Pituitary Tumor Surgery (Endoscopic Endonasal)
The pituitary is a pea-sized gland at the base of the brain that controls hormones throughout the body. Pituitary adenomas are common, benign tumors. Some produce excess hormone (prolactin, growth hormone, cortisol); others are “non-functioning” and cause problems only by growing large enough to press on the optic nerves.
Most pituitary tumors that need surgery are removed through the nostril using an endoscope, with no facial incision and no hair removal. Dr. Daggubati works with endocrinology and ENT colleagues as a pituitary team.
Symptoms
- Vision loss, particularly peripheral (side) vision
- Headaches
- Irregular periods, milky discharge, low libido (prolactinoma)
- Enlarging hands, feet and jaw (acromegaly)
- Weight gain, easy bruising, high blood pressure (Cushing’s)
- Fatigue and low hormone levels
How it is diagnosed
MRI of the pituitary, a full hormone panel, and formal visual field testing.
Treatment options
Without surgery
Prolactinomas are usually treated with medication (cabergoline). Some acromegaly and Cushing’s patients respond to medical therapy. Small non-functioning tumors are watched.
Surgical options Dr. Daggubati offers
Common questions
Is pituitary surgery brain surgery?
Technically yes, but it is performed entirely through the nose. Most patients spend one to two nights in the hospital and describe it as similar to sinus surgery.
Will I need hormone replacement afterward?
Most patients keep normal pituitary function. A minority need temporary or long-term replacement, which endocrinology manages with you.
Not sure this is you?
Bring your imaging and your story. A single visit usually clarifies what is going on and which options are realistic. Request an appointment or call (301) 718-9611.