Intra-operative parathyroid hormone (PTH) monitoring is a new service available at Spire Murrayfield Hospital. It involves measuring the level of parathyroid hormone during surgery for hyperparathyroidism.
Primary hyperparathyroidism (PH) is a condition that results in progressive bone weakening (osteoporosis). In addition PH may be associated with a large range of symptoms. The condition is caused by one or more enlarged parathyroid glands deep inside the neck. Surgery is the only treatment that can cure primary hyperparatyhroidism (PH).
The operation of parathyroidectomy involves removing the enlarged gland or glands. At the time of surgery, it is not always possible to be certain that the enlarged parathyroid gland (or glands) has been successfully removed. Measuring the parathyroid hormone (PTH) level from a blood sample during surgery can help determine success, before the end of the operation. The comparison of the level of the hormone in the blood before and after the removal of a suspicious gland can help the surgeon be confident that the operation has been successful.
Measurement of the hormone level during surgery requires biochemical expertise and specialist equipment. Spire Murrayfield is the only hospital in Scotland which provides intra-operative PTH monitoring. For more information or to book an appointment with Mr Murat Akyol, who specialises in parathyroidectomy, please call Spire Edinburgh Hospitals on 0131 316 2507.