A love for human anatomy is what prompted Dr. James Reynolds to enter medical school to study surgery and urology.
Dr. Reynolds was a member of the University of Utah biology teaching staff, teaching human anatomy; he later taught gross anatomy as part of the laboratory teaching staff at the U of U School of Medicine.
Dr. Reynolds began his career by earning an undergraduate in materials science and engineering at the U, later working as a research engineer. When he discovered an interest in bioengineering, he returned to school to receive a bachelor’s degree in biology. It was a short step to earning his M.D. at the U School of Medicine, where he served as student body president. He also completed his residency in urology and general surgery at the U.
Dr. Reynolds, a board-certified urologist, came to Tanner Clinic in 2003, where he now provides a wide spectrum of general urologic care, which includes the urinary system and the male reproductive system.
Dr. Reynolds and his wife have four children. He lives an active life that takes in his passions of river-rafting and motorcycle riding. He also enjoys kayaking, aquarium keeping, astronomy (using telescopes), golf and messing around with his guitar.
“Two and a half years ago I was sent to Dr. James Reynolds because of a very large kidney stone. Instantly I was made to feel comfortable and concerned about. I have seen him a few times as he follows up to make sure I do not get another stone. He explains all the answers to questions I have. I fully trust him and his delightful staff. I would recommend him in an instant.” – Carolyn on Google, April 2016
“As professional as can be! With the emergency and pain I was in, (Dr. Reynolds) made me feel comfortable. More importantly he was available and followed up a week later to make sure I was OK. He let me contact him whenever I needed with questions or needs. I will definitely refer him with the highest recommendation to anyone who needs his expertise.” — Justin on Vitals.com, Sept. 30, 2013
“Awesome vasectomy doctor (at least as good as it could be). The procedure was painless, literally PAINLESS. I felt good that day but did follow his recommendation of limited activity for a few weeks.” — Vitals.com, Nov. 29, 2012
Benign Prostatic Hyperplasia, or BPH, is a condition in which the prostate enlarges as men get older. Over 70% of men in their 60s have BPH symptoms so it is very common. While BPH is a benign condition and unrelated to prostate cancer, it can greatly affect a man’s quality of life.
The prostate is a male reproductive gland, about the size of a walnut, that produces fluid for semen. The prostate surrounds the urethra, which is the tube that carries urine from the bladder out of the body. As the prostate enlarges, it presses on and blocks the urethra, causing bothersome urinary symptoms such as:
Frequent need to urinate both day and night
Weak or slow urinary stream
A sense that you cannot completely empty your bladder
Difficulty or delay in starting urination
Urgent feeling of needing to urinate
A urinary stream that stops and starts
If you suffer from the above symptoms, you are not alone. BPH is one of the leading reasons for men to visit a urologist.
What is the UroLift® System?
The UroLift® System is a new, minimally invasive approach to treating BPH for patients looking for an alternative to drug therapy or more invasive surgery. The UroLift System is a straightforward procedure that utilizes tiny implants to lift and hold the enlarged prostate tissue out of the way so it no longer blocks the urethra. There is no cutting, heating or removal of prostate tissue.
Clinical data has proven that the UroLift System treatment is safe and effective and can improve BPH symptoms 3 to 4 times greater than with medication. Results have shown durability to two years with no impact to sexual function. The goal is to relieve you of bothersome urinary symptoms so you can get back to your life and resume daily activities.
Most common adverse events reported include hematuria, dysuria, micturition urgency, pelvic pain, and urge incontinence. Most symptoms were mild to moderate in severity and resolved within two to four weeks after the procedure.
What one simple habit will prevent what’s been called the worst pain ever? We’re talking roll-on-the-floor, get-me-to-the-ER type of pain.
Drink up. Yep, that’s it. Drink more fluid. That’s what Dr. James Reynolds calls the main practice to prevent kidney stones.
“Poor fluid intake is the No. 1 cause of kidney stones,” the urologist said.
If you think about the mechanics, it makes sense. The more you drink, the more you urinate and flush out your kidneys. It’s the “concentrated” urine that results in stones.
But if you get a kidney stone, professionals like Dr.Reynolds can guide you through the jungle. First, what causes kidney stones? “That’s the million dollar question,” says Dr. Reynolds.He emphasizes, however, that stones are not caused by too much soda pop. Dr. Reynolds describes as “absolute nonsense” this common belief that dark colas somehow induce kidney stones.
Instead, the many kinds of kidney stones are caused by so many different factors that “it’s a chapter in the urology book that’s about a hundred pages long,” he says.
All share some commonalities, though. The vast majority of kidney stones — 80 percent — include calcium, most often mixed with oxalate, a naturally occurring substance found in plants that binds with the calcium and crystallizes.
The other commonality is pain. And more pain. Regardless of what they’re made of, kidney stones can hurt. A victim of a kidney stone himself, Dr. Reynolds often hears “that it’s the worst kind of pain you can get.” He adds, “I’d have to agree.”
The composition of the stone won’t be determined until it’s extracted and analyzed.
A long, painful journey
First up, an exam by Dr. Reynolds. If a stone is identified, and if it’s small enough, say 5mm or less, he’ll recommend the patient wait for it to pass. Kidney stones proceed from the kidneys through the ureter, a long tube that carries urine to the bladder. The stone has to then make its way through the urethra and into the toilet bowl.
If the stone is too large to make that journey, then surgery is in order. Dr. Reynolds usually begins with what is called extracorporeal shock wave lithotripsy therapy, or ESWT, a procedure that resonates shock waves through the abdomen. The shock waves seek to blast the stone into fragments that are small enough to pass in urine.
This process can also be painful, he said, depending on how the crumbs end up. “Some people are pain free afterwards and pass them quickly. Some people have a lot of pain passing the fragments. It depends on how well they break,” he said. “Our goal is to get it in small enough pieces, but it’s hard to predict.”
The lithotripsy is successful in most cases — about 90 percent, says Dr. Reynolds. But when that doesn’t work, the next step is to go after the stone ureteroscopically — using a scope to inspect the ureter. The stone is broken up with a laser, he said, “unless it’s small enough that we can just pull it out.”
Recovery is usually uncomplicated for this outpatient procedure.
Difficult to overdose on calcium
While there are many factors behind the causes of kidney stones (most involving calcium), your diet is usually not one of them. Don’t worry about taking calcium supplements or drinking a lot of milk.
In fact, said Dr. Reynolds, calcium is sometimes prescribed, an issue that has to do “with the chemistry of calcium oxalate formation.”
Also recommended in some cases is potassium citrate, which helps decrease the acidity of the urine.
Women who “leak,” often when they sneeze, may find that this inconvenience likely falls into one of two types. One can be remedied with surgery, the other cannot.
1. “Urge” incontinence
Urge incontinence is not a result of age, but it can worsen in older women. Often it’s due to issues like multiple sclerosis, Parkinson’s disease or other neurologically caused conditions. Other times, it’s induced because of diseases like diabetes or arteriosclerosis, which create blood-supply problems to the nerves, said Dr. Reynolds.
2. Stress incontinence
This is the type of incontinence that results in leakage when you sneeze. It’s caused by the relaxation of support tissues in the pelvis. This is often related to a condition in women called prolapse, but not always.
Dr. Reynolds says it’s more a function of age (your tissues and muscles age along with you) and bearing children.
This incontinence is correctable with a fairly simple procedure that takes less than an hour in an outpatient setting.
“Women are really happy with it,” says Dr. Reynolds “It’s one of the most satisfying surgeries that I do.”