What is peritoneal dialysis?

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This technique is performed only at home. It uses the peritoneum, a membrane that lines the abdominal organs, to filter excess fluids and waste products from the body. 

How is peritoneal dialysis performed?

A catheter is placed into the peritoneal cavity of the abdomen. Through this tube, a dialysis solution flows into your body and remains there for a few hours. During that time, the solution absorbs toxins and excess water from the organism. It is then drained out and replaced with fresh solution.  

What types are there?

Peritoneal dialysis is carried out at the patient’s home and can be done either manually or automatically.

  • Manual or Continuous Ambulatory Peritoneal Dialysis (CAPD). Between 1 and 4 dialysis solution exchanges are performed by hand each day. 
  • Automated Peritoneal Dialysis (APD). It is performed using a machine, usually at night, over the course of 8-10 hours while the patient is asleep.

How often do I need to do Peritoneal Dialysis?

Peritoneal dialysis is performed every day. 

What sensations can be experienced during Peritoneal Dialysis?

In general, both haemodialysis and peritoneal dialysis are safe and well tolerated techniques. However, some people may experience certain discomfort, especially at the beginning. The patient might feel a sensation of abdominal swelling or mild discomfort related to the catheter. These sensations usually decrease over time. 
 

What are the advantages of Peritoneal Dialysis compared to Haemodialysis?

It is better tolerated, allows for more flexible scheduling, offers greater autonomy, involves fewer dietary restrictions and is better for heart health. 

What other indications does Peritoneal Dialysis have?

Peritoneal dialysis can also be used in patients with heart failure who do not respond to diuretic therapy. 

Substantiated information by:

Anna Yuguero
Bárbara Romano Andrioni
Elena Cuadrado Payán
José Jesús Broseta Monzó
Manel Vera Rivera
Marta Quintela Martínez
María Teresa López Alonso
Montserrat Monereo Font
Ángeles Mayordomo Sanz

Published: 20 February 2018
Updated: 2 July 2025

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