LLETZ (Large Loop Excision of the Transformation Zone)

An LLETZ is a procedure used to remove abnormal cells from the cervix.

At the time colposcopy is performed and abnormal cells are removed with an electric wire loop.  The specimen is sent to a laboratory for examination - histology.  The area of the cervix is further cauterised to stop the bleeding.  Special paste or sutures may be applied to the cervix for the same purpose. The procedure takes 15-20 minutes. 

After Care

• You will have a vaginal discharge for up to four weeks
• Avoid intercourse and the use of tampons for four weeks
• Avoid swimming pools, spas, baths – use the shower for four weeks
• Avoid heavy exercise, running and jumping for two-four weeks.
• Most women are able to resume normal activities within 1-2 days.

Contact Us If

• You have offensive vaginal discharge with or without lower abdominal pain.
• You have heavy vaginal bleeding or passing large clots.

Follow Up

• You will receive a letter with the results and follow up recommendations, or your doctor may ask you to come to the clinic for review.
•  Most of the time you will be seeing your GP in 12 months for a follow-up Co-Test (HPV and cytology). On occasion, we request that you have a colposcopy and Co-Test six months after the treatment.  We rely on you to make this appointment.
•  Your GP will receive a copy of the results, and a letter confirming that you have had the procedure and recommendation for follow up arrangements.