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.
Reasons for Procedure
LEEP is often done after abnormal
cells have been found on the cervix. These abnormal cells are often found on a
Pap test. If the cells found on a Pap test show
(abnormal cells) or cancer cells, a LEEP may be done.
If you are planning to have LEEP, your doctor will review a list of possible complications, which may include:
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.
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.
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.
After the procedure, you may have:
Dark brown-black vaginal discharge for several days
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.
Call Your Doctor
After arriving home, contact your doctor if any of the following occurs:
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a