About Endoscopic Transsphenoidal Surgery
Key Highlights
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Minimally invasive approach with no external facial scars.Reduced risk of brain tissue trauma and neurological damage.Lower rates of infection and post-operative complications.Shorter hospital stay and faster overall recovery time.High precision visualization of the surgical area with an endoscope.Effective treatment for pituitary tumors and other skull base lesions./ul
Who is this surgery for?
- Pituitary adenomas (functioning or non-functioning).
- Craniopharyngiomas and Rathke's cleft cysts.
- CSF (Cerebrospinal Fluid) leaks requiring repair.
- Certain meningiomas located in the sellar/parasellar region.
- Biopsy or drainage of infections or abscesses in the area.
- Treatment of acromegaly, Cushing's disease, or prolactinomas not controlled by medication.
How to prepare
- Comprehensive pre-operative evaluation including MRI/CT scans and endocrine hormone testing.
- Consultation with an endocrinologist and possibly an ENT specialist.
- Discontinuation of certain medications (e.g., blood thinners) as advised by the surgeon.
- Fasting for 8-12 hours prior to the surgery.
- Pre-operative nasal decongestant sprays or washes may be prescribed.
- Discussion of anesthesia and final consent process.
Risks & possible complications
- Cerebrospinal Fluid (CSF) leak, which may require additional repair.
- Diabetes insipidus (temporary or permanent) due to pituitary stalk manipulation.
- New hormonal deficiencies requiring replacement therapy.
- Infection, including meningitis.
- Bleeding or hematoma.
- Nasal complications (e.g., sinusitis, septal perforation, altered smell).
- Rare risks of visual disturbance, stroke, or injury to surrounding nerves/carotid arteries.
Recovery & hospital stay
- Initial hospital stay for monitoring of neurological status, hormones, and fluid balance.
- Nasal packing is typically removed before discharge.
- Patients must avoid strenuous activity, heavy lifting, and blowing the nose for several weeks.
- Use of saline nasal sprays and humidifiers to promote healing and comfort.
- Follow-up appointments for nasal endoscopy and hormonal blood tests are crucial.
- Gradual return to normal activities as tolerated, with full recovery taking several weeks.
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Typical hospital stay: 3-5 days
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Expected recovery time: 4-6 weeks
Frequently Asked Questions
If you are considering endoscopic transsphenoidal surgery in India, these questions and answers can help you make a confident, informed decision.
Popular choices for endoscopic transsphenoidal surgery in India include Miot Hospital Chennai, Cytecare Hospital, Kamineni Hospital LB Nagar, Kamineni Hospital, King Koti, Manipal Hospital Old Airport Road, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform endoscopic transsphenoidal surgery. MediFyr helps you compare neurosurgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for endoscopic transsphenoidal surgery compare across other countries where we have data.
Top hospitals for Endoscopic Transsphenoidal Surgery in India
These partner hospitals in India have dedicated neurosurgery teams and experience managing patients undergoing endoscopic transsphenoidal surgery.
Rohan Verma, a 42-year-old software engineer...
Rohan Verma, a 42-year-old software engineer and father of two, had been struggling for over a year with debilitating fatigue, severe headaches, and a gradual loss of peripheral vision. An avid runner, he found himself unable to complete his usual routes. His libido had vanished, causing strain in his marriage. After his optometrist noticed unusual swelling in his optic nerves, an MRI revealed a 2.5 cm pituitary macroadenoma pressing on his optic chiasm. His neurosurgeon, Dr. Kapoor, recommended endoscopic transsphenoidal surgery to remove the tumor, explaining it was the least invasive way to relieve pressure on his vision and potentially restore his hormonal function. Rohan was terrified of brain surgery but clung to the hope of seeing clearly and playing with his kids again. The surgery lasted four hours. He woke up with a stuffy nose and mild headache, but no head shave or visible scar. The most immediate change was that the crushing headaches were gone. Within days, his peripheral vision began to improve. Follow-up tests showed the tumor was fully resected. Six months later, Rohan's energy is returning, and his hormone levels are normalizing with medication. The emotional relief is profound; he describes the surgery as having 'lifted a fog' from his life, allowing him to be fully present for his family again.
Neurosurgeons for Endoscopic Transsphenoidal Surgery
Explore experienced neurosurgeons who regularly perform endoscopic transsphenoidal surgery and provide pre- and post-operative care in India.
- 18 Years Experience
- Neurosurgeon
Miot Hospital Chennai, Chennai
- 22 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 10 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 11 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Whitefield, Bangalore
- 29 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 19 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 20 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Mysore, Mysore
- 15 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada
- 14 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada