Surgical therapy for primary, secondary and tertiary hyperparathyroidism

Parathyroid Health

Since there are normally 4 parathyroid glans present in the neck and only one is affected in primary hyperparathyroidism, localization of the pathologic gland is paramount to limit the potential for complications by too extensive surgery. While preoperative imaging can identify the pathologic gland in about 90% of cases, experienced parathyroid surgeons will be able to identify the pathologic gland in about 98-99% of cases during surgery. For this reason, a famous American parathyroid surgeon once quipped: “The best localization procedure is to localize an experienced parathyroid surgeon”. Doctor Apffelstaedt has more than 20 years of experience as head of a large academic thyroid/parathyroid clinic and has successfully operated hundreds of parathyroid cases including re-operations for failed localization of parathyroid pathology elsewhere.


Apffelstaedt, Hoosain & Associates is a multi-disciplinary Breast, Thyroid and Parathyroid centre offering comprehensive clinical, and appropriate imaging assessment services, for any breast, thyroid and parathyroid health and cancer-related matters.


47 Hennie Winterbach St
Panorama , Cape Town 7500

Paramount Healthcare Centre
Windhoek, Cnr. Heliodoor & Gen. Murtala Ramat Muhammed Streets
Eros, Windhoek, Namibia


Cape Town +27 (0)21 930 2662 Sharecall (SA Only) 08600 62662 Namibia +264 (0) 61 287 1125 (Direct) / +264 (0)61 287 1103 (PHCC reception)
South African Practice:
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