LLETZ Procedure


Your gynaecologist may recommend you have a LLETZ (Large Loop Excision of the Transformation Zone) procedure for diagnosis and treatment of pre-cancerous cells of the cervix identified during a colposcopy and cervical biopsy.

LLETZ is a simple and safe surgical procedure that removes a small part of the cervix that contains abnormal cells. This is a straightforward procedure that takes 15-30 minutes and is usually done under local anaesthetic, but you may choose to have the procedure under general anaesthetic.

The LLETZ Procedure

An electrical wire is used to take a small ‘scoop’ from the cervix in order to remove the tissue containing the abnormal cells.

Possible LLETZ Complications

There is a small chance of complications with the procedure. Sometimes not all the abnormal cells are removed, infection can occur which may cause bleeding, the cervix can become scarred and stenotic preventing blood loss with your period and the cervix can become weaker affecting a future pregnancy.

LLETZ Recovery

To minimise risk of infection after the LLETZ procedure, it is recommended that you avoid swimming, baths, spas, intercourse and tampons for at least 3 – 4 weeks until the cervix is healed. You may have bloody vaginal discharge after the procedure, but this should settle within 1-2 weeks. The recovery period after a LLETZ procedure is very minimal with most women able to return to work the following day.

Follow up after the LLETZ procedure is very important to ensure that all abnormal cells have been removed and there are no further cell changes. Usually this requires a further Cervical Screening Test by your GP 12 months after the LLETZ.

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