Editing Adrenal: Hyperaldosteronism (section)

== Management ==

* '''Role of surgery depends on cause'''
** '''Surgically correctable causes of hyperaldosteronism (4)'''
**# '''Aldosterone-producing adrenal adenoma'''
**# '''Unilateral adrenal hyperplasia'''
**# '''Ectopic aldosterone-secreting tumor'''
**# '''Aldosterone-producing adrenal cortical carcinoma'''
** '''Non-correctable by surgery causes of hyperaldosteronism (4)'''
**# '''Bilateral adrenal hyperplasia'''
**# '''Familial hyperaldosteronism type I'''
**# '''Familial hyperaldosteronism type II'''
**# '''Familial hyperaldosteronism type III'''

** '''Surgically correctable causes'''
*** '''In patients with confirmed lateralizing aldosterone secretion, adrenalectomy should be considered.'''
*** '''Adrenalectomy Approach'''
**** '''Given the small size of aldosterone-producing adenomas, the majority of patients are candidates for a laparoscopic adrenalectomy.'''
**** '''In patients suspected of having hypersecretion of aldosterone associated with ACC, an open procedure may be recommended'''
** '''Non-correctable by surgery causes'''
*** '''Medical treatment of primary aldosteronism in the form of mineralocorticoid receptor antagonists (spironolactone and eplerenone) is indicated in patients with non-surgically correctable subtypes and those who are not surgical candidates.'''