Leep Loop Electrosurgical Excision Procedure

Outpatient treatment for pre-cancer of the cervix

Based on a recent exam of your cervix, your doctor decided the LEEP procedure is a good option for you. The LEEP procedure removes the entire abnormal area of your cervix with a hot wire loop. The tissue is then sent to Pathology for diagnosis.

How is LEEP done?

LEEP can be done in the office or hospital setting. Dr. Hagen performs this procedure at an outpatient facility (such as Central Park Surgery or Park St. David's in Austin). A small wire loop is used with electrical current to remove the abnormal area of the cervix. The procedure takes approximately 10-15 minutes.

Instructions after the LEEP procedure:

The treated cervix needs time to heal and be protected from trauma and infection. To do this, please follow these instructions: Activity: You may return to work and to your normal activities the day after your treatment. Vaginal Discharge: You may have some vaginal discharge. It may be pink, blood tinged or dark brown/black. You may have spotting or bleeding for 1 to 2 weeks after the treatment. You should call a doctor if your maxi pads last less than one hour. Discomfort/cramping: You may have mild to moderate discomfort similar to menstrual cramps. You may take a pain medicine such as Tylenol (acetaminophen) or Motrin (ibuprofen) as directed to relieve this discomfort. Do not have intercourse, douche or use tampons for 3 weeks. Do not lift greater than 25 pounds for one week ( a basket of wet laundry). You may take a tub bath or shower.

Please call the clinic (512) 304-0318 immediately if any of the following occurs: Fever above 100 degrees or 38 degrees centigrade. Heavy vaginal bleeding - soaking a maxi pad in one hour. Severe abdominal pain that is not relieved by pain medicine. Missed period.

Return Appointments:

You will need a Pap smear in 4 months after the LEEP procedure, then every 4 months after that for one year. In other words, you will need 3 PAP smears during the first year after treatment.

If these are all normal, you will need a PAP smear every 6 months for one year. If these Paps remain normal then yearly Paps are recommended.

Pap smears are not as accurate if you are having your period. If you are bleeding on the day you are scheduled for a Pap smear, please call the clinic to reschedule your appointment.