Loop Electrosurgical Excision Procedure (LEEP)

LEEP is considered to be easier and less expensive, when compared to cone biopsy or carbon dioxide laser treatment. It consists on using a thin electrified wire loop of low-voltage to cut out abnormal tissue of the cervix.

Why is LEEP performed?

The Loop Electrosurgical Excision Procedure is performed in cases when there are abnormal Pap test results. These abnormal Pap test results have also been confirmed previously with colposcopy and cervical biopsy. LEEP is usually performed in order to treat different types of cell changes on the cervix, like:

• Minor cell changes, called low-grade squamous intraepithelial lesions that may be precancerous,
• Moderate to severe cell changes that can be removed.

How is LEEP performed?

Loop Electrosurgical Excision Procedure (LEEP) is usually performed in a doctor’s office, but it can also be performed in a clinic or even hospital. The patient lies on the back with the feet raised up on stirrups. The doctor will first insert a speculum inside of the vagina in order to separate the vaginal walls. Separation of vaginal walls allows a better visualization of the cervix, and of course examination of the cervix. Acetic acid or iodine solution may be used before the procedure is done, in order to increase the visibility of abnormal cells. Cervical block is usually performed in order to numb the area. Local anesthetics and pain relieving medication may be given intravenous.

During this procedure only a small amount of normal tissue is removed. The removed tissue can be further examined for cancer. If all of the abnormal cervical tissue is removed, no further surgery is needed, though abnormal cells may recur in the future.

Usually, woman return to their normal daily activities 1-3 days after this procedure is performed. Recovery however depends on how much was done during the procedure.

Like every other medical or surgical procedure, even LEEP has its own side effects, risks and possible complications. After the procedure it is normal to have:

• Vaginal bleeding, that is getting heavier,
• Mild cramping on lower abdomen, usually couple of hours after the procedure is performed,
• Vaginal discharge, usually a dark brownish vaginal discharge that can last up to one week after the procedure,
• Spotting or vaginal discharge, usually up to three weeks after the procedure.

Possible risks and side effects of LEEP procedure include:

• Infection of the cervix or uterus
• Cervical stenosis (narrowing of the cervix) that can cause infertility
• Higher risk of preterm labor.

Keep in mind to avoid douching, vaginal tampons and sexual intercourse for about three weeks after the procedure.

Seek medical help in cases when fever, severe pain or smelly vaginal discharges appear. It could be a complication of the procedure that requires proper treatment.

After LEEP procedure regular gynecological check-ups and Pap tests are necessary. A Pap test should be repeated every 4-6 months after the procedure. You and your doctor can decide how often you should do Pap tests in the future, once the results are back to normal.

For more information please visit www.downtownmedicalservices.com

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