LEEP Procedure

14.05.2026 Prof. Dr. Cihan Kaya

What is LEEP (LEETZ) Procedure? – Patient Information Guide

What is LEEP (LEETZ)?

LEEP (Loop Electrosurgical Excision Procedure) is a surgical procedure in which abnormal cells in the cervix are removed using a thin wire loop and electrical current.

What is it Performed For?

• CIN 2-3 (high-grade lesions)
• Persistent CIN 1
• HSIL smear results
• Suspicious colposcopy findings

How is it Performed?

• Applied vaginally
• Can be performed under local anesthesia
• Abnormal tissue is removed with a thin wire loop
• The procedure usually takes 10–20 minutes

Is it Painful?

• Usually, there is a feeling of mild discomfort
• Pain is minimal with local anesthesia

Advantages

• Provides both diagnosis and treatment
• Performed quickly
• Does not require hospitalization

After the Procedure

• Mild bleeding and discharge may occur
• 2–4 weeks recovery period
• Quick return to daily life

Things to Consider

• Sexual intercourse is not recommended for 3–4 weeks
• Vaginal tampons should not be used
• Strenuous exercise should be avoided

Possible Risks

• Bleeding
• Infection
• Rarely, cervical stenosis

Effect on Pregnancy

In most patients, there are no problems, but in very extensive procedures, the risk of preterm birth may slightly increase.

Clinical Fact

LEEP is one of the most effective and frequently used treatment methods for preventing cervical cancer.

Conclusion

The LEEP procedure is an effective and rapid treatment method that ensures the safe removal of abnormal cells.

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