Hemodialysis & Peritoneal Dialysis: Choosing the Right Option for You
A clear guide to hemodialysis and peritoneal dialysis, the two main renal replacement therapies for end-stage kidney disease.
Treatment begins with
Modality Counselling
Access Preparation
Starting Dialysis
Ongoing Care
Dialysis is considered when kidney function has declined to the point where it can no longer safely support the body.
You may need this if...
These signs may indicate that this treatment is the recommended course of care:
- Kidney function has dropped to end-stage levels
- Symptoms of fluid overload, breathlessness or fatigue from kidney failure
- Dangerous buildup of waste products or potassium in the blood
- Not yet eligible for or awaiting a kidney transplant
A nephrologist's evaluation confirms whether this treatment is the right option for you.
What is Dialysis?
Dialysis filters waste and excess fluid from your blood when your kidneys can no longer do so effectively. Hemodialysis uses a machine and filter, typically at a dialysis center, while peritoneal dialysis uses the lining of your abdomen and can often be done at home.
Your nephrologist will help you weigh both options based on your lifestyle, home support and overall health, not a one-size-fits-all default.
When This Treatment is Considered
Dialysis is considered when kidney function has declined to the point where it can no longer safely support the body.
- Kidney function has dropped to end-stage levels
- Symptoms of fluid overload, breathlessness or fatigue from kidney failure
- Dangerous buildup of waste products or potassium in the blood
- Not yet eligible for or awaiting a kidney transplant
The Care Pathway
1. Modality Counselling
Your care team explains both hemodialysis and peritoneal dialysis so you can make an informed choice.
2. Access Preparation
A dialysis access, such as a fistula or peritoneal catheter, is created ahead of starting treatment where possible.
3. Starting Dialysis
Treatment begins on a schedule suited to the chosen modality, closely monitored in the early weeks.
4. Ongoing Care
Regular follow-up adjusts your dialysis prescription and manages related aspects like diet, anemia and bone health.
“Your care team supports you through every stage, from evaluation to ongoing monitoring and follow-up.”
Expected Benefits and Possible Risks
Dialysis effectively replaces lost kidney function and can be life-sustaining, though it requires an ongoing time and lifestyle commitment.
Every treatment has potential risks. Your nephrologist will discuss your individual risks before starting treatment.
Recovery & Follow-up
Dialysis is an ongoing therapy rather than a one-time procedure, continuing until a transplant is possible, if pursued.
Most patients settle into a routine within the first few weeks, with the care team adjusting the plan based on how you respond.
Regular monitoring, lab tests and lifestyle guidance all play an important role in protecting your kidney function over time.
Questions to Ask Your Care Team
- 1.Which type of dialysis suits my lifestyle better?
- 2.How much time will dialysis take each week?
- 3.Can I still work or travel while on dialysis?
- 4.Am I also a candidate for a kidney transplant?
Not Sure What You Need?
Speak to a Care Guide and we'll help you choose the right nephrologist.
Talk to Care GuideRelated Care
A care guide can match your concern to the right nephrologist.
Share your concern or existing reports. We will help you choose the right hospital, doctor and appointment.
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