Department of Urology

James R. Downey

Clinical Associate Professor




Office Location: Northwest Hospital and Medical Center

I specialize in general urology with an emphasis on men’s health. I believe prevention is as important as treatment of disease. I see my job as providing the guidance, the tools, and a pathway for my patients to achieve the best health possible. I encourage my patients to fully participate in their own well-being.

Dr. Downey is the Chief of Urology at Northwest Hospital and Medical Center, in practice there since 1995. He also practices in the Swedish Hospital system. His major interests in urology include prostate cancer, stones, and men’s sexual health.

Dr. Downey grew up in Boston and earned his bachelor’s degree from the College of the Holy Cross and his M.D. from Tufts University. He did his surgical internship and flight medicine training in San Antonio, TX and then spent 4 years as a Flight Surgeon in the USAF stationed in the U.K. He returned to San Antonio to complete his urology residency. He was appointed chief of urology at Malcolm Grow, MD. After he completed his USAF obligation he moved to Seattle to join a private urology practice. He continued his military career in the Washington Army National Guard, with deployment to Iraq in 2005, until his retirement from the military in 2008 with the rank of Colonel (O6). His private practice, Urology Northwest, P.S., joined the U.W. in 2017.

Dr. Downey’s clinical interests include general urology; prostate cancer and hyperplasia; stones; bladder dysfunction; men’s sexual health.

In his free time, Dr. Downey enjoys boating (he is currently a member of the Seattle and the Olympic Yacht Clubs), gardening, and travel.