LEEP - Loop Electrosurgical Excision Procedure

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LEEP uses a thin wire loop carrying electrical energy to remove abnormal tissue from the cervix. It is generally recommended after cervical screening and colposcopy identify a precancerous change that requires treatment or more complete tissue assessment.

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Why May LEEP Be Recommended?

- High-grade cervical cell changes
- Persistent abnormal cervical findings
- A tissue diagnosis requiring excisional treatment
- A need to remove and examine the transformation zone of the cervix

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Procedure Overview

1. Pregnancy status and test results are reviewed
2. The cervix is visualised with a speculum
3. Local anaesthetic is administered
4. The wire loop removes the abnormal area
5. Bleeding is controlled
6. Removed tissue is sent for laboratory examination
7. Follow-up testing is scheduled based on the result

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After LEEP

Light bleeding or watery discharge can occur for several weeks. Patients should follow instructions about intercourse, tampons, bathing, exercise and when to seek urgent care.

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Possible Risks
- Bleeding
- Infection
- Cervical narrowing
- Incomplete removal or recurrent abnormal cells
- A small increase in future pregnancy risks after deeper or repeated cervical excision