Loop Electrosurgical Excision Procedure (LEEP)

James J. Latham

What is a loop electrosurgical excision treatment (LEEP)? Loop electrosurgical excision treatment (LEEP) utilizes a wire loop heated by electric powered latest to eliminate cells and tissue in a woman’s reduced genital tract. It is applied as aspect of the diagnosis and procedure for abnormal or cancerous ailments. The reduced […]

What is a loop electrosurgical excision treatment (LEEP)?

Loop electrosurgical excision treatment (LEEP) utilizes a wire loop heated by
electric powered latest to eliminate cells and tissue in a woman’s reduced genital
tract. It is applied as aspect of the diagnosis and procedure for abnormal or
cancerous ailments.

The reduced genital tract includes the cervix and vagina. The cervix is the
reduced, narrow aspect of the uterus and the vagina connects the cervix and the

With LEEP, an electric powered latest passes by the fine wire loop to slash
away a thin layer of abnormal tissue. This tissue will be despatched to the lab
for tests. LEEP can also eliminate abnormal cells to allow for wholesome tissue to

Why may well I want a LEEP?

LEEP may be finished when cervical or vaginal problems are identified throughout a
pelvic exam, or abnormal cells are identified throughout a Pap examination. LEEP is also
finished to detect cancer of the cervix or vagina.

Cells that appear to be abnormal, but are not still cancerous, may be identified as
precancerous. These abnormal cells may be the initially proof of cancer that
could develop yrs later.

LEEP may also be applied to guide in the diagnosis or procedure of the
adhering to ailments:

  • Polyps (benign growths)
  • Genital warts, which may point out an infection with human papilloma virus
    (HPV), a risk element for building cervical cancer
  • Diethylstilbestrol (DES) publicity in ladies whose mothers took DES
    throughout being pregnant, as DES publicity will increase the risk for cancer of the
    reproductive program

Your healthcare supplier may have other explanations to advise LEEP.

What are the challenges for a LEEP?

Some doable issues may involve:

  • An infection
  • Bleeding
  • Changes or scarring in the cervix from elimination of tissue
  • Issues having pregnant
  • Opportunity for preterm beginning or getting a low beginning excess weight baby

If you are allergic to or sensitive to medicines, iodine, or latex, explain to
your healthcare supplier.

If you are pregnant or feel you could be, explain to your healthcare supplier.

There may be other challenges relying on your affliction. Be sure to go over
any problems with your healthcare supplier right before the treatment.

Selected elements or ailments may interfere with LEEP. These elements

  • Menstruation
  • Acute pelvic inflammatory ailment
  • Acute swelling of the cervix

How do I get completely ready for LEEP?

  • Your healthcare supplier will make clear the treatment and you can talk to
  • You will be questioned to sign a consent sort that gives your authorization to
    do the treatment. Examine the sort meticulously and talk to queries if
    a thing is not distinct.
  • Generally, no preparation, this kind of as fasting or sedation, is desired.
  • If you are pregnant or feel you may be, explain to your healthcare supplier.
  • Convey to your healthcare supplier if you are sensitive to or are allergic
    to any medicines, latex, tape, iodine, and anesthesia.
  • Convey to your healthcare supplier of all medicines (approved and
    above-the-counter) and natural nutritional supplements that you are using.
  • Convey to your healthcare supplier if you have a background of bleeding
    diseases or if you are using any blood-thinning medicines
    (anticoagulants), aspirin, or other medicines that affect blood
    clotting. You may be told to quit these medicines right before the treatment.
  • Your healthcare supplier will explain to you not to use tampons, vaginal
    lotions or medicine, douching, or getting sexual intercourse right before the treatment.
  • LEEP is usually finished when you are not getting your menstrual period of time.
  • Your healthcare supplier may advise that you get a pain reliever thirty
    minutes right before the treatment.
  • You may want to provide a sanitary serviette to have on house soon after the
  • Comply with any other instructions your supplier gives you to get completely ready.

What happens throughout a LEEP?

LEEP may be finished in a healthcare provider’s place of work, on an outpatient foundation,
or as aspect of your stay in a medical center. Procedures may fluctuate relying on
your affliction and your healthcare provider’s procedures.

Generally, LEEP follows this procedure:

  1. You will be questioned to undress totally or from the midsection down and set
    on a medical center robe.
  2. You will be instructed to empty your bladder right before the treatment.
  3. You will lie on an exam desk, with your toes and legs supported as for
    a pelvic exam.
  4. Your healthcare supplier will insert an instrument identified as a speculum
    into your vagina to unfold the walls of the vagina apart to expose the
  5. Generally, the healthcare supplier will use a colposcope, an instrument
    with a specific lens comparable to a microscope, to amplify the tissues.
    The colposcope will be put at the opening of your vagina but does
    not enter your vagina.
  6. Your healthcare supplier will search by the colposcope to track down any
    places for procedure on the cervix or in the vagina. Images with
    the colposcope or sketches of the places on your cervix may be manufactured for
    your healthcare document.
  7. Your cervix may be cleaned and soaked with a vinegar alternative, also
    identified as acetic acid alternative. This assists make the abnormal tissues switch
    white and grow to be more obvious. You may really feel a mild burning feeling.
    An iodine alternative is sometimes applied to coat the cervix, identified as the
    Schiller examination.
  8. The healthcare supplier will numb the space utilizing a small needle to
    inject medicine.
  9. A kind of forceps, identified as a tenaculum, may be applied to maintain the cervix
    regular for the treatment. You may really feel some cramping when the tenaculum
    is utilized.
  10. You will hear buzzing and/or blowing sounds from the equipment.
  11. The LEEP wire will be inserted by the speculum and passed by
    the abnormal tissues. One particular or more passes may be desired. You may really feel
    force or a slight cramping.
  12. Some ladies really feel faint throughout the treatment. Convey to your healthcare
    supplier or the nurse if you have this feeling.
  13. It is quite vital that you lie nevertheless throughout the treatment.
  14. The quantity and spot of tissue taken out is dependent on the whether or not LEEP
    is remaining applied as a diagnostic resource, or to eliminate abnormal tissue. LEEP
    wires appear in different dimensions and designs.
  15. The electrical latest will seal the blood vessels, so usually there is
    quite minor bleeding. Any bleeding from the LEEP site may be dealt with
    with a paste-like topical medicine.
  16. The tissue will be despatched to a lab for even further tests.

What happens soon after a LEEP?

Just after LEEP, you may relaxation for a several minutes soon after the treatment right before going

You may want to have on a sanitary pad for bleeding. It is ordinary to have some
mild cramping, recognizing, and dim or black-coloured discharge for various
times. The dim discharge is from the medicine utilized to your cervix to
regulate bleeding.

You may be instructed not to douche, use tampons, or have sexual intercourse for 4 weeks
soon after LEEP, or for a period of time of time recommended by your healthcare

You may also have other boundaries on your action, including no strenuous
action or major lifting.

Take a pain reliever for cramping or soreness as directed by your
healthcare supplier. Aspirin or sure other pain medicines may improve
the possibility of bleeding. Be sure to get only recommended medicines.

Your healthcare supplier will explain to you when to return for even further procedure
or treatment. Generally, ladies who have experienced LEEP will want more recurrent Pap

Convey to your healthcare supplier if you have any of the adhering to:

  • Bleeding with clots
  • Foul-smelling drainage from your vagina
  • Fever and/or chills
  • Severe belly pain

Your healthcare supplier may give you other instructions soon after the
treatment, relying on your unique predicament.

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