Simultaneous presentation of untreated hyperparathyroidism and obstructing ureteral calculi: surgical considerations

Simultaneous presentation of obstructing ureteral calculi and untreated primary hyperparathyroidism offers an interesting therapeutic dilemma. We herein review 8 cases, with 6 occurring in the last 3 years. When both conditions require surgical intervention the parathyroid adenoma should be excised first. The adenoma and offending stone can be removed at the same operation, with resultant prompt relief of pain and decrease in hospitalization.