Understanding Prolactinoma and Treatment Challenges
Prolactinomas are benign tumors of the pituitary gland that cause elevated levels of prolactin. While medications like cabergoline are effective for many, about 10 to 15% of prolactinomas do not respond to this treatment. Patients may continue to experience symptoms such as milk discharge unrelated to pregnancy and menstrual irregularities.
When Surgery Becomes Necessary
For those with prolactinomas resistant to cabergoline, surgery offers a viable solution. Dr. Kalyan Bommakanti, a renowned neurosurgeon, performs endoscopic transnasal surgery to remove the adenoma directly. This approach, done in collaboration with ENT specialist Dr. Vyshnavi Bommakanti, avoids the need for skull cuts, ensuring a minimally invasive procedure.
The Surgical Advantage
Endoscopic transnasal surgery can achieve a permanent cure in 70 to 80% of patients with just one operation. The procedure allows for the normalization of prolactin levels within days, restoring menstrual cycles and fertility. The use of a 4K camera combined with a Joimax HD endoscope ensures precision and clarity during surgery, enhancing outcomes.
Expertise and Experience
With over 7,500 surgeries to his credit, Dr. Kalyan Bommakanti brings unparalleled expertise to pituitary surgery. His collaboration with Dr. Vyshnavi Bommakanti leverages their combined skills in navigating complex nasal anatomy, ensuring the highest standards of care for patients.
Advanced Monitoring Techniques
During spine surgeries, Dr. Kalyan employs keyhole or monoportal endoscopic techniques, which are muscle-sparing and utilize an 8mm incision. Functional Dynamic EMG is used to monitor nerve function, enhancing patient safety and surgical precision.
Conclusion
For patients with prolactinomas unresponsive to medication, endoscopic transnasal surgery offers a promising path to recovery. Under the expert care of Dr. Kalyan Bommakanti, patients can expect a comprehensive approach tailored to their specific needs, ensuring optimal outcomes.
Read more: the full Pituitary Adenoma patient guide.
📱 WhatsApp Dr. Kalyan’s team on 85200 03683 for an appointment.