The loop electrosurgical excision procedure
(LEEP) uses a thin, low-voltage electrified wire loop to remove
genital warts by heating the margin of the area to be
removed, which separates the wart from the skin.
LEEP is done in a
doctor's office, clinic, or hospital on an outpatient basis. A
local anesthetic is injected to numb the area.
For women, abnormal cervical cell changes caused by HPV will be treated
differently than genital warts caused by HPV. Your doctor may recommend certain
types of surgery, such as LEEP. To learn more about surgical methods to
treat abnormal cell changes, see the topic
Abnormal Pap Test.
Recovery time depends on the location
and number of warts removed. Most people will be able to return to normal
activities within 1 to 3 days after LEEP.
For men and women who have had LEEP, call your doctor if you have any of the
Avoid sexual intercourse until the treated area heals and
the soreness is gone (usually 1 to 3 weeks, depending on the size of the area
LEEP may be used to treat large,
external warts and warts on the cervix.
Bleeding is the most common side effect. But
typically LEEP causes less blood loss than laser treatment.
Scarring of the penis is a possible side effect that can result in
problems with urination or erection.
Infection does not occur
often and can be treated with antibiotics.
LEEP works best with large,
external warts or warts on the cervix.
Treating genital warts may
not cure a human papillomavirus (HPV) infection. The virus may remain in the
body in an inactive state after warts are removed. A person treated for genital
warts may still be able to spread the infection. Latex condoms may help reduce the
risk of HPV infection.
The benefits and effectiveness of each type
of treatment need to be compared with the side effects and cost. Discuss this
with your doctor.
Complete the surgery information form (PDF)(What is a PDF document?) to help you prepare for this surgery.
Other Works ConsultedBonnez W (2015). Papillomaviruses. In JE Bennett et al., eds., Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases, 8th ed., vol. 2, pp. 1794-1806. Philadelphia: Saunders.
ByHealthwise StaffPrimary Medical ReviewerSarah Marshall, MD - Family MedicineAdam Husney, MD - Family MedicineKathleen Romito, MD - Family MedicineE. Gregory Thompson, MD - Internal MedicineSpecialist Medical ReviewerKevin C. Kiley, MD - Obstetrics and Gynecology
Current as ofMarch 20, 2017
Current as of:
March 20, 2017
Sarah Marshall, MD - Family Medicine & Adam Husney, MD - Family Medicine & Kathleen Romito, MD - Family Medicine & E. Gregory Thompson, MD - Internal Medicine & Kevin C. Kiley, MD - Obstetrics and Gynecology
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Last modified on: 8 September 2017