What Is a Rapid Parathyroid Hormone Assay?

A rapid PTH assay measures levels of parathyroid hormone in the blood during surgery, typically 10 minutes after gland removal. It provides near-instant feedback on whether the targeted tissue has been successfully excised. This dynamic test is especially valuable in cases of primary hyperparathyroidism, helping surgeons limit the extent of exploration and avoid overlooked diseased glands. Dr Basheeth integrates rapid PTH monitoring alongside ultrasound and radioactive guidance to ensure definitive treatment and shorter operative times.

Intraoperative blood testing for parathyroid hormone levels

Is a Rapid PTH Assay the Right Option for Me?

You may benefit from intraoperative PTH testing if you:

  • Have confirmed or suspected primary hyperparathyroidism
  • Are undergoing focused parathyroidectomy
  • Prefer minimally invasive surgery
  • Need real-time confirmation of gland removal
  • Want lower risk of needing repeat surgery
  • Desire faster recovery and shorter hospital stay
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Minimally invasive parathyroid surgery with rapid PTH monitoring

What Are the Benefits of a Rapid PTH Assay?

  1. Accurate confirmation of complete gland removal
  2. Enables minimally invasive, targeted surgery
  3. Reduces risk of persistent or recurrent disease
  4. Shortens operative time and hospital stay
  5. Minimizes general anaesthetic exposure
  6. Cuts risk of hypocalcaemia post-surgery
  7. Reduces need for repeat operations
  8. Supports more precise patient-specific treatment
  9. Enhances overall safety and surgical outcome
  10. Builds patient confidence through real‑time decisions

How Is a Rapid PTH Assay Different From Other ENT Services?

Unlike preoperative imaging such as ultrasound, sestamibi or 4D‑CT scans that only suggest gland location, intraoperative PTH assay offers instantaneous biochemical confirmation of successful excision. By measuring hormone clearance during surgery, it enables Dr Basheeth to perform focused removal with confidence—avoiding wider neck dissection, reducing tissue trauma, and optimizing patient recovery.

Does Recovery After a Rapid PTH Assay Take Long?

Because the assay is done during surgery and doesn’t involve any separate procedure, there is no additional recovery time. You’ll wake up from anaesthesia and follow standard post-operative care. With targeted minimally invasive surgery backed by live hormone testing, most patients experience a shorter hospital stay, reduced pain, and faster return to daily life. Dr Basheeth’s team will provide personalized follow-up instructions and coordinate any additional testing or calcium monitoring as needed.

Why Choose Dr Naveed Basheeth: Excellence in Rapid PTH Assay Care

Dr Basheeth is internationally fellowship‑trained in head and neck surgery and a pioneer in minimally invasive parathyroid techniques—including radio‑guided surgery, nerve monitoring, ICG fluorescence, and rapid PTH assays. His expertise ensures accurate hormone-guided surgery that prioritizes safety, precision, and excellent patient outcomes. Trust ENT Central for compassionate, state‑of‑the‑art care.

Rapid Parathyroid Hormone Assay FAQs

How quickly are the results available during surgery?

How does this test help reduce the need for another surgery?

Is the rapid PTH assay safe?

How quickly are the results available during surgery?

The rapid PTH assay provides results within approximately 10 minutes of removing the suspected parathyroid gland. This immediate feedback allows Dr. Basheeth to determine—while the patient is still in surgery—whether the overactive gland has been successfully excised, ensuring greater precision and avoiding unnecessary additional exploration.

How does this test help reduce the need for another surgery?

By confirming a significant drop in parathyroid hormone levels during the procedure, the assay ensures the abnormal gland has been removed entirely. This real-time confirmation dramatically lowers the risk of persistent hyperparathyroidism and the need for repeat surgery, giving patients peace of mind and better long-term outcomes.

Is the rapid PTH assay safe?

Yes, it is completely safe. The assay involves drawing a small blood sample during surgery and poses no added risk to the patient. It does not prolong the operation or cause discomfort, and its benefits far outweigh any minimal inconvenience, making it a valuable tool in modern parathyroid surgery.

Referral Pathway: We provide online consultations within two weeks of referral for out-of-town residents. Relevant investigations, radiological and laboratory, can be undertaken in the patient's city. Private and outsourced referrals can be sent to: admin@entcentral.co.nz (347) 557-8368.
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