What are the symptoms of a pituitary tumour?
Pituitary surgery is more than one hundred years old. The first transsphenoidal operation was performed successfully in Vienna in 1907. Since that time, successive pioneers in the specialty (Harvey Cushing, Norman Dott, Gerard Guiot, and Jules Hardy) have contributed towards making the operations safer, and outcomes better. New techniques have been developed, and the techniques available to pituitary surgeons now include craniotomy, microscopic surgery, and more recently, endoscopic surgery.
How is surgery to remove a pituitary adenoma performed?
It is estimated that about 7-10% of pituitary adenomas will require a craniotomy (an opening in the skull above the eyes), whereas the remainder may be removed via the nose. Of the trans-nasal approaches, the gold standard of treatment has now become the endoscope. The endoscope provides a far superior degree of illumination and visualisation when compared to the microscope, and for this reason we are now able to more comprehensively remove the pituitary tumour, and cure the patient. Furthermore, the endoscopic technique requires the presence of two experienced consultant surgeons, who are able to discuss every stage of the operation with each other.