Persistent and Recurrent Hyperparathyroidism

The Mount Sinai Endocrine Surgery Parathyroid Program evaluates patients from around the world who have had unsuccessful parathyroid surgery elsewhere. Persistent hyperparathyroidism means that the initial parathyroid operation was not successful in curing the patient. In recurrent hyperparathyroidism, the overactive parathyroid condition returns greater than 6 months from the index parathyroid procedure. In both conditions, a second operation is necessary to cure the persistent condition of hyperparathyroidism.

Reoperative parathyroid surgery requires both expert additional testing to be sure of the location of the abnormal parathyroid as well as an expert surgical team to carry out the operation. The Endocrine Surgery Parathyroid Program at Mount Sinai has both. Our experts will help to outline a plan to localize the problem and then proceed with the necessary treatment plan to achieve cure. Our expert surgeons are guided by state of the art tools in the operating room including intra-operative parathyroid hormone monitoring and laryngeal nerve monitoring. Most of our patients with persistent or recurrent hyperparathyroidism are discharged the same as surgery; our success rate is outstanding.

If you have had failed parathyroid surgery at your local institution and would like to be evaluted at the Endocrine Surgery Parathyroid Center, please click here to learn how to schedule an appointment and what to bring.