About this service
LLETZ, also known as cervical cauterisation, is treatment for abnormal cervical cells found on colposcopy, using a heated loop, cryotherapy, or electrocautery to remove or destroy the affected tissue, and it is available in Windhoek at Eastgate Clinic. When screening shows abnormal cells that carry a risk of progressing further, this treatment removes or treats the affected area of the cervix to prevent that progression.
The procedure is carried out in our on-site day theatre, usually under local anaesthesia. Your doctor will explain the colposcopy findings and discuss whether LLETZ or another treatment is the right option for you.
What to expect
- A colposcopy examination to map the area of abnormal cells before treatment
- Local anaesthetic is injected into the cervix, so you stay awake but feel pressure rather than pain
- The abnormal tissue is removed with a thin heated loop, or treated with freezing or cautery, and sent to the laboratory
- Watery, sometimes blood-stained discharge for two to four weeks while the cervix heals
- A follow-up smear or HPV test to confirm that the abnormal cells have gone
Who is it for?
You may be advised to have this if you are dealing with:
- Abnormal cervical screening or colposcopy results
- Confirmed high-grade abnormal cells on the cervix
- A doctor's recommendation for treatment following colposcopy
- Persistent abnormal pap smear results over time
- A need for treatment to prevent progression of abnormal cervical cells
Frequently asked questions
Can I have LLETZ done straight after an abnormal pap smear?
Usually a colposcopy comes first so the doctor can see exactly where the abnormal cells are. If that confirms treatment is needed, LLETZ, cryotherapy or cautery is arranged in our on-site day theatre. Bring your smear result with you to the first visit.
What should I avoid after LLETZ treatment?
Avoid tampons, swimming, baths and intercourse for about four weeks while the cervix heals, and use pads for the watery discharge. Contact the clinic if bleeding becomes heavy, smells offensive or you develop a fever.
Will LLETZ affect a future pregnancy?
A single LLETZ treatment carries a small extra risk of early delivery in later pregnancies. Your doctor will keep the amount of tissue removed as small as possible and will note the treatment for any future pregnancy care.
For referring doctors
Eastgate Clinic's day theatre in Windhoek is equipped for LLETZ and cervical cauterisation, with anaesthetist and theatre staff provided on site. Contact us to arrange theatre time for your patient.
Day theatre information for doctorsReady to book your lletz / cervical cauterisation?
Choose a date and time online and we will confirm your appointment at Eastgate Clinic in Windhoek. Medical aid and private patients welcome.