To read what a LEEP process is done for , it is necessary to first sympathize what a LEEP subroutine is .
LEEP is the acronym for Loop Electrosurgical Excision Procedure , also known as declamatory loop excision of the transformation zona ( LLETZ ) . As the name suggest , it is a procedure in which humbled voltage electrical current is used to heat a wire loop to excise or remove dysplastic cell or tissues of the uterine cervix or vagina . LEEP is more pop as it is mere , inexpensive and has less risks and side - effect compared to CO2 optical maser or cryocautery . Also it might be used to further analyze the obtained unnatural tissue sample .
What is a LEEP Procedure Done For?
LEEP is used to diagnose and process dysplastic changes in the cervix . It is usually done when the Pap ( Papanicolaou ) smudge is determine to be abnormal . nipple vilification is the cover examination forcervical cancerin females . LEEP is used to excise restrained to austere dysplasia and also sometimes to slay localize non - invasive cancer . LEEP can also be used to diagnose and do by polyps , genital wartswhich are usually due to HPV ( human papilloma virus ) and to find diethylstilbestrol ( DES ) exposure ( determine in woman whose mother took DES during pregnancy ) .
How is LEEP Performed?
LEEP ordinarily deal around 10 to 20 minute . In most of the cases , it can be done in doc ’s office itself . The patient is awake during the whole process , but might feel mild soreness . The affected role will be asked to lie back in an examination tabular array and the foot will be reside in stirrup . A speculum will be introduce into the vagina for right visualization of cervix . Also a colposcope will be place at the opening of the vagina for enlargement of the cervical tissue . The suspected cervical area will be cleaned and a special solution ( acetic acid or I ) will be hold to the area of concern to make the abnormal area more visible . Local anesthesia will be used to blunt the region to minimize the uncomfortableness . A low voltage current is passed through the closed circuit telegram to withdraw the abnormal cells from the cervix . This might cause a little pressure or cramp iron in the area . After removing the dysplastic tissue , a topical medication will be apply to the affected area to stop bleed .
What to Expect after LEEP?
In some patient , the mild botheration or cramping can be expected for the first few hours after the LEEP procedure . The doctor will prescribe oral hurting medication for that . There also might be non-white vaginal discharge and/or recognize for few days after the procedure .
The doctor will give instruction for menage care . The doctor will advise to keep off sexual intercourse for few week , using tampon , douching , strenuous activity and heavy lifting for good and loyal healing of the cutting out website . It is substantially advised to avoid OTC botheration medications such as acetylsalicylic acid as it might increase the chance of bleeding and only take bother medication dictate by the doctor .
Complications of LEEP
The knottiness after a LEEP function are rare and happen only in 1 to 2 % of the shell . The risk of infection include lowering hemorrhage , infection of cervix uteri or uterus , scar or changes in the cervical area of the tissue remotion , narrowing of the cervical opening , hassle capture fraught , risk of infection for preterm birth of the baby .
The patient should immediately call her Doctor of the Church if she feels broadly speaking unwell with fever and/or shudder , severe pain in low abdomen , large haemorrhage that is commonly more than expected rip with coagulum in it , foul smelling discharge from the vagina .
Efficacy of LEEP
The effectivity of LEEP has been like tocryotherapy , cold tongue conization , and laser ablation or optical maser conization . All these method include either surgical removal of the abnormal tissue or destruction of the abnormal or precancerous cervical tissue paper . LEEP as well as other procedures have been used to treat dysplasia , precancerous or cancerous cervical tissue . After successful LEEP , regular Pap smear - follow up is necessary to value for any possible return of cervical tissue freakishness .
