Abstract
Objective: Loop electrosurgical excision procedure (LEEP) is recommended for high-grade cervical dysplasia diagnosed on cytology and/or colposcopic biopsies (i.e., therapeutic LEEP). However, the management of persistent low-grade abnormalities or human papillomavirus (HPV) positivity is not as well defined. The reported rate of occult high-grade dysplasia in a diagnostic LEEP (i.e., no preceding high-grade diagnosis) is variable (2%–18%), and often risk factors such as historical HPV status and cytology are not available.
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