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LEEP: Everything you need to know

LEEP: Everything you need to know

Loop Electrosurgical Excision Procedure (LEEP) is a medical treatment commonly used to remove abnormal or precancerous cells from the cervix. This procedure plays a crucial role in preventing cervical cancer and offering a minimally invasive early solution with a high success rate.

When is LEEP Indicated?

If a Pap smear or colposcopy detects abnormal cells in the cervix, your gynaecologist will suggest LEEP. Abnormal cells don’t necessarily mean cancerous cells, instead, these are dysplastic cells that can potentially develop into cervical cancer if untreated. LEEP is used to remove these cells, thereby reducing the risk of progression to cancer.

Preparing for LEEP

Your gynaecologist will check for various health conditions before scheduling you for LEEP. In case of any pelvic inflammatory disease, cervical inflammation, or pregnancy LEEP is not indicated to be performed. If one is healthy, one will be asked to:

-Stop any kind of blood thinners, including aspirin before the procedure

-Avoid intercourse or usage of vaginal creams 24 hours before the procedure

-Take a painkiller as prescribed by the doctor half an hour before the procedure

-Pack a pad and wear loose-fitting clothes for the procedure.

How is LEEP performed?

LEEP involves using a thin, low-voltage electrified wire loop forthe excision of abnormal tissues from the cervix. The electric current heats the wire loop, allowing it to cut away the targeted tissue precisely. This method is favored for its effectiveness and minimal recovery time compared to more invasive surgical options.

The procedure takesabout 10 to 20 minutes and is typically done under local anesthesia. Here’s what to expect:

  • Preparation: The patient lies on an examination table, similar to a regular gynecological pelvic exam. A speculum is inserted into the vagina to provide access to the cervix.
  • Anesthesia: Local anesthesia is applied to numb the cervix, ensuring minimal discomfort during the procedure.
  • Tissue Removal: The electrified loop is used to remove the abnormal tissue. The doctor may use a colposcope to get a magnified view of the cervix during the procedure.
  • Post-Procedure Care: After the procedure, the patient may experience mild cramping and spotting. It’s essential to follow the doctor’s advice on aftercare, which typically.

includes avoiding heavy lifting, tampon use, and sexual intercourse for a few weeks to allow proper healing.

The several benefits that LEEP offers include a high success rate, less invasive, and no need for hospitalization. It takes 4-6 weeks for the cervix to heal completely following LEEP, one can resume work in a day or two after the procedure.

Ankura Hospital
Author: Ankura Hospital

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