LEEP stands for Loop Electrosurgical Excision Procedure and involves using a narrow wand with a fine electrified wire loop at the end that is used to carefully and precisely remove a limited amount of cervical tissue which will be tested for cancer.
The objective of this procedure is to remove all abnormal cells plus a narrow margin of surrounding healthy tissue (known as obtaining a “clean margin”), so that a margin free of abnormal cells remain, thus decreasing your chance of developing cancer. The removed tissue is sent to a laboratory for testing.
What is a Cold Knife Cone Biopsy?
This procedure involves using a scalpel or laser to remove a large cone-shaped segment of tissue from your cervix that contains abnormal cells plus a narrow margin of surrounding healthy tissue. The removed tissue is sent to a laboratory for testing to identify any precancerous cells and/or cancerous cells.
Why is a LEEP Procedure or a Cold Knife Cone Biopsy performed?
When a PAP test is performed, your doctor takes a sample of tissue from your cervix in order to screen for abnormal precancerous cell changes that can develop into cervical cancer.
If your doctor informs you that your PAP test results show abnormal precancerous cells in your cervical tissue (a situation known as cervical dysplasia), the next step is to remove any abnormal tissue surrounding the biopsy site. This is done in order to make sure that all abnormal cells are removed, thus reducing your risk of these cells becoming cancerous.
There are two different procedures for removing abnormal cervical tissue and both are performed on an out-patient basis at our Surgery Center:
The procedure is performed in our surgical suite. You are positioned lying on your back with your feet in stirrups. After your surgeon inserts a speculum to open your vagina and visualize your cervix, a local anesthetic will be injected into your cervix. This is known as a cervical block.
If needed, the cervical block will be combined with oral or intravenous pain medication to make the procedure as comfortable as possible. In addition, Nitrous Oxide (aka “laughing gas”) may be used to not only greatly minimize pain, but also to help with anxiety.
The LEEP wand will be passed through your vagina and into your cervix and will be used to extract the abnormal tissue plus a small margin of surrounding healthy tissue (a lesion removal technique known as obtaining “clean margins”) with the goal of removing all abnormal tissue with the potential to progress into cancer.
An electrical current is run through the fine LEEP wire as it passes through the tissue in order to cauterize the area and seal the blood vessels to minimize bleeding. You will hear humming and/or blowing sounds from the equipment during your procedure. You may experience slight pressure or cramping.
The entire procedure will take from 20 to 40 minutes, after which you will be taken to the recovery area and monitored until your anesthesia wears off. You will then be able to go home with your designated driver.
How is a Cold Knife Cone Biopsy done?
As with the LEEP procedure, the procedure will be performed in our surgical suite. You will be positioned on your back with your feet in stirrups. Your surgeon will inject local anesthesia to numb your cervix. Oral or intravenous pain medications may be given to make you more comfortable. Nitrous oxide (aka “laughing gas”) may also be provided to minimize pain and anxiety.
Next, your surgeon will insert a speculum into your vagina to gain access to your cervix. A surgical knife or a laser knife will be used to remove a cone-shaped sample of cervical tissue. This tissue will be sent to the lab to be evaluated for signs of cancer.
Recovery from a LEEP Procedure or a Cold Knife Cone Biopsy
It is not uncommon to experience some of the following unpleasant symptoms after a LEEP or Cold Knife Cone Biopsy:
Mild cramping: is usually managed with ibuprofen or using a heating pad
Dark brown vaginal discharge: is oxygenated blood from the surgical site inside your cervix
Vaginal discharge: that can last anywhere from one to three weeks
It is important to refrain from sexual intercourse and from inserting anything into your vagina for 3 to 4 weeks after surgery because it puts you at risk of developing an infection or complication. You should use sanitary pads instead of tampons to absorb bloody discharge.
Douching is not recommended.
You will return for a follow-up visit 3 to 4 months after your procedure. Your surgeon may want to perform a repeat PAP smear at that time to monitor your cervix. Generally speaking, women who undergo a LEEP procedure will need more frequent PAP testing.
Complications
Although complications are extremely rare, you should call your doctor if you develop any of the following concerning symptoms:
Fever
Nausea
Foul-smelling discharge
Worsening pain
Severe bleeding or clotting (going through more than one sanitary pad per hour)
The LEEP Procedure: What to ExpectWhen it comes to gynecologic surgery, there is no substitute for experience
Dr. Thais Aliabadi and Dr. Ramon Yera are recognized experts with an international reputation in minimally invasive OB/GYN surgery, having performed thousands of out-patient procedures over twenty years. The recipients of dozens of awards for medical excellence and patient satisfaction, Drs. Aliabadi and Yera have joined forces to create the Outpatient Hysterectomy Center, a world-class surgical practice dedicated exclusively to women’s reproductive health.
At their state of the art facility in Beverly Hills, Doctors Aliabadi and Yera specialize in leading-edge minimally invasive surgeries that offer patients shorter recovery times, less pain and the least interruption to their daily lives. They are pleased to work with a team of highly experienced, dedicated professionals who will help make your pre and post-procedure experience as pleasant and stress-free as possible.
If you are considering gynecologic surgery, you owe it to yourself to learn about the minimally invasive surgical treatment options available today. Schedule a consultation today to have a candid conversation with one of our surgeons about your particular condition in a discreet and non-intimidating setting, where they can address all of your questions and explore what surgical procedure might be most suitable for you.
If you wish to schedule a consultation to learn how we can help you or to establish care with us, please request a consultation online or call us at 844-541-7900.
x
Stay informed — receive our free newsletter!
close
x
Schedule a Consultation
close
Privacy Policy
HONcode Web Site Terms, Conditions of Use, and Privacy Policy
The Outpatient Hysterectomy Center (hereafter referred to as the “Clinic”) supports the HONcode initiative to improve the quality of medical and health information available on the world wide web.
As a result, we pledge the following:
1. Authoritative
Any medical or health advice provided and hosted on this site will only be given by medically trained and qualified professionals unless a clear statement is made that a piece of advice offered is from a non-medically qualified individual or organization.
2. Complementary
The information provided on this site is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her existing physician.
3. Privacy
Confidentiality of data relating to individual patients and visitors to a medical/health Web site, including their identity, is respected by this Web site. The Web site owners undertake to honor or exceed the legal requirements of medical/health information privacy that apply in the country and state where the Web site and mirror sites are located.
We use Google Analytics on our website to analyze the audience of the website and improve our content. No personal information is ever collected from Google Analytics. For further information on the privacy policy concerning Google Analytics, please go to: https://support.google.com/analytics/answer/6004245?hl=en.
4. Attribution
Where appropriate, information contained on this site will be supported by clear references to source data and, where possible, have specific HTML links to that data. The date when a clinical page was last modified will be clearly displayed (e.g. at the bottom of the page).
The source of the medically related content are written by the doctors and medical staff of the Clinic. Authorship is attributed on the content page and all information is medically reviewed by the Clinic’s education team.
5. Justifiability
Any claims relating to the benefits/performance of a specific treatment, commercial product or service will be supported by appropriate, balanced evidence in the manner outlined above.
Please note that there are no guarantees that every medical treatment or surgery will satisfactorily cure or repair every condition, for every person, every single time.
In regard to any before and after pictures displayed on our website, the following are true:
The person in the before picture and the after picture is the same person.
The pictures were not digitally modified nor in any way enhanced.
Each surgery has unique results for each patient and that no one can ever guarantee the same result for every person visiting our website.
The Clinic has explicit consent of the patients to take their pictures and publish them on your website.
6. Transparency
The designers of this Web site will always seek to provide information in the clearest possible manner and provide contact addresses for visitors that seek further information or support. The Webmaster’s e-mail address is webmaster@draliabadi.com.
7. Financial disclosure
No third party commercial or non-commercial organizations has ever provided any economic support or services for this website.
If that ever changes, it will be clearly identified, including the identities of commercial and non-commercial organizations that have contributed funding, services or material for the site.
8. Advertising policy
The Clinic does not accept any advertising from any company or individual and never has.
If that ever changes, the source of funding will be clearly stated and a brief description of our advertising policy adopted by the Web site owners will be displayed on the site. If advertising and/or other promotional material will ever be presented to website visitors, it will be in a manner and context that facilitates differentiation between it and the original material created by the institution operating the site.
Additional Web Site Terms and Conditions of Use
1. Terms
By accessing this web site, you are agreeing to be bound by these web site Terms and Conditions of Use, applicable laws and regulations and their compliance. If you disagree with any of the stated terms and conditions, you are prohibited from using or accessing this site. The materials contained in this site are secured by relevant copyright and trade mark law.
2. Use License
Permission is allowed to temporarily download one duplicate of the materials (data or programming) on the Clinic’s site for individual and non-business use only. This is just a permit of license and not an exchange of title, and under this permit you may not:
modify or copy the materials;
use the materials for any commercial use, or for any public presentation (business or non-business);
attempt to decompile or rebuild any product or material contained on the Clinic’s site;
remove any copyright or other restrictive documentations from the materials; or
transfer the materials to someone else or even “mirror” the materials on another server.
This permit might consequently be terminated if you disregard any of these confinements and may be ended by the Clinic whenever deemed. After permit termination or when your viewing permit is terminated, you must destroy any downloaded materials in your ownership whether in electronic or printed form.
3. Disclaimer The materials on the Clinic’s site are given “as is”. The Clinic makes no guarantees, communicated or suggested, and thus renounces and nullifies every single other warranty, including without impediment, inferred guarantees or states of merchantability, fitness for a specific reason, or non-encroachment of licensed property or other infringement of rights. Further, the Clinic does not warrant or make any representations concerning the precision, likely results, or unwavering quality of the utilization of the materials on its Internet site or generally identifying with such materials or on any destinations connected to this website
4. Constraints In no occasion should the Clinic or its suppliers be subject for any harms (counting, without constraint, harms for loss of information or benefit, or because of business interference) emerging out of the utilization or powerlessness to utilize the materials on the Clinic’s Internet webpage, regardless of the possibility that the Clinic or an approved agent has been told orally or in written of the likelihood of such harm. Since a few purviews don’t permit constraints on inferred guarantees, or impediments of obligation for weighty or coincidental harms, these confinements may not make a difference to you.
5. Amendments and Errata The materials showing up on the clinic’s site could incorporate typographical or photographic mistakes. The Clinic does not warrant that any of the materials on its site are exact, finished, or current. The Clinic may roll out improvements to the materials contained on its site whenever without notification. The Clinic does not, then again, make any dedication to update the materials.
6. Links The Clinic has not checked on the majority of the websites or links connected to its website and is not in charge of the substance of any such connected webpage. The incorporation of any connection does not infer support by the Clinic of the site. Utilization of any such connected site is at the user’s own risk.
7. Site Terms of Use Modifications The Clinic may update these terms of utilization for its website whenever without notification. By utilizing this site you are consenting to be bound by the then-current form of these Terms and Conditions of Use.
8. Governing Law Any case identifying with the Clinic’s site should be administered by the laws of the country of the United States of America and the General Terms and Conditions applicable to Use of a Web Site.
Privacy Policy
Your privacy is critical to us. Likewise, we have built up this Policy with the end goal that you should see how we gather, utilize, impart and reveal and make utilization of individual data. The following blueprints are our privacy policy.
Before or at the time of collecting personal information, we will identify the purposes for which information is being collected.
We will gather and utilization of individual data singularly with the target of satisfying those reasons indicated by us and for other good purposes, unless we get the assent of the individual concerned or as required by law.
We will just hold individual data the essential length for the satisfaction of those reasons.
We will gather individual data by legal and reasonable means and, where fitting, with the information or assent of the individual concerned.
Personal information ought to be important to the reasons for which it is to be utilized, and, to the degree essential for those reasons, ought to be exact, finished, and updated.
We will protect individual data by security shields against misfortune or burglary, and also unapproved access, divulgence, duplicating, use or alteration.
We will promptly provide customers with access to our policies and procedures for the administration of individual data.
We are focused on leading our business as per these standards with a specific end goal to guarantee that the privacy of individual data is secure and maintained.
About Good Faith Estimates
Dear Patient,
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, examinations, office visits prescription drugs, and equipment (items or services reasonably expected to be furnished by this practice).
Make sure your health care provider gives you a Good Faith Estimate in writing at least one (1) business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit https://www.cms.gov/nosurprises. To speak to our billing department, please call (844) 541-7900.
Thank you.
Your friends at the Outpatient Hysterectomy Center
Open Payments Database Notice
For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.
The Open Payments database is a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals. It can be found at https://openpaymentsdata.cms.gov.
Review Policy
Outpatient Hysterectomy Center is dedicated to transparently publishing customer feedback and reviews. This policy applies to reviews submitted by patients through first- and third-party review sites monitored on this platform. We reserve the right to remove posts, comments, or reviews that violate our content policies and/or are suspected to be fraudulent.
patient, gynaecology, surgery, cancer, anesthesia, cervix, pap test, colposcopy, laser, therapy, obstetrics and gynaecology, blood, uterus, sexual intercourse, obstetrics, pregnancy, hysterectomy, histology, risk, tissue, preterm birth, dysplasia, precancerous condition, cell, medicine, cervical cancer, health, childbirth, pain, in situ, disease, infection, cervical conization, vaginal discharge, electrosurgery, cervical canal, outpatient surgery, oncology, advertising, biopsy, pathology, speculum, information, cervical intraepithelial neoplasia, scalpel, medication, adenocarcinoma, lesion, vaginal bleeding, tampon, carcinoma in situ, clinic, screening, cramp, ovarian cancer, pubmed, intraepithelial neoplasia, bladder, syndrome, local anesthetic, hpv vaccine, research, physician, health professional, systematic review, douche, squamous intraepithelial lesion, vaccine, nursing, canal, gynecologic oncology, pelvis, bleeding, carcinoma, website, data, pelvic examination, cohort study, fever, internet, fertility, local anesthesia, pelvic inflammatory disease, radiation therapy, microscope, surveillance, miscarriage, endocervical curettage, health care provider, stenosis of uterine cervix, management, surgical oncology, medline, cervical screening, vulva, terms of service, epithelium, menstruation, cervicitis, path, enable, clinical trial, curettage, chemotherapy, exam, infertility, statistics, diagnosis, accessibility, policy, risk factor, education, prelabor rupture of membranes, general anaesthetic, efficacy, plos one, cochrane, cauterization, china, retrospective cohort study, database, health care, publication bias, menopause, virus, lymph node, prognosis, catheter, sampling, inflammation, statistical significance, evaluation, incidence, url, endometriosis, world wide web, drug, https, abdominal pain, mailing list, rectum, epidemiology, pelvic pain, safe sex, feedback, exercise, javascript, pressure, laboratory, fertility preservation, anatomy, residency, plos, bias, professor, funnel plot, endometrium, menstrual cycle, vasopressin, rupture of membranes, acid, anesthesiology, tool, dysmenorrhea, creative commons, medical school, laser surgery, stenosis, international agency for research on cancer, lymph, prevalence, complication, hyperplasia, primary care, employment, blood pressure, consultant, ibuprofen, gift, heat, electric current, blood vessel, birth control, aspirin, low birth weight, iodine, request an appointment, endometrial ablation, birth weight, vinegar, dilation and curettage, solution, reproductive system, lidocaine, thigh, chills, tubal ligation, ablation, hiv, faq, family planning, loop electrical excision procedure, bethesda system, electricity, female reproductive system, head and neck cancer, organ, smoke, cancer prevention, leep
Frequently Asked Questions
Is spotting normal after undergoing a procedure?
Spotting after a procedure is normal and expected. It may occur as a result of the manipulation of the cervix during the procedure. However, if the spotting is excessive or persists, it is essential to contact your doctor to rule out any potential complications.
How does anesthesia affect recovery times?
Anesthesia can impact recovery times by minimizing pain and promoting relaxation during outpatient surgical procedures like LEEP. The use of Nitrous Oxide ("laughing gas") may help reduce discomfort and anxiety, contributing to a smoother and potentially faster recovery process for patients.
Can fertility be maintained after excision?
Fertility preservation after excision depends on the extent of tissue removed. Discuss with your doctor preoperatively to understand potential impacts on future fertility.
Are cramps a common postoperative symptom?
Postoperative cramps are common. Monitor symptoms post-surgery and consult your doctor if severe.
How soon can one resume exercise?
After a LEEP procedure, most individuals can resume light exercise within a few days to a week. Consult your doctor for specific guidance based on your individual recovery progress.
What follow-up is needed post-procedure?
Following a LEEP procedure, post-procedure follow-up may involve monitoring for symptoms such as fever, nausea, foul-smelling discharge, worsening pain, or excessive bleeding. It is essential to contact your physician if any concerning symptoms arise. Regular check-ups will help ensure proper healing and recovery after the procedure.
Are there dietary restrictions post-surgery?
After surgery, follow any dietary restrictions provided by your surgeon. Heal by eating nutritious foods that aid recovery and hydration. Discomfort, bloating.
How are abnormal cells detected pre-surgery?
Abnormal cells are detected pre-surgery through PAP test results that show abnormal precancerous cells in cervical tissue (cervical dysplasia). Biopsy and examination are performed to identify the abnormal tissue requiring removal during the LEEP procedure. Nitrous Oxide may be used to minimize pain and anxiety during the process.
Can procedures cause menstrual cycle changes?
Some procedures may affect the menstrual cycle, causing changes like irregular periods or spotting. It's essential to consult with your doctor for personalized information regarding the impact of specific procedures on your menstrual cycle.
What distinguishes procedures from traditional biopsies?
Procedures like LEEP remove abnormal cells with surrounding tissue for a clear margin. Unlike biopsies, this minimizes cancer risk. Nitrous Oxide is used for pain and anxiety during the procedure. Call your doctor for concerns like fever, pain, or bleeding.
Are stitches required after excising tissue?
Stitches are typically required after removing tissue during a LEEP procedure to ensure proper healing and reduce the risk of complications. Your doctor will determine the need for stitches based on the size and location of the excised tissue.
How quickly do results become available?
Results from a LEEP procedure become available once the abnormal tissue is removed and analyzed by a pathologist, typically within a week or two. It is essential to follow up with your doctor after the procedure for the results and further guidance.
Does excision affect cervical mucus production?
Excision of abnormal cells in the cervix during a LEEP procedure can potentially affect cervical mucus production. This can result in changes in cervical mucus consistency, which may impact fertility and natural lubrication. It's essential to consult with your healthcare provider for personalized information and guidance.
Is discharge after procedures cause for concern?
Foul-smelling discharge after gynecological procedures should be examined by a doctor for possible infection or complications. If discharge is accompanied by fever, nausea, severe pain, or excessive bleeding, seek medical attention promptly to address any potential issues.
How do procedures detect precancerous conditions?
Procedures detect precancerous conditions by removing abnormal cells and surrounding healthy tissue to achieve a clean margin, reducing cancer risks. Nitrous Oxide may be used for pain and anxiety management during the process. Contact the doctor for complications like fever, foul-smelling discharge, or severe bleeding post-procedure.
Can procedures trigger early menopause signs?
Certain gynecological procedures, like a hysterectomy or oophorectomy, can induce early menopause symptoms due to hormonal changes. Discuss with your healthcare provider for personalized information regarding your specific situation.
Are procedures advisable for nulliparous women?
It is crucial to consult with a skilled gynecologist to determine the necessity of procedures for nulliparous women. The decision should be based on individual health needs and risks.
Do excisions require a hospital stay?
Excisions for outpatient gynecological procedures generally do not require a hospital stay. Most excisions, such as LEEP procedures, can be performed on an outpatient basis, allowing patients to return home the same day. Recovery and follow-up care can typically be managed at home or in a clinic setting.
Are procedures performed under local anesthetic?
Procedures like the Outpatient LEEP Procedure (cold knife cone) can be performed under local anesthetic, with options like Nitrous Oxide to minimize pain and anxiety during the process. Complications are rare, but specific symptoms should prompt contacting the doctor for further evaluation.
Can procedures prevent cancer recurrence effectively?
Procedures like the LEEP procedure aim to remove abnormal cells to reduce the risk of cancer. While not foolproof, they can be effective in preventing cancer recurrence by ensuring clean margins. Regular follow-ups are essential for monitoring.
Are there age limits for procedures?
Age limits for procedures vary based on individual health conditions and specific needs. It is essential to consult with a healthcare provider to determine the appropriateness of any procedure based on the patient's overall health and medical history.
How do procedures affect Pap smear results?
Procedures can impact Pap smear results by identifying abnormal precancerous cells, prompting the need for further removal. A LEEP procedure aims to eliminate these cells and surrounding tissue to reduce cancer risk. Complications are rare but should be reported promptly for care.
Can one travel immediately after excision?
It is recommended to avoid traveling immediately after a LEEP procedure to allow for proper healing and reduce the risk of complications. It's best to follow your doctor's advice and plan travel accordingly to ensure a smooth recovery process.
Are there non-surgical alternatives to procedures?
Non-surgical alternatives may be available depending on the specific condition. Consult with our experts to explore all options before deciding on a procedure.
How does one prepare for procedures?
Preparing for procedures involves understanding the process, following pre-op instructions, arranging for transportation, discussing concerns with the surgeon, and ensuring you have all necessary paperwork and clear directives. Following these steps ensures a smooth experience and optimal recovery.
What pain relief is recommended post-procedure?
Your doctor may recommend over-the-counter pain medications like ibuprofen or acetaminophen for pain relief post-procedure. It's essential to follow your doctor's instructions carefully and avoid strenuous activities to aid in a smooth recovery.
Can procedures detect HPV subtypes accurately?
Some procedures can detect specific HPV subtypes with accuracy, aiding in diagnosing cervical dysplasia. The LEEP procedure, for instance, targets abnormal cervical cells for removal, reducing the risk of cancer development. Consult with experienced OB/GYN specialists for comprehensive advice.
Are procedures limits on tissue removal?
Procedures for instance the LEEP procedure are aimed at removing abnormal cells along with a margin of healthy tissue, aiming to leave behind a clean margin. The objective is to reduce the risk of cancer development.
Can abnormal bleeding occur after procedures?
Abnormal bleeding can occur after procedures.
How to care for biopsy sites post-procedure?
After a biopsy procedure, patients must keep the area clean and dry, avoid strenuous activity, and refrain from using tampons or having sex for a few weeks. Contact your doctor if you experience fever, nausea, foul-smelling discharge, worsening pain, or excessive bleeding.
cold cone, cpt code leep, leep surgical procedure, leep procedure in office, cone procedure, cold knife cone surgery, leep cone biopsy cpt code, leep cpt code, recovery after leep, leep procedure recovery, leep conization, leep procedure after care, leep procedure cervix, lep procedure, recovering from leep procedure, what is a cone procedure, cold knife conization, leep.procedure, leep procedure, leep procedure recovery time, leep medical procedure, leep procedure surgery, leep procudure, leeps procedure, itching after leep procedure, cold knife conization vs leep, leet procedure, leep vs cone biopsy, leep procesure, leep cone procedure, cpt cold knife cone, leep vs cone, cone biopsy indications, leep vs cone procedure, cold cone biopsy, cramping after leep, leap procedure, what is leep procedure used for, cold knife procedure, how many leep procedures before hysterectomy, leep surgery procedure, leep surgery recovery, leep procedure complications, a leep procedure, ckc procedure, leep procedure mayo clinic, cpt code for leep cone biopsy, leep orocedure, leep cone biopsy, cone leep, leep treatment, cervical cone cold knife, what does a leep procedure do, cone surgery, leap.procedure, cost of leep procedure in hospital, leep proced, cold.knife conization, cold knife cone biopsy cpt code, cold knife surgery, leep or cone biopsy, leep procedure obgyn, cervical cone biopsy vs leep, cpt code cold knife cone, cold knife cone biopsy vs leep, leep conization procedure, cold knife cone dictation, leep procedure instruments, leep cone of cervix, leep and cone biopsy, recovery from leep, cervical conization vs leep, leep, leep gyn procedure, what is a cold knife cone procedure, cold cone procedure, cold cone knife biopsy, cold cone knife, leep procedure vs cone biopsy, recovery from leep procedure, what is a cold knife cone biopsy, leep procedures, leep cone biopsy of cervix, cold knife cone, leep recovery, why is it called cold knife conization, leep cone surgery, cpt code for leep conization, recovery leep procedure, cervical cone procedure, what is a leep procedure, leep procedure set up, cold knife cone cpt code, healing time after leep procedure, leep vs cold knife cone, recovery after leep procedure, what is leep surgery for, leep cone, leep surgery, cold cone cervical biopsy, what is a leep cone procedure, leep biopsy, leep proceedure, cold knife conization recovery time, procedure leep surgery, what is the leep procedure, cold knife cone biopsy, cone procedure cervix, leep procedure cost, how is a leep procedure done, cone biopsy vs leep, cone vs leep, cone knife biopsy, leep procedure steps, cone knife, l.e.e.p. procedure, cone procedure vs leep, loop cone biopsy, recovery for leep procedure, cold knife cone procedure, cold knife cone procedure steps, leep procedure risks, cold knife cone vs leep, leep results explained, loop conization, leep procedure side effects, cervical conization procedure, what is a leep, recovery time for leep procedure, cone biopsy, laser cone biopsy, conization leep, lee procedure, cone biopsy procedure, cold knife cone cpt, cone biopsy procedure steps, leep procdure, leep provedure, cold knife biopsy, whats a leep, leep.procesure, how is a leep procedure performed, difference between leep and cone biopsy, leep peocedure, leep procedure tool, define leep procedure, cold knife conization of the cervix, leep versus cone biopsy, cold knife cone biopsy of cervix, cpt code for cold knife cone biopsy of cervix, cost of leep procedure, cone cervix surgery, leep procedure biopsy, recovery after a leep procedure, cone biopsy recovery, leep procedure videos, are you put to sleep for leep procedure, cone leep procedure, bleeding after leep procedure, leep surgery cervix, leep procedure gyn, what is leep, brown discharge after leep, leeds procedure, cold cone surgery, what is a leep procedure used for, what is a leep cone biopsy, leep proceudre, cone biopsy surgery, what is a leep procedure for, what is leep procedure, cold knife cervical conization, smelly black discharge after cone biopsy, leep stands for, what is a leep biopsy, leek procedure, how long do you have to be off work after a leep procedure, cervical conization surgery, cone biopsy vs leep procedure, cervical cone leep, how successful is leep procedure, leep biopsy procedure, how is leep procedure done, leep vs cold knife conization, cone biopsy and leep, leep conization cpt code, leep surgery cost, leep procedure after, leep español, leep vs hysterectomy, leep stand for, leep procedire, is a leep procedure a biopsy, cold knife cone steps, cone biopsy leep, leep procedure cpt, leep.procedure recovery, leep cervical conization, what is cold knife conization, what is a leep procedure of the cervix, leep procedure en español, cold knife biopsy of cervix, cpt cold knife cone biopsy, cold knife conization recovery, is leep procedure a surgery, leep procedure for precancerous cells, cone shaped cervix, cone knife cone procedure, the leep procedure, conization of cervix surgery, leep procedure equipment, leap proceedure, gyn leep procedure, leep meaning, what is a leep test, video of leep procedure, leep procedure pictures, leep medical abbreviation, leep conization of cervix, ckc surgery, what is a leep medical procedure, cold knife, leep procedure bleeding, recovery time for cervical leep, going under anesthesia for leep procedure, the surgical removal of a cone-shaped specimen of tissue from the cervix is known as, knife cone biopsy, pain after leep procedure, leep procedure healing, recovery from a leep procedure, leep obgyn procedure, leep procedure reviews, leep of the cervix, cramps after leep procedure, leep procedure vs hysterectomy, cone knife conization, iv sedation for leep procedure, leep recovery time, cone cervical procedure, what is a cold knife procedure, leep procedure post op, how long is a leep procedure, how do they numb you for a leep procedure, cold knife procedure histopathology, what is a leap procedure, how much does leep cost, what is cold knife surgery, what is a conization, why is a leep procedure done, cpt code for leep, is a leep procedure a surgery, cervical cone biopsy procedure, leep procedure., cone biopsy cervix cpt code, surgery leep, what does leep scab look like, how long does a cone biopsy take, what is a cone biopsy, cervical conization recovery, how long does leep procedure take, conization vs leep, conization complications, cone surgery for cervical cancer, leep cervix surgery, what is cone biopsy, hysterectomy after cone biopsy, what is leep surgery, cervix cone biopsy, when to do a leep vs ckc, cervical leep biopsy, cone biopsy recovery time, cone surgery on cervix, cervical cold knife cone biopsy, comb biopsy, what does leep stand for, cold knofe cone, bleeding 2 weeks after cone biopsy, cpt code for cone biopsy of cervix, recovery time for leep, cpt code for cold knife cone biopsy, conization surgery, conization recovery, conization of cervix vs leep, leep dictation, leep procedure on cervix, leep biopsy of cervix, leep or cold knife cone, leep procedure indications, being put to sleep for leep, loop electrosurgical excision procedure cpt code, cervical conization leep, leep cpt, cpt leep procedure, leep procedure aftercare, leep procedure vs conization, leep on cervix, leep surgery video, leep procedure in operating room, cervical cancer loop electrosurgical excision procedure, conization of cervix recovery, cpt code for cold knife cone, cold knife conization procedure, can you drive after a leep procedure, is leep procedure painful, healing cervix after cone biopsy, how long is leep procedure, cpt for leep, leep vs conization, cpt code for cold knife conization of cervix, tissue discharge after leep, restrictions after leep procedure, ckc cpt code, conization of cervix procedure, cervical cone, what is a cervical leep procedure, conization procedure, how to do a leep procedure, cervical cone biopsy, whats a leep procedure, cold knife cone biopsy procedure, leep en español, indications for cone biopsy, cpt for leep procedure, cervical conization cold knife, cold.knife cone, i had a leep procedure done, indications for leep, cold knife conization cpt, leep wire, black discharge after cone biopsy, how to prepare for leep procedure, leep procedure pain, cold-knife conization, leep alternatives, cold knife hysteroscopy, how to treat infection after leep procedure, cold knife cone recovery, ob gyn leep procedure, leap procedure., bleeding after cone biopsy, cpt leep, cpt code for cold knife conization, leep and conization, leep procedure of cervix, leep procedure español, leep procedure how long does it take, conization of cervix cpt code, alternatives to leep procedure, cone biopsy of cervix, large tissue discharge after leep, leep procedurw, ckc gynecology, leep pricedure, cold knife colonization, leep obgyn, laser ablation cervix recovery time, leep vs laser ablation, leep of cervix, que es un leep en español, define leep, leep aftercare, leep cervical biopsy, aftercare leep procedure, symptoms after leep procedure, conization recovery time, how long does discharge last after leep, what to do before leep procedure, cervical biopsy black discharge after leep, ckc medical abbreviation, leep procedure near me, cervical cauterization healing time, how long after leep can you have intercourse, leep complications, cold knife conization of cervix, results from leep procedure, is leep considered surgery, cone surgery cervix, leep procedure code, smelly discharge after leep, leep gyn, dolorın cold, how much does a leep procedure cost, leep procedure anesthesia, leep procedure youtube, ckc gyn surgery, leep procedure effectiveness, how long do you bleed after leep procedure, knife cone, black smelly discharge after leep, cpt code for cervical cone biopsy, is a leep procedure painful, leep cervical procedure, leep procedure recovery restrictions, what is a leep procedure done for, leep., cold knife conization cpt code, what is leap procedure, procedure leep, leep definition, cones procedure, recovery time from leep procedure, leep procedure video, cone cervix, ckc cervix, can you have intercourse before a leep procedure, leep indications, healing after leep procedure, what is conization, when is a leep procedure necessary, cervix surgery recovery, i had sex 2 weeks after leep procedure, cervical cone biopsy cpt code, cone biopsy complications, cone excision, odor after leep procedure, leap procesure, can leep cause infertility, how long does the leep procedure take, discharge after leep procedure, leep vs ckc, leep procedure alternatives, how much is leep procedure, leep procedure for cervix, leep procedure dictation, cone biopsy cpt code, what is the recovery time for a leep procedure, how common is a leep procedure, leep in medical terms, bleeding after a leep procedure, long-term side effects of leep procedure, leep procedure for hpv, cpt for labiaplasty, leep anesthesia, leed procedure, cold knife conization of cervix cpt code, what is a cold knife, cold conization cervix, why would you need a leep procedure, pap smear wand, leep procedure healing time, nausea after leep procedure, what is a ckc procedure, margins not clear after leep, leap cervix, smear test under general anaesthetic, leep healing time, patient has a leep conization for cin ii, black discharge after leep procedure, recovery after cold knife cone biopsy, can leep results show cancer, what to expect after cervical cauterization, does leep procedure affect fertility, having sex too soon after leep procedure, obgyn leep, l e e p, loop procedure for cervical cancer, what to expect after a leep procedure, leep vs ablation, procedure code for leep, ckc biopsy, surgery for abnormal cells on cervix, cervical biopsy with loop electrode excision, cpt code leep procedure, leep versus cone, bleeding cone, leep procedure cpt code, conization cervix cold knife, cold knife conization anesthesia, leet surgery, leep results, what is a leep procedure for hpv, cervical cancer leep procedure, leep aftercare instructions, how many leeps before hysterectomy, cpt code for leep with colposcopy, how long do you bleed after a leep procedure, cervical cancer cone surgery, how long does a leep procedure take, how painful is a leep procedure, can leep procedure cause infertility, sex after leep procedure, ckc cervical cancer, treatment for precancerous cells in cervix, indications for leep procedure, cone procedure recovery, colposcopy leep, cone biopsy bleeding, leep procedure painful, complications of leep procedure, leep colonization, how common is leep procedure, is leep a surgery, which term describes the removal of a cone-shaped specimen of tissue from the cervix, still bleeding 3 weeks after leep procedure, loop electrosurgical excision procedure, how to treat precancerous cells in cervix, first period after cone biopsy, period after cervical cauterization, what is ckc in medical terms, what is leep cone biopsy, what is the treatment for precancerous cervical cells, recovery time after leep, atypical squamous cells of undetermined significance, clear margins after leep, low-grade dysplasia cervix, cervical lesion treatment, removal of precancerous cells in cervix, colonization of cervix, what happens during a leep procedure, post leep discharge, leep procedure discharge, ckc vs leep, how many leep procedures can you have, after leep procedure care, human papillomavirus infection loop electrosurgical excision procedure, leep surgery anesthesia, leep procedure recovery exercise, black discharge after leep, whats leep, exercise after leep procedure, blood clots after cone biopsy, spotting after leep, signs of infection after leep, does leep procedure hurt, infection after cone biopsy, signs of infection after leep procedure, knife conization, cervical dysplasia stages, leep test results, cervical intraepithelial neoplasia loop electrosurgical excision procedure, cone biopsy side effects, leep procedure for cervical cancer, electrosurgical excision procedure, leep procedure vs biopsy, post op leep procedure, what to expect after a cone biopsy, local anesthesia for leep, procedure to remove cells from cervix, how to prepare for a leep procedure, leeps, how common is the leep procedure, cervix leep procedure, cone biopsies, leep surgery recovery time, how many times can a leep procedure be done, long term side effects of leep procedure, surgical conization, leep scab, is a cone biopsy painful, leep electrosurgical excision procedure, leep procedure black discharge, are leep procedures painful, loop procedure, is leep painful, leep procedure hpv, high grade squamous intraepithelial lesion cin 3, sex after cone biopsy, recovery from cone biopsy, conization definition, signs of infection after cone biopsy, how long to heal from leep, leep under general anesthesia, top hat procedure, having abnormal cells removed from cervix, loop electrode excision procedure, cpt code for leep procedure, cpt code for loop electrosurgical excision procedure, precancerous cells on cervix, cone procedure for cervical cancer, side effects of cone biopsy, cpt code for conization of cervix, general anesthesia for leep procedure, hysterectomy after leep, cono leep, conization cervix, no bleeding after leep, anesthesia for leep, what is the recovery time after leep procedure, infection after leep, which term describes the removal of a cone shaped specimen of tissue from the cervix, after cone biopsy, is a leep procedure done in office, ckc obgyn, conization of cervix, leep procedure results, what is a leep surgery, cone vs leep procedure, why do some doctors do the leep procedure under general anesthesia, cervical cone biopsy recovery, colposcopy aftercare, colposcopy and leep at the same time, que es leep en español, weight gain after leep procedure, is a leep a surgery, precancerous cells cervix, leep procedure price, cervix biopsy aftercare, surgery to remove precancerous cells from cervix, loop electrosurgical excision procedure cost, loop excision of cervix, chances of cervical cancer after leep, sex after leep, how long is recovery after leep procedure, removing precancerous cells from cervix, leep define, the surgical removal of a cone shaped specimen of tissue from the cervix is known as, how long does it take to recover from a leep procedure, gynecology leep procedure, cervix cone, bloating after leep, uterine biopsy cpt code, leak procedure, large loop excision of the transformation zone, how to remove precancerous cells from cervix, leep with ecc cpt, what is a cervical conization, leep post op, leep vs colposcopy, what is a loop electrosurgical excision procedure, conization of cervix indications, leep excision procedure, cone medical term, exercise after leep, cold conization, how long do you bleed after leep, ckc medical, alternatives to leep, leep procedure long term side effects, cone biopsy cervix recovery, to leep, after effects of leep procedure, does a leep procedure hurt, abdominal pain after leep