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Loop Electrosurgical Excision Procedure


Why is this procedure done?


Dysplasia is one more name for cells that are not normal. Cervical dysplasia means the cells on the top of your cervix are not normal. The cervix is a part of your uterus that opens at the top of vagina. The abnormal cells are not cancer but may lead to cancer if not treated. ‚  
A loop electrosurgical excision procedure is an operation that uses a tool that looks like a wire loop. The procedure is sometimes called a LEEP procedure. This tool uses electrical current to scoop out the abnormal cells. This procedure is done to remove abnormal cells inside the cervix. ‚  

What will the results be?


The abnormal tissue on your cervix will be removed. ‚  

What happens before the procedure?


  • Your doctor will take your history. Talk to your doctor about:
    • All the drugs you are taking. Be sure to include all prescription and over-the-counter (OTC) drugs, and herbal supplements. Tell the doctor about any drug allergy. Bring a list of drugs you take with you.
    • Any bleeding problems. Be sure to tell your doctor if you are taking any drugs that may cause bleeding. Some examples are Coumadin, ibuprofen, Aleve (naproxen), or aspirin. Certain vitamins and herbs, such as garlic and fish oil, may also add to the risk for bleeding. You may need to stop these drugs as well. Talk to your doctor about all of your drugs.
    • If you need to stop eating or drinking before your procedure.
  • Your doctor will schedule the procedure 2 weeks before or after your menstrual period.
  • Your doctor will do an exam and may order:
    • Lab tests
    • Ultrasound
  • You will not be allowed to drive right away after the procedure. Ask a family member or a friend to drive you home.

What happens during the procedure?


  • You will lie on a table with your feet in foot rests to have a pelvic exam. A tool called a speculum is used to widen and hold your vagina open. Your doctor may inject a numbing drug inside your vagina. You may feel some pain while your doctor does this. The drug will help you stay pain-free during the procedure.
  • Your doctor will clean your vagina using a special soap. Your doctor will put a wire loop and scoop out the abnormal cells inside your cervix. You may feel some discomfort while your doctor scoops out the abnormal cells. Your doctor may apply a special paste on the site to help stop the bleeding.
  • Your doctor will remove the tool and the speculum. Your doctor will clean your cervix and vagina.
  • The procedure takes about 20 minutes.

What happens after the procedure?


  • You may feel some cramping. You can go home right after your procedure.
  • Your doctor will send the abnormal cells to the lab for testing.
  • You may feel some pain. Your doctor may give you drugs for pain.

What drugs may be needed?


The doctor may give you drugs to: ‚  
  • Help with pain

What problems could happen?


  • Bleeding
  • Infection
  • Injury to nearby structures

What can be done to prevent this health problem?


  • Stop smoking. Smoking increases the risk of cancer of the cervix.
  • Get regular Pap tests.
  • Avoid multiple sex partners. Be in a long-term relationship with only one person. Use a condom to prevent sexually-transmitted infections.

Where can I learn more?


The American Congress of Obstetricians and Gynecologists ‚  
http://www.acog.org/~/media/For%20Patients/faq110.pdf?dmc=1&ts=20120425T0413037221 ‚  

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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