[Hyperparathyroidism in urology]

Primary hyperparathyroidism is one of the important endocrine disorders in urological field because it very often causes the recurrent urolithiasis. We experienced more than 800 cases of it since the middle of 20th century. We present the general aspect of primary hyperparathyroidism from the view point of urology. The other parathyroid hyperfunction is a secondary hyperparathyroidism, which has increased according to the long time hemodialysis. The management of secondary hyperparathyroidism basically should be performed by the hemodialysist from the first, but not a few patients resist to the medical control of parathyroid function. Total parathyroidectomy with autotransplantation of small cluster of parathyroid in the forarm or subtotal parathyroidectomy is needed in patients whose parathyroid resists to the medical therapy.