On maintaining the balance

Journal of Lower Genital Tract Disease
Betty Suh-Burgmann, Walter Kinney

Abstract

Recent studies have shown an association of loop electrocautery excision procedure (LEEP) with subsequent obstetric complications, including preterm birth. These data necessitate a reevaluation of how LEEP is used, particularly in cases where the presence of a high-grade lesion has not been established. In the 2001 consensus guidelines, nonadolescent women with high-grade cytology and subsequent negative colposcopy and endocervical curettage are recommended to undergo LEEP for further evaluation. Given the new information on potential obstetric complications and the rising age of childbearing, it is debatable whether the benefits of LEEP in this situation truly outweigh the risks for all women, regardless of age, who have not completed childbearing. We urge the committee charged with revising the guidelines to carefully consider this issue.

References

Jul 16, 2003·American Journal of Obstetrics and Gynecology·Thomas C WrightUNKNOWN American Society for Colposcopy and Cervical Pathology
Feb 3, 2005·Obstetrics and Gynecology·Sheri-Lee A SamsonGlenn H Gill
May 25, 2005·Archives of Gynecology and Obstetrics·Ganesh AcharyaJan Martin Maltau

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Citations

Jan 21, 2011·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Daniel AndíaCarlos Pérez

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