Dr Glenda McLaren
Obstetrician & Gynaecologist

Lletz Procedure

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Understanding the Lletz Procedure

The Lletz procedure is Large Loop Excision of the Transformation Zone
(LLETZ), and is a type of surgery that removes a small part of the cervix. A Lletz procedure is a diagnostic and treatment method commonly used in gynaecology to remove abnormal cells found on the cervix. It’s performed when abnormal changes, often detected from a cervical screening tests or a colposcopy, indicate potential pre-cancerous or cancerous cells. The procedure aims to prevent the progression of abnormal cells into cervical cancer by excising the affected tissue from the cervix.

Steps Involved in the Lletz Procedure

Preparing for the Lletz Procedure

At Bloom Women’s Health, the Lletz procedure is a day procedure. Before the procedure, patients might be advised to avoid certain medications like blood thinners and to inform the doctor about any allergies or health conditions. Anesthesia options and potential risks will also be discussed during this phase.

Performing the Lletz Procedure

The Lletz procedure is usually painless or minimally uncomfortable because of the local anaesthetic used. Some patients experience period type pains for a day or two afterwards, but this will settle with usual over the counter painkillers.

Recovery Process After the Lletz Procedure

Post-procedure Care

The recovery time can vary but generally involves some mild cramping and light bleeding or discharge for a few days. Patients are usually advised to take a few days off work so they can recover comfortably.

Post-procedure care involves maintaining good hygiene, avoiding vigorous physical activity, and taking any prescribed medications as directed by the healthcare provider. Patients are advised to contact their doctor if they experience excessive bleeding, severe pain, or fever. Follow-up appointments are essential for monitoring healing and discussing biopsy results.

Follow-up After the Procedure

Follow up is important after a Lltez procedure, and Bloom Women’s Health gynaecologists recommend a co-test 12 months post-procedure, which looks for both looks for the presence of HPV as well as cancer cells. We also recommend a co-test is performed again 24 months post treatment.

For many women, it is successful in removing HPV, but they will need checks in the future to see if the HPV has returned.

Your doctor will provide guidance on future cervical screening schedules and address any concerns or questions.

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