Excisional procedures for premalignant
LEEP
Cervical cancer doesn’t happen overnight—it starts as precancerous changes in the cervix. These abnormal cells can be detected early and removed before they turn cancerous with proper screening. Excisional procedures like Loop Electrosurgical Excision Procedure (LEEP) and Cone Biopsy are effective treatments. They precisely remove the affected tissue while preserving healthy cervical cells. Quick, safe, and minimally invasive, these procedures significantly lower cervical cancer risk. Early treatment means better outcomes—don’t wait until it’s too late!
What Is a Premalignant (Pre-Cancerous) Lesion of the Cervix?
A premalignant lesion is an abnormal cell growth on the cervix that has the potential to become cancerous. These lesions are often caused by persistent high-risk HPV infections. They do not always turn into cancer but need to be monitored and treated if necessary. Regular Pap smears and HPV testing help detect these abnormalities early.
What Is a Loop Electrosurgical Excision Procedure (LEEP)?
LEEP is a minimally invasive procedure that removes abnormal cervical tissue using a thin wire loop. The loop carries an electrical current that excises the tissue while sealing blood vessels. The procedure is quick, safe, and performed under local anesthesia.
When Is LEEP Recommended?
LEEP is used to treat moderate to severe cervical dysplasia detected in Pap smears or colposcopies. It’s recommended when high-risk HPV strains cause abnormal cell growth, increasing the risk of cervical cancer.
What Happens During the LEEP Procedure?
A speculum is inserted into the vagina to access the cervix. A local anesthetic is applied, and the loop wire removes the abnormal tissue. The process takes about 10-15 minutes, with minimal discomfort.
What Is a Cone Biopsy, and How Does It Differ from LEEP?
A cone biopsy removes a cone-shaped section of cervical tissue for further examination. It’s recommended for deeper or extensive abnormal cell growth. Unlike LEEP, cone biopsy may require general anesthesia.
When Is a Cone Biopsy Necessary?
Cone biopsy is advised when severe dysplasia or carcinoma in situ is detected. It helps determine the extent of abnormal cells and whether further treatment is required.
Is There Pain or Discomfort After These Procedures?
Mild cramping, spotting, or light bleeding is common for a few days. Some women may experience watery discharge for a few weeks. Over-the-counter pain relievers help manage discomfort.
What Are the Recovery Guidelines?
Avoid heavy lifting, sexual intercourse, and tampons for at least four weeks. Follow-up Pap smears or HPV tests are crucial to monitor healing and ensure no abnormal cells remain.
Can LEEP or Cone Biopsy Affect Fertility?
Both procedures are generally safe, but repeated treatments may weaken the cervix. This could increase the risk of preterm birth. Discuss fertility concerns with your doctor before undergoing treatment.
How Effective Are These Treatments?
LEEP and cone biopsy have high success rates in removing abnormal cervical cells. Regular follow-ups ensure that the cervix heals properly and that no further abnormalities develop.
Are There Any Risks or Complications?
Minor risks include bleeding, infection, or cervical scarring. In rare cases, an incompetent cervix may develop, leading to pregnancy complications. However, most women recover without issues.
How Often Should Follow-Up Screenings Be Done?
Doctors recommend follow-up Pap smears or HPV testing every 6 to 12 months post-procedure. If results remain normal for three consecutive tests, routine screening resumes.
Where Can You Get Expert Consultation and Treatment?
Dr. Maitreyee Parulekar, one of the best gynecologists in Mumbai, specializes in cervical cancer prevention and treatment. If you need screening, consultation, or treatment for precancerous lesions, book an appointment today for expert guidance. Detecting and treating cervical abnormalities early can prevent cancer. If you have an abnormal Pap smear or HPV test, don’t wait—consult a specialist. Schedule your LEEP or cone biopsy with Dr. Maitreyee Parulekar for professional care.