Complications from LEEP procedure

Article

After a Texas woman was found to have cervical dysplasia in 2003, her gynecologist performed a loop excision of the transitional zone (LETZ) procedure, during which the bladder was punctured. This went unnoticed, and after complaining to her gynecologist, she was referred to a urologist, who discovered a bladder perforation and diagnosed a vesicovaginal fistula, which was surgically repaired.

After a Texas woman was found to have cervical dysplasia in 2003, her gynecologist performed a loop excision of the transitional zone (LETZ) procedure, during which the bladder was punctured. This went unnoticed, and after complaining to her gynecologist, she was referred to a urologist, who discovered a bladder perforation and diagnosed a vesicovaginal fistula, which was surgically repaired.

The woman sued her gynecologist, claiming it was negligent to puncture the bladder and then fail to note the puncture. She also claimed he failed to properly dissect the cervix, removed excessive cervical tissue, and failed to use the proper size loop.

The physician claimed there was no evidence that any negligence caused any of the injuries, as she had been informed that a bladder injury was a risk of the surgery. A defense verdict was returned.

—Department Editor Dawn Collins, JDMs. Collins is an attorney specializing in medical malpractice in Long Beach, CA.
She welcomes feedback on this column via email to DawnCF@aol.com.

Recent Videos
Mitchell Creinin, MD, reports estetrol pill eases menstrual symptoms | Image Credit: health.ucdavis.edu
1 expert is featured in this series.
Susanna Mitro, PhD, reveals ethnic disparities in uterine fibroid diagnosis | Image Credit: divisionofresearch.kaiserpermanente.org.
Shayna Mancuso, DO, highlights the real impact of menopause | Image Credit: linkedin.com.
Jihong Liu, ScD, explains how to improve perinatal outcomes in COVID patients | Image Credit: sc.edu.
1 expert is featured in this series.
Jihong Liu, ScD, highlights adverse perinatal outcomes linked to the COVID pandemic | Image Credit: sc.edu.
Experts highlight infant health benefits from minor diet changes in pregnancy | Image Credit: ohsu.edu.
Connie Stark, RNC, PNC, provides fertility preservation insights for endometriosis patients | Image Credit: linkedin.com.
How the impact of maternal diet on infant health is strengthened in late pregnancy | Image Credit: ohsu.edu.
Related Content
© 2025 MJH Life Sciences

All rights reserved.