What is the treatment for HGSIL or moderate or severe dysplasia?
It is important to treat the tissue biopsy results and not the Pap smear. Assuming the biopsy shows moderate or severe dysplasia, the most frequently used treatment right now is the loop electrical excision procedure (LEEP). In this procedure, the cells that are abnormal and usually located at the transformation zone of the cervix are excised. What is involved in having a LEEP or LLETZ procedure done to the cervix? The LEEP procedure first starts with a colposcopy. You lie on an exam table with your feet in stirrups like a regular pelvic exam. A special non-conducting vaginal speculum is place in the vagina. The cervix is swabbed or sprayed with acetic acid about the strength of a bottled white vinegar. A colposcope, which is a low power microscope, is used to look at the areas on the cervix that are affected. Following identification of the area to be excised, a xylocaine filled syringe is used to inject local anesthetic at several different points around the cervix. The xylocaine may
