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Dr. Paul Makela I, MD

Accepting New Patients

(140 Ratings)

Specializes in: Urogynecology

Wayne State University School of Medicine

Professional interests include: gynecological problems, urogynecological problems, reconstructive surgery, and more.

32932 Warren Road Suite 100
Westland, MI 48185

(734) 743-4500

Dr. Paul Makela I, MD is an urogynecologist in Livonia, MI specializing in urogynecology. He graduated from Wayne State University School of Medicine. Dr. Paul Makela I, MD is affiliated with Trinity Health, Trinity Health IHA Medical Group, IHA OLMA SPECIALTY 1 LLC and Trinity Health Livonia Hospital.

Office Locations

Address:

19000 St. Joe's Parkway Suite 210
Livonia, MI 48152

Address:

3011 W Grand Boulevard Suite 550
Detroit, MI 48202

Address:

32932 Warren Road Suite 100
Westland, MI 48185

Some issues Dr. Paul Makela I, MD can help you with:

Pelvic Organ Prolapse

Pelvic organ prolapse is the bulging of pelvic organs into the vaginal canal due to a weak pelvic floor, causing symptoms like discomfort, pain, urinary problems, and constipation. The pelvic floor is a group of muscles that support the pelvic organs, which are made up of the bladder, rectum, small bowel, uterus, and vagina. Vaginal childbirth, menopause, pelvic surgery, radiation treatments, or being extremely overweight may cause the pelvic floor to weaken. Pelvic organ prolapse is a very common disorder among women, particularly for those who are over 50.

The choice of treatment for pelvic organ prolapse depends on the severity of the condition. Mild to moderate prolapse may be managed by doing pelvic floor strengthening exercises, taking hormone replacement therapy, or using pessaries. Pessaries are small devices inserted into the vagina to help support the pelvic organs. Pessary fitting is a quick procedure done in a doctor's office. For severe prolapse, surgical treatment may be necessary. Pelvic organ prolapse surgery repairs the following:

Cystocele or bladder prolapse, where the bladder sags into the vagina. The surgeon repairs a cystocele by strengthening the front wall of the vagina using stitches so that the bladder will no longer sag.
Enterocele or small bowel prolapse, which occurs when the small bowel descends towards the vagina. To correct an enterocele, the tissues between the small bowel and the vagina are sewn together, allowing them to provide more support.
Rectocele or posterior prolapse, which is the bulging of the front wall of the rectum into the back wall of the vagina. Surgery to repair a rectocele removes the excess stretched tissue between the rectum and vagina.
Uterine prolapse, which occurs when the uterus slips down to the vagina. To treat a uterine prolapse, the surgeon may secure the neck of the uterus (called cervix) to a ligament in the pelvis using stitches. Another option for this type of prolapse is a vaginal hysterectomy, which is the removal of the uterus.

Each of these procedures is performed through a vaginal incision, but an enterocele repair may use the abdominal approach as an alternative. If two or more pelvic organs have prolapsed, a combination of any of these procedures may be performed during the same surgical session.

For women who no longer wish to have intercourse, an operation called colpocleisis

may be a surgical option as well. By closing the vaginal canal, colpocleisis treats pelvic organ prolapse and eliminates any risk of its recurrence.

In most instances, pelvic organ prolapse surgery only requires a hospital stay of one day. Patients may experience vaginal bleeding for the first few weeks following surgery. If this happens, patients should use sanitary pads rather than tampons, as a higher risk of infection is associated with the use of tampons. To further help with recovery, patients should begin doing gentle pelvic floor strengthening exercises a few days after surgery. Doing these exercises at least three times a day as a routine tightens the pelvic floor muscles and prevents the recurrence of prolapse.

anorectal procedures	54
diagnostic procedures	55
doctor visit	272
incontinence surgery	24
minimally invasive procedures	13
pelvic imaging	31
pelvic surgery	26
reconstructive surgery	26
ultrasound (sonogram)	31
urologic procedures	209
women's imaging	21

**Gender**
Male	0
Female	112

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

**Age**
From 65 to 74	36
From 75 to 84	32
85 and over	25
Less than 65	19

Hypertension	69
High Cholesterol	56
Stroke	0
Ischemic Heart Disease	28
Depression	26
Chronic Kidney Disease	20
Asthma	13
Osteoperosis	10
Atrial Fibrilation	0
Heart Failure	17
Chronic Obstructive Pulmonary Disease	17
Diabetes	30
Dementia	15
Cancer	0

anorectal procedures	63
diagnostic procedures	53
doctor visit	216
gastrointestinal procedures	10
gynecologic procedures	12
incontinence surgery	18
minimally invasive procedures	58
pelvic imaging	29
pelvic surgery	40
reconstructive surgery	40
ultrasound (sonogram)	29
urologic procedures	206
women's imaging	18

**Gender**
Male	0
Female	107

**Ethnicity**
Non-Hispanic White	89
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	31
From 75 to 84	39
85 and over	21
Less than 65	16

Hypertension	75
High Cholesterol	71
Stroke	0
Ischemic Heart Disease	36
Depression	36
Chronic Kidney Disease	16
Asthma	0
Osteoperosis	11
Atrial Fibrilation	0
Heart Failure	21
Chronic Obstructive Pulmonary Disease	0
Diabetes	28
Dementia	20
Cancer	0

anorectal procedures	40
breast exam	10
diagnostic procedures	29
doctor visit	289
gastrointestinal procedures	11
gynecologic procedures	9
incontinence surgery	15
lab tests	27
minimally invasive procedures	54
pelvic imaging	9
pelvic surgery	39
reconstructive surgery	39
ultrasound (sonogram)	9
urologic procedures	169
women's imaging	10

**Gender**
Male	0
Female	306

**Ethnicity**
Non-Hispanic White	262
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	110
From 75 to 84	92
85 and over	58
Less than 65	46

Hypertension	70
High Cholesterol	67
Stroke	0
Ischemic Heart Disease	41
Depression	32
Chronic Kidney Disease	22
Asthma	19
Osteoperosis	8
Atrial Fibrilation	12
Heart Failure	23
Chronic Obstructive Pulmonary Disease	16
Diabetes	33
Dementia	16
Cancer	10

anorectal procedures	56
breast exam	11
diagnostic procedures	40
doctor visit	316
gastrointestinal procedures	16
gynecologic procedures	21
incontinence surgery	24
lab tests	17
minimally invasive procedures	66
pelvic imaging	38
pelvic surgery	59
placement of vaginal support device	16
reconstructive surgery	59
ultrasound (sonogram)	38
urologic procedures	222
women's imaging	21

**Gender**
Male	0
Female	144

**Ethnicity**
Non-Hispanic White	128
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	52
From 75 to 84	44
85 and over	26
Less than 65	22

Hypertension	68
High Cholesterol	60
Stroke	8
Ischemic Heart Disease	38
Depression	35
Chronic Kidney Disease	22
Asthma	17
Osteoperosis	10
Atrial Fibrilation	8
Heart Failure	20
Chronic Obstructive Pulmonary Disease	13
Diabetes	34
Dementia	13
Cancer	8

anorectal procedures	24
diagnostic procedures	25
doctor visit	248
incontinence surgery	12
minimally invasive procedures	27
pelvic imaging	9
pelvic surgery	7
reconstructive surgery	7
ultrasound (sonogram)	9
urologic procedures	132
women's imaging	10

**Gender**
Male	0
Female	139

**Ethnicity**
Non-Hispanic White	122
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	35
From 75 to 84	42
85 and over	31
Less than 65	31

Hypertension	68
High Cholesterol	45
Stroke	0
Ischemic Heart Disease	35
Depression	32
Chronic Kidney Disease	29
Asthma	13
Osteoperosis	14
Atrial Fibrilation	10
Heart Failure	20
Chronic Obstructive Pulmonary Disease	15
Diabetes	35
Dementia	12
Cancer	0

anorectal procedures	60
breast exam	21
cytology	11
diagnostic procedures	35
doctor visit	319
gastrointestinal procedures	25
gynecologic pathology	11
gynecologic procedures	31
incontinence surgery	24
lab tests	14
minimally invasive procedures	77
pelvic imaging	47
pelvic surgery	73
preventive care	11
reconstructive surgery	73
ultrasound (sonogram)	47
urologic procedures	233
women's imaging	25

**Gender**
Male	0
Female	153

**Ethnicity**
Non-Hispanic White	134
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	53
From 75 to 84	53
85 and over	21
Less than 65	26

Hypertension	69
High Cholesterol	56
Stroke	0
Ischemic Heart Disease	38
Depression	41
Chronic Kidney Disease	27
Asthma	10
Osteoperosis	12
Atrial Fibrilation	8
Heart Failure	22
Chronic Obstructive Pulmonary Disease	18
Diabetes	30
Dementia	12
Cancer	0

anorectal procedures	54
diagnostic procedures	34
doctor visit	263
gastrointestinal procedures	20
incontinence surgery	20
lab tests	22
minimally invasive procedures	58
pelvic imaging	32
pelvic surgery	59
reconstructive surgery	59
ultrasound (sonogram)	32
urologic procedures	207
women's imaging	19

**Gender**
Male	0
Female	148

**Ethnicity**
Non-Hispanic White	128
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	59
From 75 to 84	41
85 and over	25
Less than 65	23

Hypertension	70
High Cholesterol	63
Stroke	0
Ischemic Heart Disease	36
Depression	43
Chronic Kidney Disease	34
Asthma	11
Osteoperosis	13
Atrial Fibrilation	0
Heart Failure	16
Chronic Obstructive Pulmonary Disease	17
Diabetes	33
Dementia	9
Cancer	8

anorectal procedures	28
breast exam	19
diagnostic procedures	18
doctor visit	177
gastrointestinal procedures	10
gynecologic procedures	18
minimally invasive procedures	24
pelvic surgery	18
reconstructive surgery	18
urologic procedures	90

**Gender**
Male	0
Female	122

**Age**
From 65 to 74	48
From 75 to 84	46
85 and over	12
Less than 65	16

Hypertension	70
High Cholesterol	66
Stroke	0
Ischemic Heart Disease	39
Depression	40
Chronic Kidney Disease	26
Asthma	12
Osteoperosis	22
Atrial Fibrilation	0
Heart Failure	16
Chronic Obstructive Pulmonary Disease	20
Diabetes	29
Dementia	13
Cancer	12

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Paul Makela I, MD for Medicare patients.

The highest averages for the top procedures that Dr. Paul Makela I, MD treated as an urogynecologist in Livonia, MI were urologic procedures, minimally invasive procedures, anorectal procedures and pelvic surgery.

anorectal procedures	47
breast exam	15
cytology	11
diagnostic procedures	37
doctor visit	287
gastrointestinal procedures	15
gynecologic pathology	11
gynecologic procedures	18
incontinence surgery	18
lab tests	20
minimally invasive procedures	50
pelvic imaging	32
pelvic surgery	40
preventive care	11
reconstructive surgery	40
ultrasound (sonogram)	32
urologic procedures	191
women's imaging	19

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Paul Makela I, MD.

**Gender**
Female	123
Male	0

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	95
Hispanic	0
Native American / Alaskan Native	0
Other	0

**Age**
85 and over	21
75 to 84	38
Less than 65	19
65 to 74	42

Average of Total of Conditions of Medicare patients treated by Dr. Paul Makela I, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Paul Makela I, MD treated were hypertension, high cholesterol, ischemic heart disease and depression.

Hypertension	55
High Cholesterol	48
Stroke	0
Ischemic Heart Disease	29
Depression	28
Chronic Kidney Disease	19
Asthma	9
Osteoporosis	10
Heart Failure	15
Chronic Obstructive Pulmonary Disease	11
Diabetes	25
Atrial Fibrillation	3
Dementia	11
Cancer	3

Education & Training

Dr. Paul Makela I, MD graduated from Wayne State University School of Medicine. He completed residency at DMC Hutzel Women's Hospital. He is certified by the American Board of Obstetrics and Gynecology and has a state license in Michigan.

Medical School: Wayne State University School of Medicine

Residency: DMC Hutzel Women's Hospital

Board Certification: American Board of Obstetrics and Gynecology

Licensed In: Michigan

Affiliations & Hospitals

Dr. Paul Makela I, MD is associated with these hospitals and organizations:

Trinity Health

Trinity Health IHA Medical Group

IHA OLMA SPECIALTY 1 LLC

Trinity Health Livonia Hospital

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Paul Makela I, MD appears to accept the following insurance providers: United Healthcare Community Plan (AmeriChoice), Blue Cross and Blue Shield of Michigan, Private Healthcare Systems (PHCS), Priority Health, Humana Medicare Advantage, Medicare Advantage, McLaren Health Plan, MultiPlan, Aetna, Railroad Medicare, TRICARE Prime Remote, United Healthcare, Medicaid, Humana, Cigna, Molina Healthcare, TRICARE, Health Alliance Plan (HAP), Cofinity, BCN of Michigan M Premier Care HMO, University of Michigan Health Plan, Physicians Health Plan (PHP), HAP Alliance Health & Life Commercial, Railroad Medicare Michigan, Blue Cross Complete of Michigan, Veterans Choice Program, Community Care, Trinity Health, Gynecology, Community Care Associates, Veterans Affairs Community Care Network, Urogynecology, Cofinity (Network), Blue Care Network of Michigan, Physicians Health Plan (PHP) Michigan Cares Network, Meridian Health Plan, Meridian Commercial ALL PLANS, Medicare Michigan, BCN of Michigan HMO and Medicare (Traditional).

Insurance Accepted by Provider includes:

According to our sources, Dr. Paul Makela I, MD accepts the following insurance providers:

United Healthcare Community Plan (AmeriChoice)

Blue Cross and Blue Shield of Michigan

Private Healthcare Systems (PHCS)

Priority Health

Humana Medicare Advantage

Medicare Advantage

McLaren Health Plan

MultiPlan

Aetna

Railroad Medicare

TRICARE Prime Remote

United Healthcare

Medicaid

Humana

Cigna

Molina Healthcare

TRICARE

Health Alliance Plan (HAP)

Cofinity

BCN of Michigan M Premier Care HMO

University of Michigan Health Plan

Physicians Health Plan (PHP)

HAP Alliance Health & Life Commercial

Railroad Medicare Michigan

Blue Cross Complete of Michigan

Veterans Choice Program

Community Care

Trinity Health

Gynecology

Community Care Associates

Veterans Affairs Community Care Network

Urogynecology

Cofinity (Network)

Blue Care Network of Michigan

Physicians Health Plan (PHP) Michigan Cares Network

Meridian Health Plan

Meridian Commercial ALL PLANS

Medicare Michigan

BCN of Michigan HMO

Medicare (Traditional)

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Insurance Accepted by Affiliated Medical Group or Hospital:

Trinity Health IHA Medical Group

Ratings & Reviews

Dr. Paul Makela I, MD has an exceptional overall rating with an average of 4.96 out of 5 stars based on 140 ratings. We collect ratings and reviews of Dr. Paul Makela I, MD from all over the web to help you find the right in Livonia, MI.

4.96

Overall Rating

(140 Ratings)

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General Payments

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

**Payments by Company**
Intuitive Surgical, Inc.	$4,353 Da Vinci Surgical System $4,353
Axonics, Inc.	$1,289 Bulkamid $580	Axonics r-SNM System $534	Axonics $176
Coloplast Corp	$727 PENILE RECONSTRUCTION $675	FEMALE INCONTINENCE $52
AbbVie, Inc.	$110 Lupron $100	Orilissa $11
Bayer HealthCare Pharmaceuticals Inc.	$101 Kyleena $55	Skyla $46
Other	$590 OVA1 $55	Sacral Nerve Stimulation - Neuro $54	INTERSTIM $44	BOTOX $42	GYN $38	Other $356

**Types of Payments**
Travel and Lodging	$3,248
Food and Beverage	$2,281
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$695
Consulting Fee	$675
Gift	$200
Other	$72

Biography

Dr. Paul Makela is a specialist in urogynecology. He works in Detroit, MI and Livonia, MI. His areas of clinical interest consist of reconstructive surgery and pelvic organ prolapse. He is professionally affiliated with Trinity Health IHA Medical Group. Before performing his residency at DMC Hutzel Women's Hospital, Dr. Makela attended Wayne State University School of Medicine.