Primary hyperparathyroidism

Primary Hyperparathyroidism is a condition where there is unregulated production of parathyroid hormone. This causes an elevation in blood calcium levels and can be associated with a number of symptoms such as:

  • Fatigue
  • Problems with memory and concentration
  • Thirst and subsequent increased urination particularly overnight
  • Renal stones
  • Constipation
  • Mood changes
  • Reduction in bone density/ osteoporosis,  increasing the risk of fractures

The most common cause of primary hyperparathryoidism is a  benign growth on one of the parathyroid glands, known as an adenoma. Less commonly there can be more than one adenoma or all 4 glands can be affected with a condition called hyperplasia.

The only cure for primary hyperparathyroidism is surgery. Not all patients with hyperparathyroidism need surgery, occasionally observation is preferable.

Your surgeon will assess your symptoms and test results including calcium level, parathyroid hormone level, vitamin D level, urinary calcium levels and bone density and then discuss appropriate management with you. You may require an ultrasound and sestamibi scan to identify the abnormal gland/s. This will help to determine the most appropriate type of surgery.