Leep

Alternate Names
large loop excision of the transformation zone (LLETZ)
loop excision of the transformation zone (LETZ)

Definition of Leep

Loop electrosurgical excision procedure, abbreviated as LEEP, is the removal of a piece of the cervix, which is the opening of the uterus into the vagina..This is done by passing electricity through a thin loop of wire, which cuts and seals the tissue being removed.

Who is a candidate for the procedure?

This procedure is done on women whose Pap smears show abnormal changes in the cells of the cervix. These changes may, if not treated, lead to cancer. LEEP is not done on women who have cancer that has already invaded the cervix.

How is the procedure performed?

LEEP takes only a few minutes. Usually, it is done in the office of a healthcare professional. First, the cervix is injected with a local anesthetic and medication that makes the blood vessels in that area contract to avoid blood loss.

The wire loop is then passed across the cervix. It removes the area between the outer and inner portion of the cervix, which is called the transformation zone. Most cervical problems develop in this area. The wire loop cuts and seals the tissue it passes through. The size of the piece removed depends on the size of the wire loop used. The tissue sample is then sent to the lab to be examined under the microscope.

What happens right after the procedure?

After the procedure, a woman should report severe bleeding or any other problems she has been warned about, to her healthcare professional. Other problems may include abnormal vaginal discharge, fever or severe pain. Some mild discomfort or dull pain may be present for a few days afterward.

What happens later at home?

Douching and sexual intercourse should be avoided for at least 4 weeks or until the patient has a follow-up visit with her healthcare professional.

What are the potential complications after the procedure?

Bleeding and infection are the major complications of LEEP. Fortunately, these occur rarely. It is also possible that if a large piece of tissue must be removed to take all the abnormal cells, the opening of the cervix may scar down. This may prevent the cervix from opening normally later, during labor.

In addition, it is possible that if a large piece is removed, the cervix will not stay closed during a pregnancy, and this may cause a baby to be born early.

The consumer health information on Activeforever.com is for informational purposes only and is not a substitute for medical advice or treatment for any medical conditions. You should promptly seek professional medical care if you have any concern about your health, and you should always consult your physician before starting a fitness regimen.