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Dr. Juraj Letko, MD 4

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Specializes in: Urogynecology

Comenius University

Professional interests include: urodynamics (bladder and urethra function test), sacrocolpopexy, pessary, and more.

5758 S. Maryland Avenue
Chicago, IL 60637

1-888-824-0200

Dr. Juraj Letko, MD 4 is an urogynecologist in Crown Point, IN specializing in urogynecology. He graduated from Comenius University. Dr. Juraj Letko, MD 4 is affiliated with The University of Chicago Medicine, UChicago Medicine and UNIVERSITY OF CHICAGO.

Office Locations

Address:

10855 Virginia Street
Crown Point, IN 46307

Address:

5758 S. Maryland Avenue
Chicago, IL 60637

Address:

5841 S Maryland Avenue
Chicago, IL 60637

Some issues Dr. Juraj Letko, MD 4 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.

Pessary

A pessary is a device that is inserted into the vagina to relieve symptoms associated with mild to moderate pelvic organ prolapse, a condition in which the womb, bladder, or rectum bulges into the vaginal canal. This device is made of either rubber or plastic and is a safe, nonsurgical way to provide support for prolapsed organs.

Pessaries come in different shapes and sizes, and finding the right one can take some trial and error. Before a pessary fitting, patients will be examined and evaluated based on prolapse-related symptoms they may be experiencing, which may include discomfort, urine leakage when sneezing or coughing, and trouble keeping tampons in.

The following tips can help guide the process of finding the right fit:

Once in place, patients should not be able to feel the device at all. If there is even slight pressure, patients should let their healthcare provider know, and she will find a pessary of a different size or shape.
The pessary should not fall out with sneezing, coughing, jumping, or squatting. While getting fitted, patients should try jumping or squatting to see if the device will fall out. If it does, a different pessary will be inserted until they find one that stays in place.
Patients and their healthcare providers should make sure the device is improving symptoms by having a check-up 5 to 15 days after it is inserted. If there is no improvement, patients may have to be re-fitted with a different pessary, or patients may be asked to consider surgical options.

The device should be kept clean to avoid issues like vaginal odor, discharge, or irritation. To clean a pessary, it must be taken out and washed with soap and water. Healthcare providers will instruct patients on how to remove and reinsert the device. If patients are unable to do this on their own, they will need to get it done at the doctor's office at least once every two months.

Urodynamics (Bladder and Urethra Function Test)

Urodynamics are tests that assess how well the lower urinary tract is functioning. Specifically, they evaluate its ability to hold and release urine, as well as show if any blockages or leaks are present. The lower urinary tract is made up of the following:

The bladder, which stores urine.
The urinary sphincters, which are muscles around the opening of the bladder that hold urine in.
The urethra, which is the tube where urine flows out of the body.

Urodynamics tests are normally performed together as one series, but depending on patients' symptoms, only one or some of them may be necessary. The most common tests are:

Cystometrogram, which measures the amount of urine the bladder can store and how full it is before someone has the urge to urinate. Doctors may order this test if she suspects their patient has a weak bladder.
Pressure flow study, which measures the pressure in the bladder while urinating. This test helps locate a blockage in the bladder.
Uroflowmetry, which measures how much and how fast urine flows out of the body. This test is usually recommended when patients have difficulty urinating or they have a slow stream.
Urethral sphincter electromyography, which measures how strong the muscles and nerves in the bladder and sphincters are. Doctors may request this test if the problem they are experiencing is linked to muscle or nerve damage in the lower urinary tract.
Urethral pressure profile, which measures the pressure along the urethra while the bladder is gradually filled with fluid. Low pressure could mean someone has a weak urethra, a contributing factor to urinary incontinence (loss of bladder control).

For a few hours following a urodynamics study, patients will likely feel some soreness or discomfort. It is recommended to drink at least one glass of water every half hour for two hours to relieve these symptoms. Holding a warm, moistened washcloth over the area where discomfort is felt or taking a warm bath may also help. Results for cystrometrograms and uroflowmetry are typically available immediately after the test, but results for the other tests may take a few days. When doctors have reviewed a patient's test results, he or she will discuss them with the patient, along with any treatments the patient may need.

doctor visit	37
urologic procedures	22

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

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	16

Hypertension	75
High Cholesterol	40
Stroke	0
Ischemic Heart Disease	37
Depression	37
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	49
Dementia	0
Cancer	0

breast exam	22
doctor visit	104
gynecologic procedures	22
urologic procedures	28

**Ethnicity**
Non-Hispanic White	0
Black	0
Hispanic	70
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	44
From 75 to 84	0
85 and over	0
Less than 65	50

Hypertension	74
High Cholesterol	44
Stroke	0
Ischemic Heart Disease	26
Depression	33
Chronic Kidney Disease	21
Asthma	20
Osteoperosis	18
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	33
Dementia	0
Cancer	0

breast exam	17
doctor visit	100
gynecologic procedures	17
urologic procedures	38

**Ethnicity**
Non-Hispanic White	0
Black	0
Hispanic	30
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	20
From 75 to 84	0
85 and over	0
Less than 65	17

Hypertension	70
High Cholesterol	48
Stroke	0
Ischemic Heart Disease	31
Depression	20
Chronic Kidney Disease	22
Asthma	22
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	54
Dementia	0
Cancer	0

anorectal procedures	19
diagnostic procedures	19
doctor visit	327
lab tests	135
minimally invasive procedures	44
placement of vaginal support device	12
urologic procedures	268

**Ethnicity**
Non-Hispanic White	122
Black	40
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	83
From 75 to 84	58
85 and over	23
Less than 65	14

Hypertension	75
High Cholesterol	48
Stroke	0
Ischemic Heart Disease	29
Depression	21
Chronic Kidney Disease	32
Asthma	7
Osteoperosis	9
Atrial Fibrilation	10
Heart Failure	19
Chronic Obstructive Pulmonary Disease	10
Diabetes	31
Dementia	7
Cancer	7

anorectal procedures	26
diagnostic procedures	26
doctor visit	431
incontinence surgery	21
lab tests	183
minimally invasive procedures	28
pelvic surgery	19
placement of vaginal support device	16
reconstructive surgery	19
urologic procedures	353

**Ethnicity**
Non-Hispanic White	130
Black	61
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	92
From 75 to 84	70
85 and over	27
Less than 65	21

Hypertension	75
High Cholesterol	59
Stroke	0
Ischemic Heart Disease	29
Depression	25
Chronic Kidney Disease	33
Asthma	12
Osteoperosis	13
Atrial Fibrilation	9
Heart Failure	15
Chronic Obstructive Pulmonary Disease	12
Diabetes	32
Dementia	9
Cancer	9

**Ethnicity**
Non-Hispanic White	155
Black	95
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	107
From 75 to 84	95
85 and over	34
Less than 65	31

Hypertension	75
High Cholesterol	55
Stroke	7
Ischemic Heart Disease	30
Depression	30
Chronic Kidney Disease	34
Asthma	12
Osteoperosis	15
Atrial Fibrilation	9
Heart Failure	22
Chronic Obstructive Pulmonary Disease	15
Diabetes	31
Dementia	10
Cancer	11

anorectal procedures	18
diagnostic procedures	18
doctor visit	316
incontinence surgery	11
lab tests	176
minimally invasive procedures	13
urologic procedures	275

**Ethnicity**
Non-Hispanic White	126
Black	59
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	86
From 75 to 84	79
85 and over	21
Less than 65	18

Hypertension	74
High Cholesterol	58
Stroke	6
Ischemic Heart Disease	30
Depression	27
Chronic Kidney Disease	33
Asthma	10
Osteoperosis	12
Atrial Fibrilation	9
Heart Failure	22
Chronic Obstructive Pulmonary Disease	13
Diabetes	35
Dementia	11
Cancer	15

anorectal procedures	67
diagnostic procedures	67
doctor visit	930
incontinence surgery	45
lab tests	637
minimally invasive procedures	85
pelvic surgery	41
placement of vaginal support device	35
reconstructive surgery	41
urologic procedures	946

Average Medicare Procedure Volume From 2014 - 2021

Volume of procedures performed by Dr. Juraj Letko, MD 4 for Medicare patients.

The highest averages for the top procedures that Dr. Juraj Letko, MD 4 treated as an urogynecologist in Crown Point, IN were urologic procedures, lab tests, minimally invasive procedures and anorectal procedures.

anorectal procedures	32
breast exam	19
diagnostic procedures	32
doctor visit	345
gynecologic procedures	19
incontinence surgery	24
lab tests	274
minimally invasive procedures	37
pelvic surgery	26
reconstructive surgery	26
urologic procedures	292

Average Medicare Patient Data From 2014 - 2021

Information about Medicare patients treated by Dr. Juraj Letko, MD 4.

**Gender**
Male	0
Female	107

**Ethnicity**
Black / African American	25
Asian / Pacific Islander	0
Non-Hispanic White	53
Native American / Alaskan Native	0
Hispanic	11
Other	0

**Age**
75 to 84	30
85 and over	10
Less than 65	16
65 to 74	43

Average of Total of Conditions of Medicare patients treated by Dr. Juraj Letko, MD 4 From 2014 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Juraj Letko, MD 4 treated were hypertension, high cholesterol, diabetes and ischemic heart disease.

Hypertension	51
High Cholesterol	35
Stroke	1
Ischemic Heart Disease	21
Depression	19
Chronic Kidney Disease	17
Asthma	8
Osteoporosis	6
Heart Failure	7
Chronic Obstructive Pulmonary Disease	5
Diabetes	26
Atrial Fibrillation	3
Cancer	4
Dementia	3

Education & Training

Dr. Juraj Letko, MD 4 graduated from Comenius University. He completed residency at Faculty Hospital Nitra. He has a state license in Illinois.

Medical School: Comenius University

Residency: Faculty Hospital Nitra

Licensed In: Illinois

Affiliations & Hospitals

Dr. Juraj Letko, MD 4 is associated with these hospitals and organizations:

The University of Chicago Medicine

UChicago Medicine

UNIVERSITY OF CHICAGO

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General Payments

These charts describe general payments received by Dr. Juraj Letko, MD 4. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Boston Scientific Corporation	$1,056 Advantage System $343	PELVIC ORGAN PROLAPSE $272	Solyx $253	LITHOVUE $58	GENERAL - FEMALE SUI $51	Other $78
Coloplast Corp	$799 FEMALE INCONTINENCE $390	Pelvic Floor Repair $339	ALTIS $47	Saffron $23
Medtronic USA, Inc.	$747 INTERSTIM $747
CooperSurgical, Inc.	$236 Endosee $144	Uterine Manipulators & Injectors $92
Astellas Pharma US Inc	$196 Myrbetriq $97	$99
Other	$1,338 Vertessa $140	Noctiva $135	MINIARC PRO $134	EndoSheath $125	Orilissa $118	Other $686

**Types of Payments**
Food and Beverage	$3,055
Travel and Lodging	$1,218
Education	$99

Biography

Dr. Juraj Letko is a specialist in urogynecology. He graduated from Comenius University. Dr. Letko's clinical interests include rectocele (posterior prolapse), urge incontinence (overactive bladder), and uterine prolapse. He is affiliated with The University of Chicago Medicine.

Select Year:

Dr. Juraj Letko, MD 4

Office Locations

Some issues Dr. Juraj Letko, MD 4 can help you with:

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Juraj Letko, MD 4 in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Juraj Letko, MD 4 in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Juraj Letko, MD 4 in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Juraj Letko, MD 4 in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Juraj Letko, MD 4 in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Juraj Letko, MD 4 in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Juraj Letko, MD 4 in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2014 - 2021

Average Medicare Patient Data From 2014 - 2021

Average of Total of Conditions of Medicare patients treated by Dr. Juraj Letko, MD 4 From 2014 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

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