Pituitary surgery patient information

YouThe pituitary gland is found behind the nose, on the underside of the brain.

 

The pituitary gland produces important hormones. Tumours of the pituitary gland are often removed by pituitary surgery. 

 

Pituitary surgery aims to remove the tumour leaving the normal pituitary gland intact where possible.

Transsphenoidal surgery is the type of pituitary surgery most commonly used to remove a pituitary tumour.

Benefits of Transsphenoidal Surgery

Transsphenoidal surgery can have huge benefits. In some cases, if the tumour is small enough surgery may cure pituitary tumours. In other cases, it can reduce symptoms, such as visual loss. It is a good idea to ask your doctor any questions you may have about this.

 

Risks of Transsphenoidal Surgery

Transsphenoidal surgery, as with any operation, has associated risks. These are:

Very rarely transsphenoidal surgery causes:

Before coming into hospital

Around 2 weeks before your operation you will have a clinic appointment. During this appointment the doctor will discuss the operation with you and answer any questions you have. You will also have some tests, such as blood tests, to make sure you are as healthy as possible for the operation. Please bring a list of your current medications to the appointment. The doctor may ask you to stop taking some medications before the operation.

 

Preparing for your operation

You will need to stop taking certain medications before the operation. These include any:

When you come into hospital you should bring nightwear, a list of your current medications, toiletries and anything else you are likely to need during your stay. Please let the doctors or nurses know if you have any allergies.

Before the operation

You will be admitted to hospital the day before surgery. The anaesthetist and the surgeon performing your operation will come and visit you before the operation. They will explain the operation to you, answer any questions you have and ask you to sign a consent form.

During the operation

The operation will take around 2-3 hours.

After the operation

Once the operation is over you will be taken to the recovery room where you will wake up. When you wake up you may have a headache and nasal congestion and feel light headed. These symptoms will be reduced with medication. When you wake up you will also have your blood pressure, blood oxygen levels and heart rate monitored. Later you will be taken back to the ward.

After your operation:

Try to prevent damage to the site of surgery. For example, avoid blowing your nose.

Do not drive a vehicle for 2 weeks

Do not take non-steroidal anti-inflammatory drugs, such as Aspirin until your doctors advise you to.

Going home

Usually you can go home after 5 days in hospital, provided there are no complications. Contact your doctor immediately if you develop the following symptoms:

Frequent swallowing, nasal discharge, nosebleeds or breathing difficulties.

A high temperature, headache and neck stiffness

Extreme thirst or excessive urine production

Getting back to normal

It normally takes around 2 weeks before you can return to work. However, this varies, depending on your job and how you feel after surgery.

Check-Ups

After the operation you will have a clinic appointment with your surgeon. You will also need to have blood tests to check your pituitary gland is producing enough hormones.

written by Helen Fraser 2011-03-21

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