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Loop Electrosurgical Excision Procedure
What is it? Overview Usage Side Effects and Warnings
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Loop Electrosurgical Excision Procedure Overview

Written by FoundHealth.

Definition

Loop electrosurgical excision procedure (LEEP) uses a thin wire loop to precisely cut out areas of the cervix. The cervix is a neck-like structure that connects the vagina and uterus. LEEP is done to remove abnormal cervical cells.

What to Expect

Prior to Procedure

In the weeks leading up to the procedure:

  • Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:

The day of the procedure:

  • If your doctor will be giving you a sedative, arrange for someone to drive you home from the clinic.
  • If directed by your doctor, take a pain reliever right before the LEEP.
  • Bring sanitary napkins to use after the procedure.

Anesthesia

Local anesthesia is often used for a LEEP. This will keep you from feeling pain during the procedure. You will be awake during the procedure. The anesthesia may be applied with a lotion or injected into the area.

Description of the Procedure

You will lie on your back on a table with your feet up in foot rests. The doctor will insert a speculum into your vagina. This tool will separate the vaginal walls. This will allow the doctor to see the cervix. Anesthesia will be applied to the cervix to numb the area.

The doctor will then apply a solution to the cervical area. The solution will show the abnormal area that needs to be removed. The doctor will insert a thin wire into the vagina toward the cervix. You will hear a vacuum-like noise. You may also hear a humming noise. The thin wire loop is like a surgical knife. The doctor will be able to gently remove the abnormal tissue. You will need to stay very still. The doctor will cauterize the area. This process heats the blood vessels to stop bleeding. A paste may also be applied to stop bleeding.

How Long Will It Take?

LEEP only takes a few minutes.

How Much Will It Hurt?

You may feel cramping during LEEP. You should not feel any sharp pain.

Post-procedure Care

At the Care Center

Your blood pressure and heart rate will be checked. Once you are feeling okay, you will be able to go home.

At Home

After the procedure, you may have:

  • Dark brown-black vaginal discharge for several days
  • Mild cramping
  • Watery pink discharge

When you return home, do the following to help ensure a smooth recovery:

  • Rest when you get home.
  • Frequently change the sanitary pad.
  • Take pain medicine as directed.
  • It will take a few weeks for your cervix to heal. For four weeks:
  • Do not use tampons or douches.
  • Refrain from sexual intercourse.
  • Do not do any heavy lifting.
  • It is okay for you take baths and showers.
  • If advised by your doctor, have a Pap test and pelvic exam every six months.

References

RESOURCES:

American Academy of Family Physicians
http://www.aafp.org/

American Congress of Obstetricians and Gynecologists
http://www.acog.org/

CANADIAN RESOURCES:

Canadian Women’s Health Network
http://www.cwhn.ca/

Society of Obstetricians and Gynaecologists of Canada
http://www.sogc.org/

References:

Emam M, Elnasar A, Shalen H, Barakat R. Evaluation of a sinfle-step diagnosis and treatment of premalignant cervical lesions by LEEP. Int J Gynaecol Obstet. 2009;107(3):224-7.

LEEP patient pamphlet. American College of Obstetricians and Gynecologists website. Available at: http://www.acog.org/publications/patient_education/bp110.cfm . Accessed April 10, 2009.

Neff D. Endometrial ablation. EBSCO Health Library website. Available at: http://www.ebscohost.com/thisTopic.php?marketID=15topicID=81 . Updated May 2009. Accessed September 30, 2009.

Noehr B, Jensen A, Kjaer SK. Depth of cervical cone removal by loop electrosurgical excision procedure and subsequent risk of preterm delivery. Obstet Gynecol. 2009;114(6):1232-8.

Patient fact sheet: LEEP. American Society for Colposcopy and Cervical Pathology website. Available at: http://www.asccp.org/pdfs/patient_edu/leep.pdf . Accessed April 10, 2009.

 
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