What is the alternative to a LEEP procedure?

There are two common ways that this can be done: a cold knife cone biopsy and a Loop Electrosurgical Excisions Procedure (LEEP). Both of these procedures can be used to treat abnormal tissue that your doctor has found during a colposcopy or cervical biopsy, including: Moderate-severe precancerous cell changes.

Which is better cryotherapy or LEEP?

Many low-resource settings use cryotherapy in a single-visit, screen-and-treat approach reducing clinic visits and risk of loss to follow-up. LEEP is an excisional procedure that is the first choice of treatment in high-resource settings regardless of HIV status because it provides tissue for histopathology.

Which is better LEEP or conization?

Conization procedures are more precise and can remove more tissue than the LEEP method. LEEP is more frequently used in high-grade cervical dysplasia cases and is both a treatment and diagnostic procedure.

Are there alternatives to LEEP procedure?

Colposcopy: Colposcopy, or a procedure that uses a microscope to visualize the cervix during a pelvic exam. Colposcopy can help identify abnormal areas on the cervix and is a safe procedure with no complications other than mild vaginal spotting of blood (National Cancer institute, 2012).

Which is better LEEP or CKC?

Loop electrosurgical excision procedure (LEEP) and cold knife cone (CKC) are often used for the treatment of high-grade cervical intraepithelial lesions. LEEP is an in-office procedure with less discomfort and fewer complications than CKC.

Loop Electrosurgical Excision Procedure (LEEP) to Remove Abnormal Cells - SLUCare OB/GYN

What is the disadvantage of LEEP?

In addition, conducting treatment of LEEP knife also causes the cervix to narrow, leading to menstrual disorders, difficulty getting pregnant ... Especially, patients with gynecological infections, especially Especially with pelvic inflammatory disease, the LEEP knife procedure is not for this group of people.

When is a colposcopy better than a LEEP?

Colposcopy is a noninvasive procedure where a device similar to a microscope magnifies your cervix to make abnormal growth easier to see. LEEP is used to diagnose and treat cervical dysplasia and conditions like genital warts and polyps.

What next if LEEP procedure doesn't work?

If LEEP doesn't remove all of the abnormal cells, you may have to have LEEP again, or your doctor or nurse may recommend more tests or a different treatment.

How do you get rid of precancerous cells in your cervix?

Also called loop electrosurgical excision procedure (LEEP), this is the most common way of treating precancerous changes of the cervix. The abnormal tissue is removed using a thin wire loop that is heated electrically. The aim is to remove all the abnormal cells from the surface of the cervix.

What is the best treatment for cervical dysplasia?

If your doctor determines that you have a high grade cervical lesion, he or she may advise you to have the lesion removed. The two most common methods of removing cervical lesions are by procedures called a LEEP or Cold Knife Cone. Both procedures are quick and typically have a quick recovery time.

Is LEEP necessary?

A LEEP is a preventive treatment in which a doctor uses a heated wire loop to remove abnormal cells from the cervix before cancer develops. “A LEEP is a really important procedure because it prevents cervical cancer,” says gynecologic oncologist Kathleen Schmeler, M.D.

Does LEEP damage cervix?

There's a small risk of scar tissue forming over the cervical opening (called cervical stenosis) after a LEEP. If the cervical passageway is narrowed or closed, this can cause irregular or absent periods or prevent sperm from getting through the cervix into the uterus to fertilize an egg.

Can you get rid of HPV after LEEP?

Results: LEEP can effectively eliminate HPV infection. Most patients cleared HPV infection within six months. The persistent HPV infection rates were 44.6%,10.6%, 5.7%, and 2.1% after three, six, nine, and 12 months, respectively.

Which is better LEEP or cone biopsy?

Conclusions: LEEP conization is a safe and cost effective procedure with a lower complication rate providing a significantly smaller specimen compared to cold knife conization. Therefore, LEEP conization may substitute cold knife conization.

How painful is cervical cryotherapy?

Does cryotherapy hurt? Most people feel mild cramping or pressure during cryotherapy. It can also make your vagina feel cold. Some people don't have any discomfort at all.

Is cryotherapy safer than LEEP?

Treatment with loop electrosurgical excisional procedures (LEEP) was associated with significantly lower risk of recurrent pre-cancerous cervical disease compared to treatment with cryosurgery, in a randomized trial among HIV-infected women in Kenya.

How long can you have precancerous cells on cervix?

If left untreated, it may take 10 years or more for precancerous conditions of the cervix to turn into cervical cancer, but in rare cases this can happen in less time. Precancerous conditions of the cervix happen in an area called the transformation zone.

Should I get a hysterectomy if I have precancerous cells?

If the precancerous disease is more extensive or involves adenocarcinoma in situ (AIS), and the woman has completed childbearing, a total hysterectomy may be recommended. During a total hysterectomy, the entire uterus (including the cervix) is removed.

What is stage 3 precancerous cervical cells?

Severely abnormal cells are found on the surface of the cervix. CIN 3 is usually caused by certain types of human papillomavirus (HPV) and is found when a cervical biopsy is done. CIN 3 is not cancer, but may become cancer and spread to nearby normal tissue if not treated.

How many times can LEEP be performed?

In conclusion, repeat LEEP could be safely performed 4-12 weeks after the first procedure without any impact on pathological specimen examination.

Can cancerous cells come back after LEEP?

Most of the time, cervical cell changes (abnormal cells) don't come back after treatment. However, sometimes they do and may need further treatment. These cell changes are also called persistent or recurrent cell changes.

Can cervical dysplasia come back after LEEP?

As one type of cervical conization surgery, the loop electrosurgical excision procedure (LEEP) has been widely applied with ideal therapeutic effects. However, 2–48 % of patients with HSIL who are treated with LEEP have been reported to have persistent/recurrent disease after an initial LEEP for HSIL [1–7].

What is the next step after colposcopy?

Follow-up appointment. Following a colposcopy, you should be invited to a follow-up appointment to check that the cells in your cervix have returned to normal. This will usually be 4 to 6 months after your colposcopy.

Why do I still have HPV after LEEP?

Despite the removal of the entire lesion by cone excision, with negative margins, the HPV infection can persist in some cases. Studies investigating the clearance/persistence of HPV infection after LEEP have reported that age, lesion grade, and margin status are risk factors for HPV persistence.

Will a hysterectomy cure cervical dysplasia?

It is critical that, if patients are offered hysterectomy for treatment of cervical dysplasia, they are counseled that it may not be curative, that they will require long-term vaginal surveillance, and that they are at continued risk for vaginal and vulvar cancer.
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