AFTER ENDOSCOPIC TRANSSPHENOIDAL SURGERY
- You should move around as much as is comfortable for you.
- You will be given analgesics as needed.
- You will be given 3 doses of intravenous antibiotics and 5 days of oral antibiotics.
- You will be given Hydrocortisone 100mg four times a day (The dose with be decreased gradually and you will be discharged on Hydrocortisone 30 mg a day). During your admission the endocrinologist will see you on daily basis and adjust your hormonal therapy.
- You will have a urinary catheter to measure the urine output as excessive urine output can result from deficiency of antidiuretic hormone which is temporary in 20% and permanent in 5% and may require treatment ( DDAVP injections, tablets or nasal spray).
- You will have a postoperative CT scan the day after your surgery.
- The nurse will conduct neuro-observation in the first 24 hours following your surgery.
- You will be able to move around from day one unless instructed not to. The average hospital stay is 3-7 days.
- You will need to visit your family doctor in one week and see Dr Darwish in 4 weeks unless informed otherwise. You also will need to see the endocrinologist on regular basis to assess whether you need hormone replacement and see the ENT surgeon at least once.
- If the tumour is functional (Acromegaly or Cushing’s) the goal is to achieve biochemical cure. If surgery fails to a achieve that you may need postoperative radiotherapy or focused radiotherapy (stereotactic radiosurgery). Dr Darwish will organize the referrals.
DR. DARWISH AND HIS TEAM ARE HAPPY TO ANSWER ANY QUESTIONS.
PLEASE ASK US IF THERE IS ANYTHING YOU WOULD LIKE TO KNOW!