When primary hyperaldosteronism is discovered, usually on laboratory studies and clinical presentation, the treatment algoritm depends on the cause.
If the hyperaldosteronism is caused by an adenoma the treatment is adrenalectomy or surgical removal of the affected adrenal, usually by a laparosocpic approach.
If the cause of the hyperaldosteronism is bilateral hyperplasia, the treatment is spironolactone.
Usually a computed tomography (CT) test will be able to detect an adenoma if present.
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