 Meisner Drive
San Antonio, TX 78258

Address:

255 East Sonterra Boulevard Suite 203
San Antonio, TX 78258

Some issues Dr. John Robert Case, MD can help you with:

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.

Laparoscopic Surgery

Laparoscopic surgery is a kind of minimally invasive surgery using a thin, narrow tube called a laparoscope. Usually performed on the abdomen or the pelvic region, the surgeon makes a few very small incisions instead of one large one.

During the procedure, the surgeon inserts the laparoscope, which contains a light and camera that allows the surgeon to see what is happening inside the body. Then tiny tools are placed through the small openings and used to perform the surgery.

The most common laparoscopic surgery is gallbladder removal, but laparoscopic surgery may also be used for the removal of a kidney or appendix, to treat certain cysts and tumors, for bariatric surgery, for some GERD treatments, or for hernia repairs, among others.

Because laparoscopic surgery only uses a few tiny incisions, the scars are minimal and recovery is easier than with open surgery.

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.

In The News

“San Antonio urologists Dr. LeRoy Jones and Dr. John Case are seeing patients at the site.”—"Men's-only urology clinic opens in San Antonio", My San Antonio, June 2013

“Dr. Samuel Hakim and his Urology San Antonio colleagues Drs. John R. Case and LeRoy A. Jones perform traditional and fibrin glue vasectomy reversals.”—"New modified vasectomy reversal now more affordable", My San Antonio, July 2011

abdominal imaging	13
ablation	10
blood draw	758
catheterization	22
diagnostic procedures	64
doctor visit	1248
hospital care	37
inpatient care	37
lab tests	2493
laser treatment	20
lithotripsy (stone fragmentation)	10
minimally invasive procedures	216
minor procedures	63
potassium test	13
stent placement (stenting)	28
ultrasound (sonogram)	15
urologic procedures	1020

**Gender**
Male	744
Female	137

**Ethnicity**
Non-Hispanic White	748
Black	25
Hispanic	88
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	434
From 75 to 84	312
85 and over	91
Less than 65	44

Hypertension	68
High Cholesterol	66
Stroke	5
Ischemic Heart Disease	44
Depression	12
Chronic Kidney Disease	25
Asthma	5
Osteoperosis	4
Atrial Fibrilation	10
Heart Failure	13
Chronic Obstructive Pulmonary Disease	9
Diabetes	29
Dementia	11
Cancer	23

abdominal imaging	28
blood draw	538
CT scan	9
diagnostic procedures	33
doctor visit	1145
hormone therapy	42
hospital care	42
inpatient care	42
lab tests	1807
minimally invasive procedures	131
minor procedures	75
pelvic imaging	9
stent placement (stenting)	12
ultrasound (sonogram)	19
urologic procedures	853

**Gender**
Male	749
Female	113

**Ethnicity**
Non-Hispanic White	717
Black	29
Hispanic	95
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	417
From 75 to 84	304
85 and over	96
Less than 65	45

Hypertension	69
High Cholesterol	68
Stroke	4
Ischemic Heart Disease	45
Depression	12
Chronic Kidney Disease	26
Asthma	5
Osteoperosis	5
Atrial Fibrilation	12
Heart Failure	12
Chronic Obstructive Pulmonary Disease	10
Diabetes	26
Dementia	12
Cancer	23

abdominal imaging	29
blood draw	487
diagnostic procedures	35
doctor visit	983
hormone therapy	62
hospital care	38
inpatient care	38
lab tests	1984
minimally invasive procedures	127
minor procedures	97
stent placement (stenting)	13
ultrasound (sonogram)	31
urologic procedures	689

**Gender**
Male	1476
Female	192

**Ethnicity**
Non-Hispanic White	1398
Black	44
Hispanic	180
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	818
From 75 to 84	584
85 and over	182
Less than 65	84

Hypertension	69
High Cholesterol	70
Stroke	4
Ischemic Heart Disease	45
Depression	12
Chronic Kidney Disease	28
Asthma	9
Osteoperosis	4
Atrial Fibrilation	12
Heart Failure	13
Chronic Obstructive Pulmonary Disease	9
Diabetes	28
Dementia	11
Cancer	21

abdominal imaging	8
blood draw	583
CT scan	9
diagnostic procedures	45
doctor visit	955
hormone therapy	83
lab tests	2009
minimally invasive procedures	127
minor procedures	128
pelvic imaging	9
stent placement (stenting)	11
urologic procedures	636

**Gender**
Male	765
Female	79

**Ethnicity**
Non-Hispanic White	690
Black	29
Hispanic	99
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	423
From 75 to 84	304
85 and over	89
Less than 65	28

Hypertension	67
High Cholesterol	66
Stroke	4
Ischemic Heart Disease	46
Depression	9
Chronic Kidney Disease	28
Asthma	11
Osteoperosis	3
Atrial Fibrilation	12
Heart Failure	11
Chronic Obstructive Pulmonary Disease	9
Diabetes	28
Dementia	10
Cancer	22

abdominal imaging	65
blood draw	584
CT scan	51
diagnostic procedures	24
doctor visit	966
hormone therapy	112
hospital care	11
inpatient care	11
lab tests	2212
laser treatment	11
lithotripsy (stone fragmentation)	12
minimally invasive procedures	148
minor procedures	136
pelvic imaging	51
stent placement (stenting)	25
ultrasound (sonogram)	14
urologic procedures	814

**Gender**
Male	773
Female	98

**Ethnicity**
Non-Hispanic White	727
Black	0
Hispanic	91
Asian	0
Other	27
Native American	0

**Age**
From 65 to 74	441
From 75 to 84	313
85 and over	94
Less than 65	23

Hypertension	69
High Cholesterol	60
Stroke	6
Ischemic Heart Disease	44
Depression	13
Chronic Kidney Disease	31
Asthma	5
Osteoperosis	4
Atrial Fibrilation	12
Heart Failure	12
Chronic Obstructive Pulmonary Disease	9
Diabetes	28
Dementia	9
Cancer	22

abdominal imaging	26
blood draw	641
CT scan	27
diagnostic procedures	36
doctor visit	957
hormone therapy	127
hospital care	12
inpatient care	12
lab tests	2433
minimally invasive procedures	130
minor procedures	163
pelvic imaging	27
stent placement (stenting)	13
urologic procedures	936

**Gender**
Male	819
Female	96

**Ethnicity**
Non-Hispanic White	748
Black	0
Hispanic	97
Asian	0
Other	33
Native American	0

**Age**
From 65 to 74	475
From 75 to 84	327
85 and over	82
Less than 65	31

Hypertension	69
High Cholesterol	70
Stroke	4
Ischemic Heart Disease	43
Depression	12
Chronic Kidney Disease	32
Asthma	6
Osteoperosis	4
Atrial Fibrilation	13
Heart Failure	11
Chronic Obstructive Pulmonary Disease	7
Diabetes	25
Dementia	9
Cancer	23

abdominal imaging	46
ablation	14
blood draw	234
chronic care	259
CT scan	47
diagnostic procedures	27
doctor visit	1095
hormone therapy	152
lab tests	3007
laser treatment	12
minimally invasive procedures	141
minor procedures	179
pelvic imaging	47
stent placement (stenting)	11
urologic procedures	978

**Gender**
Male	908
Female	90

**Ethnicity**
Non-Hispanic White	825
Black	0
Hispanic	100
Asian	0
Other	42
Native American	0

**Age**
From 65 to 74	485
From 75 to 84	391
85 and over	87
Less than 65	35

Hypertension	69
High Cholesterol	71
Stroke	4
Ischemic Heart Disease	44
Depression	14
Chronic Kidney Disease	33
Asthma	6
Osteoperosis	4
Atrial Fibrilation	14
Heart Failure	12
Chronic Obstructive Pulmonary Disease	7
Diabetes	26
Dementia	9
Cancer	22

abdominal imaging	44
blood draw	559
chronic care	284
CT scan	45
diagnostic procedures	14
doctor visit	1083
hormone therapy	124
lab tests	2901
minimally invasive procedures	99
minor procedures	138
pelvic imaging	45
urologic procedures	710

**Gender**
Male	936
Female	78

**Ethnicity**
Non-Hispanic White	851
Black	0
Hispanic	96
Asian	0
Other	37
Native American	0

**Age**
From 65 to 74	504
From 75 to 84	377
85 and over	104
Less than 65	29

Hypertension	69
High Cholesterol	73
Stroke	4
Ischemic Heart Disease	43
Depression	11
Chronic Kidney Disease	34
Asthma	6
Osteoperosis	3
Atrial Fibrilation	12
Heart Failure	13
Chronic Obstructive Pulmonary Disease	7
Diabetes	26
Dementia	9
Cancer	26

abdominal imaging	80
ablation	16
blood draw	349
chronic care	1177
CT scan	81
diagnostic procedures	13
doctor visit	2154
hormone therapy	246
lab tests	5558
laser treatment	14
minimally invasive procedures	193
minor procedures	259
pelvic imaging	81
urologic procedures	1097

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. John Robert Case, MD for Medicare patients.

The highest averages for the top procedures that Dr. John Robert Case, MD treated as an urologist in Boerne, TX were lab tests, urologic procedures, chronic care and blood draw.

abdominal imaging	38
ablation	13
blood draw	525
catheterization	22
chronic care	573
CT scan	38
diagnostic procedures	32
doctor visit	1178
hormone therapy	118
hospital care	28
inpatient care	28
lab tests	2714
laser treatment	16
lithotripsy (stone fragmentation)	12
minimally invasive procedures	148
minor procedures	137
pelvic imaging	38
potassium test	13
stent placement (stenting)	17
ultrasound (sonogram)	19
urologic procedures	863

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. John Robert Case, MD.

**Gender**
Female	88
Male	717

**Ethnicity**
Black / African American	12
Asian / Pacific Islander	0
Non-Hispanic White	670
Native American / Alaskan Native	0
Hispanic	84
Other	13

**Age**
85 and over	82
75 to 84	291
Less than 65	31
65 to 74	399

Average of Total of Conditions of Medicare patients treated by Dr. John Robert Case, MD From 2013 - 2021

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

Hypertension	54
High Cholesterol	54
Stroke	3
Ischemic Heart Disease	35
Depression	9
Chronic Kidney Disease	23
Asthma	5
Osteoporosis	3
Heart Failure	9
Chronic Obstructive Pulmonary Disease	6
Diabetes	21
Atrial Fibrillation	9
Cancer	18
Dementia	8

Education & Training

Dr. John Robert Case, MD graduated from Tulane University School of Medicine. He completed residency at Northwestern University Affiliated Hospitals. He is certified by the American Board of Urology and has a state license in Texas.

Medical School: Tulane University School of Medicine

Residency: Northwestern University Affiliated Hospitals

Board Certification: American Board of Urology

Licensed In: Texas

Affiliations & Hospitals

Dr. John Robert Case, MD is associated with these hospitals and organizations:

CHRISTUS Health

Baptist Health System

Urology San Antonio

Baptist Hospital

UROLOGY SAN ANTONIO PA

Ratings & Reviews

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General Payments

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

**Payments by Company**
Astellas Pharma US Inc	$1,206 Vesicare $464	Myrbetriq $429	XTANDI $212	Veozah $19	$82
Endo Pharmaceuticals Inc.	$902 XIAFLEX $368	FORTESTA $251	Aveed $226	VALSTAR $36	EDEX $12	Other $9
Auxilium Pharmaceuticals, Inc.	$866 TESTIM $548	STENDRA $243	XIAFLEX $44	TESTOPEL $30
Janssen Biotech, Inc.	$831 ZYTIGA $605	Erleada $171	IMBRUVICA $37	DARZALEX $18
AbbVie, Inc.	$616 Androgel $377	Lupron $194	Lupron Depot $46
Other	$3,668 XTANDI $472	XGEVA $265	Xofigo $242	TOVIAZ $231	PROVENGE $210	Other $2,248

**Types of Payments**
Food and Beverage	$7,788
Education	$301

Ownership and Interest Payments

This table describes ownership payments received by Dr. John Robert Case, MD.

UroGPO LLC	2020	$84,936.38	Physician Covered Recipient	Common Stock
UroGPO LLC	2017	$79,961.50	Physician Covered Recipient	Common Stock
SN Holdings, LLC	2023	$73,894.61	Physician Covered Recipient	Common Stock
UroGPO LLC	2019	$37,124.34	Physician Covered Recipient	Common Stock
SN Holdings, LLC	2022	$35,673.26	Physician Covered Recipient	Common Stock
UroGPO LLC	2018	$34,083.98	Physician Covered Recipient	Common Stock
SN Holdings, LLC	2021	$33,125.17	Physician Covered Recipient	Common Stock
UroGPO LLC	2016	$3,729.00	Physician Covered Recipient	Common Stock
UroGPO LLC	2014	$2,000.00	Physician Covered Recipient	Common Stock
UroGPO LLC	2015	$2,000.00	Physician Covered Recipient	Common Stock
UroGPO LLC	2013	$0.00	Physician Covered Recipient	Common Stock

Biography

Dr. John Case is a specialist in urology (urinary tract disease) in San Antonio, TX. Before completing his residency at a hospital affiliated with Northwestern University, Dr. Case attended medical school at Tulane University School of Medicine. He has indicated that his clinical interests include kidney stones, cystoscopy, and urinary tract infection (UTI). Dr. Case (or staff) speaks Spanish and German. He is affiliated with Urology San Antonio, CHRISTUS Health, and Baptist Health System.

Select Year:

Dr. John Robert Case, MD

Office Locations

Some issues Dr. John Robert Case, MD can help you with:

In The News

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. John Robert Case, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. John Robert Case, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. John Robert Case, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. John Robert Case, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. John Robert Case, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. John Robert Case, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. John Robert Case, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. John Robert Case, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2013 - 2021

Average Medicare Patient Data From 2013 - 2021

Average of Total of Conditions of Medicare patients treated by Dr. John Robert Case, MD From 2013 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Ownership and Interest Payments

Biography

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