Loop Electrosurgical Excision Procedure
(LEEP)
What is LEEP?
LEEP, uses a radio frequency current to remove abnormal tissues of the cervix. It has an advantage, therefore, over the destructive techniques (CO2 laser and cryocautery) in that an intact tissue sample for analysis can be obtained. LEEP also is popular because it is inexpensive and simple.
How is a LEEP done?
A electrical current of radio frequency is passed through tissues to remove the abnormal areas of the cervix. A chemical is applied afterwards to prevent bleeding. Vaginal discharge and spotting commonly occur after this procedure. Sexual intercourse and tampon use should be avoided for several weeks to allow better healing.
What are complications of LEEP?
Complications occur in about 1 to 2% of women undergoing LEEP and include narrowing (stenosis) of the opening of the cervix and bleeding. This procedure is used most commonly for treating dysplasia (abnormal changes of the cells lining the cervix or precancers), including severe dysplasia. LEEP also is used, although infrequently, to treat carefully chosen cases of cervical cancer.
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