Loop electrical excision procedure

Loop electrical excision procedure (LEEP), also known as large loop excision of the transformation zone (LLETZ), is a medical procedure used primarily for diagnosing and treating cervical dysplasia, a precancerous condition of the cervix.

Overview

LEEP is a type of conization, a procedure that excises, or cuts away, a cone-shaped piece of the cervix. The procedure uses a thin, low-voltage electrified wire loop to cut away the abnormal tissue. LEEP has the advantage of removing the abnormal tissue while simultaneously cauterizing the cut, reducing the risk of bleeding.

Procedure

The LEEP procedure is usually performed under local anesthesia in a doctor's office. The patient is placed in a lithotomy position and a speculum is inserted into the vagina to visualize the cervix. The doctor then applies a solution to the cervix that makes abnormal cells more visible. The electrified wire loop is then used to cut away the abnormal tissue.

Risks and Complications

Like all surgical procedures, LEEP carries some risks. These may include infection, bleeding, and complications related to anesthesia. There is also a risk of cervical stenosis, or narrowing of the cervix, which can affect fertility.

Follow-up

After a LEEP procedure, patients are usually advised to avoid sexual intercourse, tampon use, and douching for a period of time to allow the cervix to heal. Follow-up appointments are necessary to ensure that all of the abnormal tissue has been removed and that the cervix is healing properly.

See Also

• Cervical cancer
• Colposcopy
• Cone biopsy
• Cryotherapy