A cone biopsy or LEEP is a minor surgical procedure. It involves the removal of a cylindrical or cone-shaped piece of the cervix in which the abnormal cells are located. Pathological examination will then confirm the diagnosis and ensure that all the abnormal cells have been removed.
A cone biopsy or LEEP is performed when:
You will be positioned as for a gynaecological examination.
For pain relief, a local anaesthetic (during which you will remain awake) or a general anaesthetic (during which you would be asleep for the entire procedure) will be administered.
In general, the procedure is performed via one of 3 methods:
There is usually some mild discomfort after the procedure. A brown-coloured paste (Monsel's solution) may be applied to arrest the bleeding.
A vaginal pack may also be inserted temporarily to stop any bleeding and a tube (catheter) may be placed in the bladder to ensure that it remains empty until the gauze is removed. Painkillers and antibiotics may be prescribed after the procedure.
This may be performed at:
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