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The loop electrosurgical excision procedure (LEEP) is a way to remove abnormal tissue from the cervix. It is done using a fine wire loop that has a low-voltage electrical current. LEEP may be done after colposcopy and cervical biopsy have confirmed an abnormal Pap test result. In some cases, LEEP may be done instead of a cone biopsy.
During LEEP, you will lie on your back with your feet supported by stirrups. Your doctor will use a speculum to gently spread apart the vaginal walls. This lets the doctor check the inside of your vagina and your cervix. Medicine will be used to numb the cervix. You may also be given pain medicine as a pill or into a vein (IV). Then the doctor will use a wire loop to cut a thin layer of abnormal tissue from the cervix.
LEEP is done in a doctor's office, a clinic, or a hospital. It takes only a few minutes. You can go home after the procedure.
You will be able to return to most of your normal activities in 1 to 3 days.
If you have LEEP, you will need to have a colposcopy and a Pap test in 6 months or as often as your doctor says. Your doctor will advise you how often to schedule future Pap tests.
You may have:
You will need to avoid sexual intercourse, tampons, and douching for at least 3 weeks.
Call your doctor right away if you have problems after surgery, such as:
LEEP may be used to treat cell changes on the cervix.
LEEP can also help to diagnose abnormal cells. The tissue that is removed during LEEP can be checked for abnormal cell changes or cancer.
LEEP works very well to treat abnormal cell changes on the cervix.
If all of the abnormal tissue is removed, you will not need more surgery. In some studies, doctors were able to remove all the abnormal cells in almost every case. But abnormal cells may come back in the future.
Most women do not have problems after LEEP. If a woman gets pregnant after having LEEP, she has a very small increased risk of going into labour early or may be more likely to deliver her baby early.
Rare problems include infection of the cervix or uterus and narrowing of the cervix that might make it hard to get pregnant.
LEEP works as well as other treatments for abnormal cervical cells. These treatments include cone biopsy, and using a laser to destroy or remove them. LEEP is easier to do than cone biopsy or carbon dioxide laser treatment.
Other Works ConsultedGarcia F, et al. (2012). Intraepithelial diseases of the cervix, vagina, and vulva. In JS Berek, ed., Berek and Novak's Gynecology, 15th ed., pp. 574–618. Philadelphia: Lippincott Williams and Wilkins.Samson SA, et al. (2005). The effect of loop electrosurgical excision procedure on future pregnancy outcomes. Obstetrics and Gynecology, 105(2): 325–332.
Adaptation Date: 8/4/2020
Adapted By: Alberta Health Services
Adaptation Reviewed By: Alberta Health Services
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