LEEP Cervical Surgery

If you have been informed by your doctor that you need to have a LEEP procedure, it is most likely because your annual Pap Smear indicated abnormal cervical cells or cervical dysplasia. The LEEP procedure (or loop electrosurgical excision procedure) is one of several methods your doctor has available to diagnose cervical cell abnormalities.

The LEEP procedure utilizes a small, thin, wire loop electrode that is attached to an electrosurgical generator. The electrosurgical generator then transmits a painless electrical current that efficiently and very quickly removes the affected cervical tissue that is within the immediate area of the loop wire. This process results in the abnormal cells rapidly heating and bursting - separating the tissue as the loop wire navigates through the cervix.

The LEEP procedure allows your healthcare provider to send the removed tissue to the lab for evaluation that will ensure that the lesion has been removed completely, as well as a precise assessment of the abnormality.

For the LEEP procedure, you will be lying on the exam table with your feet in the stirrups as with a routine pelvic exam. A colposcope is used to guide the doctor to the exact area of the abnormality. An electrosurgical dispersive pad covered in gel provides a safe return path for the electrosurgical current. Your cervix will be prepared with acetic acid (dilute vinegar) and iodine solutions that highlight the areas of concern. A local anesthetic will be injected into your cervix and the wire loop will pass through the surface of your cervix.

After the abnormality is removed, your doctor will use a ball electrode to halt any bleeding that may occur, and he may also use a topical solution to prevent any further bleeding from occurring.

The procedure is done on an outpatient basis and you may leave our office right after the procedure.

As always, please feel free to contact us at any time to address any questions or concerns.