Pituitary tumours used to mean a craniotomy, opening the skull. Today, most can be removed entirely through the nostrils using a 4mm endoscope. Hemani Hospital is one of the few centres in Saurashtra where this advanced ENT-led skull-base surgery is offered.
The pituitary gland is a pea-sized hormone control centre that sits at the base of the brain, directly above the back of the nose. When tumours grow there (most are benign 'adenomas'), they can press on the optic nerves and cause vision loss, or release excess hormones that disrupt the entire endocrine system.
Modern endoscopic pituitary surgery uses ENT's mastery of the nasal passages to reach the pituitary entirely through the nostrils. There is no skin cut. There is no skull opening. The patient typically goes home in three to four days. We work jointly with neurosurgery so the gland and brain are protected with two pairs of expert hands.
A clear, no-jargon walk-through of the symptoms that lead to surgery, and the exact steps inside the operating theatre.
Surgery is recommended in specific scenarios:
A team of ENT and neurosurgery work together, ENT does the access, neurosurgery handles the deep removal:
A realistic timeline of how Rajkot patients typically recover, what's normal, what's not, when to call.
Hospital stay with hormone and electrolyte monitoring.
Discharge home. Light activities only. Saline rinses begin.
First MRI. Hormone levels reviewed by endocrinology.
Regular endocrinology follow-up for years.
Endoscopic pituitary surgery in India typically costs ₹2,50,000 to ₹6,00,000+, depending on tumour complexity, hospital stay and team fees.
No, the entire surgery is done through the nostrils. No skin or skull incision.
Usually 2-4 nights, depending on the tumour and how the body adjusts post-op.
Hormone status depends on the type of tumour and how much normal pituitary tissue remains. Endocrinology follow-up is part of the standard plan.
When done by an experienced ENT-neurosurgery team, it has an excellent safety profile and shorter recovery than open craniotomy.
Reaching the pituitary safely needs deep familiarity with nasal and sinus anatomy, exactly what an ENT is trained in. The trans-nasal approach is fundamentally an ENT-pioneered technique.
Same-day or next-day OPD slots are usually available. Call directly or fill the form on the contact page.