Dr. Balsam Darwish


  • 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 organise the referrals.