Parathyroidectomy (parathyroid surgery) refers to removal of one or more parathyroid glands. Healthcare providers use this procedure to treat primary hyperparathyroidism. They may also recommend parathyroid surgery to treat secondary hyperparathyroidism when nonsurgical treatments don’t work.
Parathyroidectomy (pair-uh-thigh-roid-EK-tuh-mee) refers to the surgical removal of one or more parathyroid glands. These tiny glands, located on the back of your thyroid, help regulate the level of calcium in your blood. (Most people have four parathyroid glands, but rarely, a person can have more, fewer or none.)
You can also develop hyperparathyroidism because of another medical condition. Kidney disease is a common example. When this happens, healthcare providers call it secondary hyperparathyroidism.
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Before your operation, your healthcare provider will give you instructions specific to your situation. Here are some questions to ask your provider before the day of your appointment:
Surgeons use a few different approaches for parathyroidectomy, including traditional, minimally invasive and scarless (when they make an incision inside your mouth instead of on your neck). If your provider needs to make an incision on your neck, they’ll place it strategically (like in a natural crease) to hide the scar. Your surgeon will discuss your options and let you know what to expect the day of your procedure.
When you arrive for your parathyroid surgery, your surgeon will:
Parathyroidectomy takes about one hour to complete in most cases.
After parathyroidectomy, you should be able to go home the same day or the day after. You’ll be able to eat and drink normally. But if you have a sore throat, you may want to eat soft foods for a day or two. You’ll also be able to walk around. But you should avoid strenuous exercise until your surgeon clears you.
Depending on your situation, you might need to take calcium supplements temporarily. This helps increase your blood calcium levels while your remaining parathyroid glands adjust and recover.
Parathyroidectomy can improve your quality of life in many ways. By returning your blood calcium levels to a healthy range, this procedure can reduce or eliminate symptoms of hyperparathyroidism, like:
It also reduces your risk for related conditions, like:
Parathyroidectomy is safe, in general. But like any surgical procedure, it comes with some risks. Possible short-term complications include:
If you develop any of these postsurgical parathyroidectomy side effects, your provider can treat them.
It’s possible to develop long-term side effects in some cases. The most common complications include:
Full recovery takes between one and three weeks. But you’ll be able to resume normal activities in a few days. Be sure to clear it with your surgeon before exercising.
Parathyroidectomy has impressive success rates (over 95%) in treating hyperparathyroidism. In fact, it’s the only available cure for the condition. Research indicates that less than 2% of people who undergo parathyroidectomy develop recurrence (return) of hyperparathyroidism.
Following parathyroidectomy, call your healthcare provider if you develop:
If you have trouble breathing, call 911 (or your local emergency services number) or head to your nearest emergency room.
No, parathyroidectomy isn’t a major surgery. Even traditional parathyroid surgery only requires a small incision measuring about 2 inches (5 centimeters).
After parathyroidectomy, your remaining parathyroid glands might need time to recover. You may develop low levels of calcium (hypocalcemia), which can cause cramping or tingling. Usually, this only lasts a few weeks. Your surgeon can give you calcium supplements to take in the meantime.
A note from Cleveland Clinic
When your parathyroid glands make too much hormone, it can lead to hyperparathyroidism and several related symptoms. Parathyroidectomy is a common, minimally invasive procedure that can improve (and in many cases, cure) hyperparathyroidism. If you develop new symptoms like joint pain, muscle weakness, fatigue and foggy memory, it could indicate overactive parathyroid glands. Let your healthcare provider know so they can determine a cause and recommend appropriate treatment.
Last reviewed by a Cleveland Clinic medical professional on 09/08/2023.
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