When is Loop Electrosurgical Excision Procedure a recommended procedure?

Doctor's Answers 1

The LEEP (loop electrosurgical excision procedure) is usually recommended to be performed on women with abnormal pap smears that show that the cervix has developed precancerous conditions called CIN (cervical intraepithelial cancer).

The LEEP is a minor day surgical procedure that involves the removal of a piece of the cervix in which the abnormal precancerous cells are detected by using a heated electrical loop wire. Local anaesthetic is administered prior the procedure to prevent discomfort.

For patients who are very nervous or where the CIN has extensively affected the cervix, LEEP can also be performed under general anaesthesia.

LEEP is typically performed on women with persistent CIN I (unable to spontaneously resolve after more than 2 years), CIN II and even CIN III which effects only a very small area of the cervix.

Similar Questions

How can I reduce the pain of pap smear tests due to dryness and menopause?

Pass urine before the test: Pap smears may cause mild discomfort due to a sensation of pressure in the pelvic area. Urinating beforehand can relieve some of this pressure. In some cases, your doctor might require a urine sample for other testing purposes, thus check with the doctor or staff before going to the restroom. To perform the pap smear, your doctor will use an appropriate amount of lubricating gel to lessen any discomfort. It is also important to take deep breaths and try to relax your pelvic muscles during the procedure.

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Human

What is recovery after a colposcopy and biopsy like, and is it normal to experience discharge and bleeding afterwards?

Colposcopy and cervical biopsy is a minor procedure that is performed on an outpatient basis. Therefore, there is no need to stay overnight in hospital. For the comfort of patients, local anaesthetic is injected into the abnormal part of the cervix that needs to be biopsied. In order to stop post biopsy bleeding, an orange-coloured paste like solution (monsel) is applied to the cervix. This is why it is quite normal for women to experience vaginal discharge and spotting after the procedure for even up to one week.

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Answered By

Dr Christopher Ng

Gynaecologist

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