About Parathyroid Hyperplasia
Key Highlights
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Definitive treatment for primary hyperparathyroidism caused by gland hyperplasia.Effectively normalizes elevated blood calcium and parathyroid hormone (PTH) levels.Alleviates symptoms like bone pain, fatigue, kidney stones, and cognitive dysfunction.Helps prevent long-term complications including osteoporosis, fractures, and cardiovascular issues.Modern techniques often allow for minimally invasive approaches with smaller incisions.Intraoperative PTH monitoring can be used to confirm surgical success immediately./ul
Who is this surgery for?
- Persistently elevated serum calcium and PTH levels confirming primary hyperparathyroidism.
- Symptomatic hypercalcemia (e.g., kidney stones, bone pain, fatigue, depression, abdominal pain).
- Evidence of end-organ damage such as osteoporosis, reduced kidney function, or nephrolithiasis.
- Younger patient age (typically under 50).
- Inability or unwillingness to undergo long-term medical surveillance.
- Markedly elevated serum calcium level (e.g., >1 mg/dL above the normal upper limit).
How to prepare
- Comprehensive diagnostic workup including blood tests (calcium, PTH, vitamin D, kidney function) and imaging (ultrasound, Sestamibi scan).
- Consultation with the endocrinologist and surgeon to discuss the procedure, risks, and benefits.
- Pre-operative assessment including ECG, chest X-ray, and other tests as required by age and health status.
- Discontinuation of certain medications like blood thinners (aspirin, warfarin) as advised by the doctor.
- Fasting for 8-12 hours before the surgery.
- Informed consent process detailing the surgical plan and potential need for lifelong calcium/vitamin D supplementation.
Risks & possible complications
- Hypoparathyroidism (low PTH) leading to low blood calcium (hypocalcemia), which may be temporary or permanent.
- Recurrent laryngeal nerve injury, potentially causing hoarseness or voice changes.
- Bleeding or hematoma formation at the surgical site.
- Infection of the surgical wound.
- Scarring at the neck incision site.
- Persistent or recurrent hyperparathyroidism if not all hyperplastic tissue is removed.
- Rare risks associated with general anesthesia.
Recovery & hospital stay
- Hospital stay typically lasts 1-2 days for monitoring of calcium levels and pain management.
- Pain and discomfort in the neck are common and managed with prescribed medications.
- Blood calcium levels are closely monitored; oral calcium and vitamin D supplements are often required.
- Patients should avoid strenuous activity and heavy lifting for 2-3 weeks.
- A follow-up appointment is scheduled within 1-2 weeks to check the incision and calcium levels.
- Long-term follow-up with an endocrinologist is essential to monitor calcium and PTH levels annually.
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Typical hospital stay: 1-2 days
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Expected recovery time: 2-3 weeks
Frequently Asked Questions
If you are considering parathyroid hyperplasia in India, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in India with endocrinology departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform parathyroid hyperplasia. MediFyr helps you compare endocrinologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for parathyroid hyperplasia compare across other countries where we have data.
Rohan Williams, a 58-year-old high school...
Rohan Williams, a 58-year-old high school history teacher, had always been active and health-conscious. Over the past year, he'd become increasingly fatigued, struggling to get through his teaching day. He developed persistent bone pain in his hips and lower back, which he initially attributed to aging. A routine blood test ordered by his primary doctor revealed significantly elevated calcium levels. Further investigation by his endocrinologist, Dr. Chen, diagnosed him with primary hyperparathyroidism caused by parathyroid hyperplasia. Dr. Chen explained that all four of Rohan's parathyroid glands were enlarged and overactive, leaching calcium from his bones and causing his symptoms. She recommended a subtotal parathyroidectomy, removing 3.5 glands to restore balance. The surgery was performed under general anesthesia. The first 24 hours were uncomfortable, with a sore throat and neck stiffness, but his calcium levels were monitored closely to prevent a dangerous drop. Within a week, his bone pain began to subside dramatically. At his six-week follow-up, his energy had returned, and his calcium levels were normal. Emotionally, Rohan had been anxious about the surgery and frustrated by his unexplained decline. Post-recovery, he felt profound relief and gratitude, regaining his ability to engage fully with his students and his passion for hiking.
Endocrinologists for Parathyroid Hyperplasia
Explore experienced endocrinologists who regularly perform parathyroid hyperplasia and provide pre- and post-operative care in India.
- 18 Years Experience
- Endocrinologist
Kamineni Hospital LB Nagar, Hyderabad
- 5 Years Experience
- Endocrinologist
Manipal Hospital Old Airport Road, Bangalore
- 50 Years Experience
- Endocrinologist
Manipal Hospital Dhakuria, Kolkata
- 15 Years Experience
- Endocrinologist
Manipal Hospital Dhakuria, Kolkata
- 30 Years Experience
- Endocrinologist
Manipal Hospital Dhakuria, Kolkata
- 13 Years Experience
- Endocrinologist
Manipal Hospital Dhakuria, Kolkata
- 8 Years Experience
- Endocrinologist
Manipal Hospital Malleshwaram, Bangalore
- 21 Years Experience
- Endocrinologist
Manipal Hospital Malleshwaram, Bangalore
- 8 Years Experience
- Endocrinologist
Manipal Hospitals Broadway, Kolkata
- 16 Years Experience
- Endocrinologist
Manipal Hospital Doddaballapur, Bangalore
- 13 Years Experience
- Endocrinologist
Manipal Hospital Doddaballapur, Bangalore
- 3 Years Experience
- Endocrinologist
Manipal Hospital Kanakapura Road, Bangalore
- 33 Years Experience
- Endocrinologist
Manipal Hospital Millers Road, Bangalore
- 29 Years Experience
- Endocrinologist
Manipal Hospital Millers Road, Bangalore
- 12 Years Experience
- Endocrinologist
- 12 Years Experience
- Endocrinologist
Manipal Hospital EM Bypass, Kolkata
- 27 Years Experience
- Endocrinologist
Manipal Hospital EM Bypass, Kolkata
- 7 Years Experience
- Endocrinologist
Manipal Hospital EM Bypass, Kolkata
- 18 Years Experience
- Endocrinologist
Manipal Hospital EM Bypass, Kolkata
- 20 Years Experience
- Endocrinologist
Manipal Hospital Salt Lake, Kolkata