Endocrinology

Parathyroid Disorders

Parathyroids are mainly adenomas and occur in hyperplasia, where more than one parathyroid gland is involved. Cancer accounts for less than 1 percent of diagnoses. If surgery is needed, general anesthesia is given for the minimally invasive procedure and it can be done as either an inpatient or outpatient. Hyperplasia thyroidism draws calcium from the bone, causing osterporosis, kidney stones, or kidney disease.

Advanced Surgical Treatments

Our experts use the latest breakthroughs and innovations in the surgical treatment of endocrine disorders, including scarless parathyroid removal using the transoral vestibular approach (TOVA). Baylor St. Luke’s Medical Center is currently the only center in Texas that performs this novel procedure.

Parathyroid Pre-Op

You will have a parathyroidectomy if your work up shows elevated calcium due to a parathyroid adenoma or hyperplasia of the parathyroid glands. These studies include ultrasounds, labs, nuclear scans, and a 4D CT prior to parathyroidectomy. Patients are not to take aspirin, Advil, or anticoagulants 10 days before parathyroidectomy. This surgery will be coordinated with your physician or cardiologist. A possible stress test or EKG might also be needed.

On the day of surgery, you will arrive at CHI St. Luke's Health and receive general anesthesia. This procedure may be done as an inpatient or outpatient.

Parathyroid Post-Op

Follow up includes a visit to your physician for the removal or sutures and drain, if needed. Patients are not to exercise for two to three weeks, except for walking.  Keep the site dry until told by your physician it is acceptable to get wet. Returning to work varies for each patient but is usually about one week. Parathyroidectomys may also be done minimally invasively.