Endoscopic Pituitary Surgery: What To Expect?

February 15, 2024 0

Surgery stands as the primary recourse for treating pituitary tumors, especially when the tumor is benign and safely accessible for complete removal by neurosurgeons. Globally, endoscopic pituitary surgery is a common procedure that addresses pituitary tumors impacting hormone regulation. With over 1,00,000 surgeries annually worldwide, it’s a proven method. 

Imagine gaining insights into the process, from pre-surgery evaluations to post-op care, demystifying the journey to better health. Let’s explore Endoscopic Pituitary Surgery—a path to a healthier future. 

What Is An Endoscopic Pituitary Surgery?

Endoscopic pituitary surgery, also called transsphenoidal endoscopic surgery, is the most common surgery used to remove pituitary tumors. The pituitary gland is located at the bottom of your brain and above the inside of your nose. It regulates most of your body’s hormones, the chemical messengers that travel through your blood.

Endoscopic pituitary surgery is done with an instrument called an endoscope. An endoscope is a thin, rigid tube with a microscope, light, and camera built into it, and it’s usually inserted through the nose. The camera lets your surgeon watch on a television screen while inserting other special instruments through the scope to remove the tumor.

Dr. Vikas Gupta, a renowned expert in Endoscopic Pituitary Surgery, is dedicated to transforming lives through precise and effective treatments. Specializing in removing pituitary tumors with minimally invasive techniques, Dr. Gupta ensures patients experience optimal outcomes. His expertise, compassion, and commitment shine through, making him a trusted figure in the field, providing accessible and advanced care for individuals facing pituitary issues.

When Is This Surgery Done?

Endoscopic pituitary surgery is done to remove certain types of tumors that start to grow in your pituitary gland:

  • Hormone-secreting tumors: These growths secrete chemical messengers that travel through the blood.
  • Nonhormone-secreting tumors: These growths, also called endocrine inactive pituitary adenomas, are removed by surgery because they may cause headaches and visual disturbances as they increase.
  • Cancerous tumors: These growths may be treated with surgery, cancer drugs, and X-ray treatment.

What Is Done Before The Surgery?

You may need to see an endocrinology specialist for an evaluation before surgery. Endocrinologists are the medical specialists that deal with glands and hormones. You may also have your vision checked before surgery.

Endoscopic pituitary surgery is usually done under general anesthesia, so you will be asked to stop eating and drinking after midnight on the night before surgery. You may need to stop taking some types of medications that may increase bleeding during surgery. Don’t take any over-the-counter medications before surgery without telling your doctor. You may have several blood tests, a heart rhythm test, and a chest X-ray. These will all be checked before surgery, and you must be examined by the doctor who gives anesthesia.

What Happens During The Surgery?

The actual surgery may take a few hours. These steps may take place:

  1. The surgeon usually places the endoscope through the nose. Sometimes, the endoscope may be inserted through an incision under the upper lip.
  2. The endoscope is touched to the bony wall of the sphenoid sinus, which is found at the back of the nose.
  3. The sphenoid sinus is opened, and the scope is passed through to the back wall of the sinus.
  4. A small opening is made in the back wall of the sinus.
  5. Magnetic resonance imaging (MRI) may be used to make images of the pituitary area using a computer and magnets during the surgery to help guide the surgeons.
  6. When the pituitary area is entered, the neurosurgeon removes the pituitary tumor in small pieces.
  7. When all parts of the tumor that can be reached have been removed, the endoscope is removed. Some packing may be placed in the nose to complete the operation.

What Happens After The Surgery?

You may need to stay in the hospital for a day or two. Nurses will help you with any dressings and bathroom needs during this time. You can return to a regular diet if you are taking fluids well. You will be allowed to walk as soon as possible. 

Aftercare at home may include:

  • Pain medication to control headaches, the most common complaint after surgery
  • Restricted activities – no lifting or straining until cleared by your surgeons
  • Follow-up visits with your endocrinologist and surgeons
  • Repeat MRI
  • Visual testing

“Endoscopic Pituitary Surgery with Dr. Vikas Gupta transformed my life. I battled severe headaches and vision issues due to a pituitary tumor. Dr. Gupta’s expertise and compassion stood out. Post-surgery, my headaches vanished, and my vision improved. The care I received from him and his team was exceptional. Grateful for the renewed lease on life!” – says a satisfied patient of Dr. Vikas.

“Suffering from a hormone-secreting tumor, I opted for Endoscopic Pituitary Surgery. Dr. Gupta’s meticulous approach reassured me. The surgery was smoother than I anticipated. Recovery surprised me – minimal pain and the aftercare plan was spot-on. Thanks to Dr. Gupta, I’m back to a healthier, happier life!” said another patient of Dr. Vikas.

What Is The Cost Of Pituitary Tumor Surgery In India?

The cost of Pituitary Tumor Surgery in India ranges from ₹3,00,000 to ₹6,00,000 for Indian patients and USD 4,000 to USD 8,000 for international patients. Variations depend on factors like the city, hospital reputation, surgeon’s experience, and the complexity of the surgery. Quality healthcare at a fraction of global costs makes India an attractive destination for Pituitary Tumor Surgery.


Endoscopic pituitary surgery is a common and effective method for removing pituitary tumors. It is a  less invasive way to fix pituitary issues. It goes through your nose to reach the problem, making recovery quicker. Expect less pain and a chance for better results. Talking to a good doctor ensures they understand your unique situation and helps you feel more comfortable about the whole process.


  1. Is vision testing required after endoscopic pituitary surgery?

Yes, visual testing is part of aftercare.

  1. Is endoscopic pituitary surgery painful?

Pain is managed with medication.

  1. Can I resume normal activities immediately after surgery?

No, activities may be restricted until cleared by surgeons.

  1. Are there any specific diet restrictions after surgery?

Return to a regular diet when taking fluids well.

Read More : What Are the Pros and Cons of Minimally Invasive Brain Tumor Removal?

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