Surgical management of symptomatized hyperparathyroidism

Our study included 12 patients [5 Males - 7 Females] their age ranged from 15 - 59 years. This study was performed in El Minia and El Mansoura University Hospitals from March 1991 to Jan 1993. All patients were complaining from urological symptomes with or without gastrointestinal or orthopedic manifestations. All patients were submitted to thorough clinical, laboratory, radiological examination, neck ultrasonography, Thallium 201 and Techneium 99 were used for detecting the site, the size and the relation of the parathyroid to The Thyroid gland. All patients proved to be hyperpara.thyroidism the majority were hypercalcaemic [66.7 percent] and 33.3 percent were normocalcaemic. Exploration of the neck was performed for all patients to explore the parathyroid glands which could be detected by its site, colour and amount of fat around it. Excision of the affected gland or glands have been done with surgical care to RLN and the speciments were subjected to histopathological study. Follow up of the patients ranged from 6-12 months by measuring the level of serum calcium, phosphorus. PUT, IVU, and bone x-ray were done every 3 months with encouraging results. It seems that surgical extirpation of the affected glands is the only method for pervention of recurrent renal stones, GIT symptoms and bony affection caused by hyperparathyroidism