Objective: To determine if loop electrosurgical excision procedure (LEEP) can replace cold knife conization.
Study design: In a population at high risk for invasive carcinoma, 163 cases of LEEP conization were performed with the same indications as cold knife for cervical conization.
Results: Seventy-five percent of LEEP surgical specimens were positive for dysplasia. Six cases showed invasive squamous cell carcinoma. No complications were seen.
Conclusion: LEEP conization is a quick, simple and economical procedure that can safely replace most cases of cold knife conization.