Once it is determined that renal replacement therapy will be required,the patient(alonge with his physician)should consider the advantages and disadvantages of three types of therapy.
- Hemodialysis (in the hospital or at Home)
- Peritoneal dialysis at home.(CAPD) and
- Renal Transplantation(living donor or deceased organ donor, also called cadaveric donor)
Renal replacement therapies are treatments for severe kidney failure (also called stage V chronic kidney disease or end stage renal disease). When the kidneys are no longer working effectively, waste products and fluid buildup in the blood. Dialysis takes over a portion of the function of the failing kidneys to remove the fluid and waste products.
It is typically needed when about 90% or more of kidney function is lost.