LLETZ Therapy
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Patient Information Leaflet
LLETZ Therapy
What is LLETZ Therapy?
LLETZ (Large Loop Excision of the Transformation Zone) is a procedure used to remove abnormal cells from the cervix. It is commonly performed after abnormal results from a Pap smear or cervical screening test. The goal is to prevent these abnormal cells from developing into cervical cancer.
Why is LLETZ Therapy Performed?
LLETZ is recommended to treat:
– High-grade abnormalities (CIN2 or CIN3) detected during cervical screening.
– Abnormal cells that could progress to cervical cancer if left untreated.
What Happens During the Procedure?
1. Preparation:
– The procedure is usually performed under local anaesthesia in an outpatient setting.
– You may be asked to avoid sexual activity, tampons, or swimming for a few days before the procedure.
2. The Procedure:
– A thin wire loop is used to remove the abnormal tissue from the cervix.
– The procedure takes about 10–15 minutes and is guided by a colposcope (a magnifying instrument).
3. After the Procedure:
– The removed tissue is sent to a laboratory for further analysis.
– You may experience mild cramping, spotting, or discharge for a few weeks.
What Are the Benefits of LLETZ?
– Removes abnormal cells effectively.
– Prevents the progression of cervical abnormalities to cancer.
– Minimally invasive with a quick recovery time.
Are There Any Risks?
LLETZ is generally safe, but potential risks include:
– Infection or bleeding.
– Narrowing of the cervix (cervical stenosis), which may affect future pregnancies.
– Increased risk of preterm birth in future pregnancies.
Your doctor will discuss these risks with you before the procedure.
How to Prepare for LLETZ Therapy?
– Inform your doctor about any medications, allergies, or medical conditions.
– Follow any specific instructions provided, such as avoiding certain activities before the procedure.
Aftercare and Recovery
– Avoid sexual activity, tampons, and swimming for 4–6 weeks to allow healing.
– Attend follow-up appointments to monitor recovery and discuss results.
– Contact your doctor if you experience heavy bleeding, severe pain, or signs of infection (e.g., fever or foul-smelling discharge).
References
This leaflet is based on guidelines from the [Cancer Council Australia](https://www.cancer.org.au/clinical-guidelines/cervical-cancer/cervical-cancer-screening/management-histologically-confirmed-high-grade-squamous-abnormalities/treatment-of-hsil) and the [National Cervical Screening Program](https://www.cancer.org.au/clinical-guidelines/cervical-cancer/cervical-cancer-screening/colposcopy/treatment).