What is a LEEP procedure?
A loop electrosurgical excision procedure (LEEP) is a minimally invasive procedure that uses a thin wire loop with an electric current to remove abnormal tissue from the cervix. LEEP is often used to treat precancerous changes in the cervix, but it can also be used to diagnose and treat cervical cancer.
Why is a LEEP performed?
A LEEP may be performed for several reasons, including:
To remove precancerous changes in the cervix: Precancerous changes in the cervix are abnormal cells that can lead to cervical cancer. LEEP can help remove these changes early, before they become cancerous.
To diagnose cervical cancer: If a doctor sees any suspicious areas during a colposcopy, they may perform a LEEP to collect a sample of tissue for further examination.
To treat cervical cancer: In some cases, LEEP can be used to treat early-stage cervical cancer.
How is a LEEP performed?
A LEEP is performed in our office. The procedure usually takes about 15-30 minutes to complete.
To perform a LEEP, the doctor will:
- Insert a speculum into the vagina to hold the vagina open.
- Cleanse the cervix with an antiseptic solution.
- Place a colposcope in front of the vagina and adjust it so that the cervix is centered in the viewfinder.
- Inject a local anesthetic into the cervix to numb the area.
- Place a thin wire loop around the abnormal tissue on the cervix.
- Apply an electric current to the loop to remove the abnormal tissue.
The doctor may remove one or more areas of abnormal tissue during the LEEP. The tissue sample(s) will be sent to a laboratory for analysis.
What are the risks of a LEEP?
LEEP is a very safe procedure. However, there are a few small risks associated with the procedure, including:
- Mild bleeding: It is normal to experience some mild bleeding after a LEEP.
- Infection: This is a rare complication, but it can occur if the cervix is not properly cleaned before the procedure.
- Pain: The LEEP may cause some mild pain.
- Cervical stenosis: This is a rare complication in which the cervix becomes narrowed after the LEEP. Cervical stenosis can make it difficult for sperm to reach the uterus and can also make it difficult to have a Pap test.
What should I expect after a LEEP?
After a LEEP, you may experience some mild cramping and bleeding. You may also feel a little dizzy or lightheaded. It is important to rest for the rest of the day after the procedure. You should also avoid sexual intercourse and douching for at least 24 hours after the procedure.
If you experience any of the following symptoms after a LEEP, please contact your doctor immediately:
- Heavy bleeding
- Severe cramping
- Fever
- Foul-smelling vaginal discharge
- Dizziness or lightheadedness
If you have any questions or concerns about LEEP, please talk to your doctor