Primary hyperparathyroidism and urolithiasis: concomitant surgical management.
Urolithiasis occurs in about 20% of patients undergoing cervical exploration for primary hyperparathyroidism. A small number of these patients may require surgical removal of the renal stones because of either obstruction or infection. The traditional surgical modalities for stone removal have been replaced by extracorporeal shock-wave lithotripsy, ureteroscopic stone removal, and percutaneous lithotripsy. During the period 1980 through January 1989, 22 patients underwent combined cervical exploration for primary hyperparathyroidism and treatment of renal or ureteral stones with a single general anesthetic at our institution. This study demonstrates that this approach can be performed safely with a high success rate and negligible morbidity and that this approach may have cost-effective implications.
van Heerden
J A
JA
Department of Surgery, Mayo Clinic, Rochester, Minn. 55905.
Segura
J W
JW
Grant
C S
CS
D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000150:complications / Q000601:surgery*; D007669:Kidney Calculi / Q000150:complications / Q000601:surgery / Q000628:therapy*; D008096:Lithotripsy / Q000295:instrumentation; D008297:Male; D008875:Middle Aged; D010280:Parathyroid Glands / Q000601:surgery; D013523:Surgical Equipment; D014545:Urinary Calculi / Q000150:complications / Q000601:surgery / Q000628:therapy*