Endocrinology

Parathyroidectomy

Surgical removal of one or more parathyroid glands to correct abnormal hormone production.

Minimally Invasive Parathyroidectomy (MIP)

What is Parathyroidectomy?

Parathyroidectomy is a surgical procedure performed to remove one or more parathyroid glands when they become overactive, a condition known as hyperparathyroidism. These glands, located near the thyroid in the neck, regulate calcium levels in the blood and bones. Overactive glands can cause dangerously high calcium levels, leading to kidney stones, bone loss, fatigue, and other health issues. Parathyroidectomy remains the most effective long-term treatment for this condition and is often curative when performed by experienced surgeons.

This procedure helps to:

  • Normalize blood calcium and parathyroid hormone (PTH) levels.
  • Reverse or prevent osteoporosis and bone fractures.
  • Reduce the risk of kidney stones and kidney damage.
  • Improve fatigue, mood, and cognitive symptoms linked to hypercalcemia.
  • Provide a permanent solution for many patients.

What to expect after Parathyroidectomy?

Most patients experience quick recovery and significant symptom improvement within days to weeks. The surgery usually involves a small incision in the neck and is often performed on an outpatient basis. Calcium levels are closely monitored after surgery, as they can drop temporarily until the body adjusts.

  • Mild neck discomfort or sore throat.
  • Temporary hoarseness or voice changes.
  • Small incision with minimal scarring.
  • Rapid improvement in symptoms like fatigue or bone pain.
  • Possible need for short-term calcium or vitamin D supplements.

Why is it performed?

  • To treat primary hyperparathyroidism.
  • To prevent long-term complications such as kidney damage.
  • To restore bone density and prevent fractures.
  • To relieve systemic symptoms of high calcium.
  • To provide definitive treatment when medication is not effective.

Risks and Considerations

  • Risk of damage to vocal cord nerves causing hoarseness.
  • Temporary or permanent low calcium levels (hypocalcemia).
  • Bleeding or infection at the surgical site.
  • Rare need for repeat surgery if additional abnormal glands exist.
  • Small risk of persistent or recurrent hyperparathyroidism.

Early detection is important for managing the condition and preventing further complications.

Schedule a consultation today.

FAQs

Is parathyroidectomy painful?
Pain is usually mild and limited to soreness at the incision site. Most patients manage with simple pain medication.
Typically 1–3 hours, depending on how many glands are affected.
Yes, many patients are discharged the same day or after an overnight stay.
You may need short-term calcium and vitamin D supplements while your body adjusts, but most patients do not require long-term medication.
If you experience tingling in your fingers, lips, or severe muscle cramps, as these can be signs of low calcium.

Doral Health & Wellness Hormone Health Department

Doral Health & Wellness Endocrinology specializes in the diagnosis and treatment of hormonal imbalances and endocrine disorders, including diabetes, thyroid diseases, and adrenal conditions. Our expert endocrinologists provide personalized care, using advanced diagnostics and treatment plans to help you achieve hormonal balance and improve your overall health.

Doctor pointing at a thyroid gland model during a consultation.

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