Leep And Conization

We recommend colposcopy and biopsy to patients after abnormal cells or high-risk HPV viruses detected aftercervical cancer screening tests. Abnormal cell growth in the cervix is called cervical dysplasia. Dysplasias are not cancer, but if they are not treated, they are formations that may turn into cancer.

As a result of colposcopy and biopsy, we classify the lesions as low-risk or high-risk and then draw a treatment and follow-up plan. Low-risk lesions; (CIN 1) are lesions that require routine follow-up and usually heal spontaneously. High-risk lesions; (CIN 2, CIN 3,) need to be treated due to the risk of progression to cancer.

Treatment of precancerous lesions of the cervix

In lesions with a high risk of cervical cancer, we prefer LEEP (Loop Electrosurgical Procedure) or conisation, i.e. we remove and destroy suspicious tissues. The physician performing the colposcopy decides how much tissue is to be removed. Therefore, I recommend that you consult a physician who has experience in this field.

HPV infection does not disappear with this treatment and the patient should continue to be closely monitored. There is no drug treatment for HPV infection, but there are some drugs on the market, but their effectiveness has not been proven.

What is LEEP (Hot Conisation)?

Conisation is the process of removing part of the cervix in the form of a cone. Removing the cervix by burning it with cautery energy is hot conisation or LEEP. It can be performed under local anaesthesia or general anaesthesia. The patient is placed in the lithotomy position, i.e. on the gynaecological table. Following sterile draping, the cervix is visualised with a speculum. The cervix is stained with Lugol. A large biopsy is taken from the unstained areas with a pen-like instrument with a wire at the end and connected to the cautery device. Both diagnosis and treatment are performed. To stop bleeding during the procedure, we can sometimes apply special solutions called monsel to the cervix or stitch it.

Loop cautery is also called. There is a ring-shaped wire at the end of a thin tool like a pen, with the help of this wire, the pathological tissue is burned and cut off and sent to pathology.

What is LEEP used for?

When we detect precancerous lesions called CIN 2 or CIN 3 as a result of smear and HPV test, we recommend LEEP conisation for both definitive diagnosis and treatment.

In addition, in the presence of some wounds or lesions in the cervix, we recommend the removal of these lesions with LEEP for extensive biopsy and treatment.

How is LEEP performed?

It can usually be performed under local anaesthesia or general anaesthesia. It is also possible under office conditions. It does not require special preparation before surgery. LEEP procedure takes 10-20 minutes. It is an easy, effective, reliable and not difficult method.

What should I pay attention to after LEEP?

• Relationship is not recommended for 4-6 weeks.
• Painkillers and antibiotics recommended by your gynaecologist should be used.
• Heavy exercise should be avoided for 3-4 days.
• Vaginal tampon is not recommended for 1-1.5 months. If your discharge lasts longer, you can use hygienic pads.
• Do not enter the pool for 2-3 weeks, take a standing shower.
• Follow your pathology result and be sure to check up with your gynaecologist.

What Problems May Occur After LEEP?

The most common complaint is bleeding, but it is easy to intervene, we can burn the vascular mouths opened with a knob-shaped cautery and stop bleeding with special bleeding stopper solutions.

What happens after LEEP?

• Brown black discharge, spotting style bleeding is normal.
• Mild cramp-like pain may be rare for a few days.
• Very rarely infection may develop.

If the following conditions occur after LEEP, you should consult your doctor;

• Non-stop vaginal bleeding
• Fever, pain, foul-smelling vaginal discharge
• If pubic pain and vaginal discharge persist for a long time, you should inform your doctor.

Conisation (cold conisation)

It is also called cold conisation. It is similar to LEEP, but this time a part of the cervix is removed in the form of a cone with a scalpel, not with cautery as in LEEP. Afterwards, bleeding areas are burned with cautery and bleeding is stopped by applying special solutions such as monsel.

Pregnancy after conisation

If too much tissue is removed from the cervix or more than one conisation procedure is performed on the cervix, in case of conception after the procedure, insufficiency may occur in the cervix and this may cause premature birth. In such cases, we can suture the cervix, which we call cerclage, to prevent premature birth and miscarriage during pregnancy.

What are Istanbul LEEP Prices?

What are Istanbul Conisation Prices? The prices of the procedure vary according to the anaesthesia and the selected hospital and the experience of the doctor. For detailed information, you can contact Associate Professor Çiğdem Yayla Abide.