The Loop Electrosurgical Excision Procedure (LEEP) is a common treatment used to remove abnormal or precancerous cells from the cervix. It is usually done after an abnormal colposcopy. This minimally invasive procedure is both diagnostic and therapeutic, helping to prevent cervical cancer by addressing abnormal cell changes early.
If you have been told you need a LEEP or a Cold Knife Cone (CKC) and would like to discuss the surgery with Dr. Sanchez, do not hesitate to send her an email or make an appointment.
What is LEEP?
LEEP involves using a thin, low-voltage electrified wire loop to excise abnormal tissue from the cervix. The procedure is typically performed in a doctorβs office or outpatient clinic under local anesthesia. The high-frequency electrical current heats the wire loop, allowing it to cut away a thin layer of surface tissue, which is then sent to a lab for further examination.
Conditions treated by LEEP:
- Cervical Dysplasia
- Description: Also known as cervical intraepithelial neoplasia (CIN), this condition involves abnormal changes in the cells on the surface of the cervix. CIN is graded on a scale from 1 to 3, with higher grades indicating more severe abnormalities.
- Treatment: LEEP is used to remove the abnormal cells, preventing them from progressing to cervical cancer.
- Human Papillomavirus (HPV) Infections
- Description: Persistent infection with high-risk strains of HPV can lead to changes in cervical cells.
- Treatment: LEEP can remove areas of the cervix affected by HPV-related changes.
- Precancerous Lesions
- Description: Lesions that are not yet cancerous but have the potential to become cancer if left untreated.
- Treatment: By excising these lesions, LEEP helps reduce the risk of progression to cervical cancer.
- Follow-Up to Abnormal Pap Smear or Colposcopy
- Description: When a Pap smear or colposcopy indicates significant abnormalities, LEEP may be recommended to remove the affected tissue.
- Treatment: Provides both a treatment and a more definitive diagnosis by allowing a pathologist to examine the excised tissue.
Procedure and Recovery
- Procedure: The patient lies on an exam table, similar to a regular pelvic exam. The doctor uses a speculum to view the cervix. The cervix is then numbed with Lidocaine and the doctor then employs the loop electrode to remove the abnormal tissue. The procedure usually takes about 10 to 20 minutes.
- Recovery: Most women experience some mild cramping and spotting for a few days following the procedure. It’s important to avoid heavy lifting, intercourse, and using tampons for a few weeks to allow the cervix to heal properly. Follow-up appointments are crucial to ensure complete healing and to monitor for any recurrence of abnormal cells.
Conclusion
The Loop Electrosurgical Excision Procedure (LEEP) is a highly effective method for treating cervical dysplasia and other precancerous conditions of the cervix. By understanding the procedure, its benefits, and potential risks, women can make informed decisions about their reproductive health. If you have been diagnosed with abnormal cervical cells or have concerns about your cervical health, consult with your healthcare provider to discuss whether LEEP is the right option for you. Click here to learn more about the Cold Knife Cone (CKC) procedure.
About the author: Dr. Sanchez is a Board Certified Obstetrician Gynecologist and Menopause Society Certified Practitioner. If you are looking for a new Ob/Gyn in Miami to talk to about LEEP / CKC and other surgeries, you can always make an appointment by calling the clinic or booking online. Dr. Sanchez explores this and other subjects on her Instagram, so make sure to follow along!
Disclaimer: All content is for informational purposes only and are not intended to serve as a substitute for the consultation, diagnosis or medication treatment of a qualified physician. Resources listed here do not imply endorsement of any content. Should the reader have any health concerns, promptly seek a consultation with your physician.