Dialysis is a treatment that takes over the job of your kidneys. It will help to clear toxins from the blood. It will also help to balance fluid and salt levels in the body. There are two types of dialysis. This fact sheet will focus on peritoneal dialysis. It uses the lining of your abdomen and a special solution to filter your blood.
You may be on dialysis for a short time, or you may need it for the rest of your life.
The kidneys have many important jobs. They clear toxins out of your blood and help balance salt levels. Dialysis may be needed if the kidneys are not able to work well. It may be started when the kidneys have lost more than 90% of their function.
The main functions of peritoneal dialysis are to:
Dialysis may be used short term to allow your kidneys to rest and heal. If the kidney damage is permanent, dialysis will be needed for the rest of your life. It can improve the quality and length of life in people with severe kidney disease.
It may not be appropriate for all. People with obesity or previous surgery on abdomen may not be able to use this dialysis method.
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
A small, soft tube about 24 inches long will be placed in the abdomen. One part of the tube will remain outside of the body. It may need to be placed 10-14 days before it can be used. This tube will remain there permanently. It will need regular care to decrease the risk of infection.
A solution, called a dialysate, is passed through your tube. It will remain in the abdomen for the next few hours.
The lining of the abdomen has many tiny blood vessels. The solution sits next to these blood vessels. Fluid, waste, and chemicals can move from these blood vessels into the solution. The solution will be drained with waste and others after several hours. New solution may then be added to repeat the process.
There are different delivery options:
The time needed for peritoneal dialysis depends on a few factors:
|Type||Length of Time||How Often|
|CAPD||3-6 hours, plus 30 minutes to drain||4 times/day|
|CCPD||9-12 hours||Every night|
|IPD||12 + hours||36-42 hours/week|
In general, it does not cause pain.
Be sure to follow your doctor’s instructions. There are some special considerations.
You may need a special diet. This will help your overall health. It can also make treatment more effective. Ask your doctor about your specific needs.
Contact your doctor if any of the following occur:
If you think you have an emergency, call for emergency medical services right away.
National Institute of Diabetes and Digestive and Kidney Diseases
National Kidney Foundation
The Kidney Foundation of Canada
Dialysis. National Kidney Foundation website. Available at: https://www.kidney.org/atoz/atozTopic_Dialysis. Accessed June 11, 2018.
Peritoneal dialysis: Dose & adequacy. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: http://www.niddk.nih.gov/health-information/health-topics/kidney-disease/peritoneal-dialysis-dose-and-adequacy/Pages/facts.aspx. Updated September 2010. Accessed June 11, 2018.
Peritoneal dialysis for end-stage renal disease. EBSCO DynaMed Plus website. Available at:http://www.dynamed.com/topics/dmp~AN~T913135/Peritoneal-dialysis-for-end-stage-renal-disease. Updated December 28, 2017. Accessed June 11, 2018.
Last reviewed May 2018 by EBSCO Medical Review Board Adrienne Carmack, MD Last Updated: 6/7/2018