Leep Procedure & Cold Knife Cone Biopsy

Treating cervical dysplasia is done most commonly via:

Cold knife cone biopsy (out patient under general anesthesia)

Loop Electrosurgical Excisions Procedure (LEEP Procedure) can be done in office or as outpatient surgery under paracervical block anesthesia or general anesthesia.

Pathologic types:

  • CIN I – Mild dysplasia
  • CIN II – Moderate dysplasia
  • CIN III – Severe dysplasia or carcinoma

Specific risks associated with LEEP or Cold Knife surgery:

  • Infection
  • Bleeding
  • Adjacent organ damage: Bowel/Bladder/Urethra/Vaginal wall
  • Cervical Incompetence leading to early miscarriage
  • Cervical insufficiencies leading to premature deliveries
  • Cervical stenossis & scarring resulting infertility

Expected recovery:

  • Mild cramping.
  • Vaginal discharge for 1-3 weeks
  • Discharge that is dark or brown in color
  • Abstain from sexual intercourse and use pads instead of tampons to absorb blood. Douching is not recommended.
  • Contact your OB/GYN if you are experiencing:
  • Fever, nausea
  • Foul-smelling discharge
  • Worsening pain
  • Severe bleeding or clotting
  • More frequent follow ups for the next two years is imperative for best outcome.