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[edit | edit source]

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[edit | edit source]

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[edit | edit source]

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[edit | edit source]

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.