Clinical course in patients treated for primary hyperparathyroidism. Our results and review of the literature

Our aim was to verify the clinical improvement following surgery in patients diagnosed of primary hyperparathyroidism. Between april 1990 and november 2002 we have operated 83 patients with this diagnosis (12 men and 71 women). Before surgery, calcium and paratohormone (PTH) levels were measured, Together with clinical symptoms. We analysed the kind of surgery, AP results, complications and clinical evolution. In over 97% of cases we obtained a biochemical normalization after surgery, 96% of the patients with nephrolithiasis improved notoriously, being this the only statistically significant symptom (p < 0.01). The rest of symptoms also decreased following parathyroidectomy (p > 0.05).