Treating Hyperparathyroidism

The UW Health endocrine surgery program in Madison, Wisconsin, offers both medical and surgical treatment for patients with hyperparathyroidism. The treatment for hyperparathyroidism depends upon the form and often involves surgery.


Primary Hyperparathyroidism


The only way to treat primary hyperparathyroidism is to remove some or all of the parathyroid glands in surgery. Most people have a single adenoma, or one parathyroid that is enlarged. Removing the enlarged parathyroid(s) cures the problems. When all four parrathyroids are abnormal, then half of the most normal gland is left in place and the remaining three glands are removed. This is called a subtotal or three and one-half gland excision.



Secondary Hyperparathyroidism


Most of the time secondary hyperparathyroidism is treated with medications and sometimes with surgery for patients with kidney disease. Most people have hyperplasia, or all four parathyroids are enlarged. 


Tertiary Hyperparathyroidism


Tertiary hyperparathyroidism is often treated with surgery. People with tertiary hyperparathyroidism typically have hyperplasia, or all four parathyroids are enlarged.


Familial Hypocalciuric Hypercalcemia (FHH)


Familial hypocalciuric hypercalcemia is not treated with surgery.