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Loop Electrosurgical Excision Procedure Discharge Instructions


About this topic


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. This abnormal change is 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 damaged tissues. This procedure is done to remove abnormal cells inside the cervix. ‚  

What care is needed at home?


  • Ask your doctor what you need to do when you go home. Make sure you ask questions if you do not understand what the doctor says. This way you will know what you need to do.
  • You may have a watery discharge for a few weeks after this procedure. Your discharge may also be brown or black. This is normal. Wear sanitary pads. Do not use tampons or douches
  • Your doctor may order drugs to relieve pain for a day or two.
  • You may bathe or shower as usual.
  • Ask your doctor when it is OK to begin having sex.
  • If your doctor tells you to use heat for cramping, put a heating pad on your belly for no more than 20 minutes at a time. Never go to sleep with a heating pad on as this can cause burns.

What follow-up care is needed?


  • Your doctor may ask you to make visits to the office to check on your progress. Be sure to keep these visits.
  • You may need another Pap test. This will tell how often you need to see your doctor or have more treatments.
  • Your doctor may send you to a fertility specialist if you plan to have children.

What drugs may be needed?


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

Will physical activity be limited?


Rest for the first few days after the procedure. Avoid strenuous activities like heavy lifting and hard exercise. ‚  

What problems could happen?


  • Bleeding
  • Infection
  • Injury to nearby structures

What can be done to prevent this health problem?


  • Stop smoking. It 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.

When do I need to call the doctor?


  • Signs of infection. These include a fever of 100.4 ‚ °F (38 ‚ °C) or higher, chills.
  • Burning or stinging when you pass urine
  • Heavy or prolonged bleeding or passing clots
  • Pain in the lower belly not relieved by drugs
  • You are not feeling better in 2 to 3 days or you are feeling worse

Teach Back: Helping You Understand


The Teach Back Method helps you understand the information we are giving you. The idea is simple. After talking with the staff, tell them in your own words what you were just told. This helps to make sure the staff has covered each thing clearly. It also helps to explain things that may have been a bit confusing. Before going home, make sure you are able to do these: ‚  
  • I can tell you about my procedure.
  • I can tell you what may help ease my pain.
  • I can tell you what I will do if I have a fever, chills, burning when I pass urine, or bad belly pain.

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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