Patient selection: male with chronic renal dysfunction with secondary hyperparathyroidism with impaired sexual function
Patients excluded: concurrent disease interfering with sexual function (diabetes, liver disease, serious psychological problems)
Surgical management: parathyroidectomy with autotransplantation of parathyroid tissue into the subcutaneous tissue of the forearm or thigh
If the procedure has been successful then the serum parathyroid hormone should normalize.
Additional changes that are seen after surgery:
(1) reduced serum prolactin concentration
(2) reduction in total serum calcium
Impact on sexual function in the absence of concurrent disease:
(1) increased attempts at sexual intercourse
(2) increased satisfaction and enjoyment during intercourse
