Primary hyperparathyroidism is the most common disorder of the parathyroid glands. It occurs when one or more glands produce excess PTH, leading to high calcium levels in the blood (hypercalcaemia).
Causes:
Symptoms:
Some people are asymptomatic, while others experience:
This condition is sometimes summarised with the phrase: “bones, stones, abdominal groans, and psychic moans”.
Diagnosis:
Diagnosis involves blood tests showing elevated calcium and PTH levels, along with other tests such as:
Treatment Options:
This occurs when all four parathyroid glands become overactive due to chronic low calcium levels, usually from:
Over time, the glands enlarge and continuously produce PTH in an attempt to maintain calcium balance.
Symptoms:
Treatment:
Tertiary hyperparathyroidism typically occurs in patients with long-standing secondary hyperparathyroidism (often post-kidney transplant) where the parathyroid glands become autonomously overactive even after calcium levels normalise.
Treatment:
Surgery is typically performed under general anaesthesia and may involve:
The procedure usually takes 1 to 2 hours, and many patients go home the same or following day.
Parathyroid surgery is generally safe, but potential risks include:
Your surgeon will monitor calcium levels closely after surgery and provide calcium supplements if needed during the recovery phase.
Successful surgery often leads to:
Most patients notice a significant improvement in overall well-being within weeks of treatment.
According to available data, primary hyperparathyroidism affects around 1 in 500 Australians, with a higher prevalence in postmenopausal women. Many cases are diagnosed incidentally during routine blood tests, highlighting the importance of monitoring calcium and vitamin D levels as part of regular health checks.
At Sydney Surgical Associates, our team is experienced in the diagnosis and surgical management of all parathyroid conditions. We use the latest techniques in minimally invasive parathyroidectomy, guided by advanced imaging and intraoperative hormone monitoring to ensure a precise and effective procedure.
We collaborate with endocrinologists and GPs to provide comprehensive, multidisciplinary care, supporting you from initial diagnosis through to post-operative recovery.
