How To Treat Acromegaly

Surgery

Surgery is necessary for patients who have tumors associated with acromegaly. For tumors on the pituitary gland, surgeons typically use a transsphenoidal method for removal, which removes the tumor through the patient's nose. One of the most common types of transsphenoidal surgeries is an endoscopic transnasal transsphenoidal operation. The operation involves inserting surgical instruments through the nostril and along the nasal septum to reach the pituitary gland. The procedure is typically performed by a team that includes a neurosurgeon and an ear, nose, and throat specialist. It is often completed as an inpatient surgery, and requires general anesthesia. After the operation, patients will usually stay in the hospital for one to two days, and symptoms such as nausea, headache, and nasal congestion may be present. Patients should not drive for at least two weeks after the operation, and they should avoid blowing the nose, coughing, sneezing, or drinking with a straw for four weeks after the surgery. Individuals who have had this operation should let their doctor know if they develop a fever above 101 degrees Fahrenheit or if they experience uncontrolled nosebleeds, continual postnasal drip, or breathing difficulties.

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