What is LEEP?
The LEEP procedure is one of the most common gynecologic procedures
performed today. The letters LEEP are an abbreviation for Loop
Electrosurgical Excision Procedure. The loop is a tiny thin
cautery wire that is in the shape of a "loop". During
the procedure, this wire gets red hot (from electricity) and
the loop is swept across the affected tip of the cervix–effectively
melting through the tissue and making a clean cut across its
tip. This acts to cauterize the area to prevent bleeding. Sometimes
there is some confusion between LEEP and LOOP and people use
the words interchangeably, but they are not.
LEEP is performed to treat cervical/cervix dysplasia,
or a abnormal change in the cells of the cervix (the cervix
being the opening from the uterus to the vagina). The way that
this abnormal dysplastic tissue on the cervix is discovered
is with a PAP SMEAR. Other ways to treat this problem of dysplasia
of the cervix include a "cold knife cone biopsy"–the
surgeon uses a scalpel then sutures the area to prevent bleeding.
The area can be "lasered" as in "laser ablation"
or "frozen" (cryoablation). Lasers can be very accurate
in removing the tissue and healing can be faster. Cryosurgery
is often done in the office but is not effective for all types
of dysplasia. Cryosurgery done in the office is done while the
patient is awake. Your Gyn doctor can help you make the choice
that’s right for you.