Understanding the pros and cons of peritoneal dialysis (PD)

Some doctors feel that PD has several benefits when compared to hemodialysis. With continuous dialysis, you can control extra fluid more easily, and this may reduce stress on the heart and blood vessels. There may be fewer dietary restrictions as compared to hemodialysis. The equipment used for PD is very portable so you can do more of your daily activities and it is easier to work or travel. PD uses no needles.

However, there are some people for whom PD may not be appropriate. The abdomen or belly of some people, particularly those who are morbidly obese or those with multiple prior abdominal surgeries, may make PD treatments difficult or impossible. There is an increased chance of developing peritonitis (infection inside the belly) but this can be prevented with the right precautions. When deciding about the type of treatment, you should consider that PD needs to be done every day, similar to natural kidney function. There will also be a thin tube (catheter) left in your belly permanently, but this can be covered under your clothes.

PD is an effective form of dialysis and has been proven to be as good as hemodialysis, but it is not for everyone. People must receive training and be able to correctly perform each of the treatment steps. A trained helper may also be used.