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Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...

Peritoneal Dialysis III: Nursing Management

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Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...

Peritoneal Dialysis I: Introduction and Procedure

Peritoneal Dialysis I: Introduction and Procedure

Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...

Hemodialysis II: Procedure and Complications

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...

Dialysis

Dialysis

Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...

Dialysis

Dialysis

Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...

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Related Experiment Video

Updated: Jul 11, 2026

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

Published on: July 20, 2022

Sexual dysfunction in peritoneal dialysis patients.

Chun-Fu Lai¹, Yu-Ting Wang, Kuan-Yu Hung

¹Division of Nephrology, Department of Internal Medicine, Far Eastern Memorial Hospital, Taipei, Taiwan.

American Journal of Nephrology

|September 14, 2007

Summary

Sexual dysfunction is common in peritoneal dialysis (PD) patients, affecting over half of men and impacting women significantly. Age, glucose levels, and depression are key contributing factors.

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Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility

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Last Updated: Jul 11, 2026

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

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Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis

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Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility

Published on: May 30, 2025

Area of Science:

Nephrology
Urology
Sexual Medicine

Background:

Sexual dysfunction is a prevalent yet understudied issue in patients undergoing peritoneal dialysis (PD).
Understanding the factors contributing to sexual dysfunction in PD patients is crucial for improving their quality of life.

Purpose of the Study:

To evaluate the prevalence and determinants of sexual dysfunction in male and female patients on chronic PD.
To identify specific factors associated with sexual dysfunction in this population.

Main Methods:

A cross-sectional study involving 99 PD patients (54 men, 45 women) from 8 PD centers.
Utilized self-reported questionnaires: International Index of Erectile Function (IIEF) for men, Index of Female Sexual Function (IFSF) for women, and Beck Depression Inventory (BDI).

Main Results:

51.9% of men exhibited erectile dysfunction (IIEF score ≤25). Older age and higher fasting glucose were linked to lower IIEF scores.
Women on PD had significantly lower IFSF scores compared to healthy controls. Higher BDI scores, automated PD, and older age were associated with lower IFSF scores.

Conclusions:

Sexual dysfunction is a significant, multi-dimensional problem in PD patients with distinct gender-specific contributing factors.
Increased awareness and further investigation into sexual health are warranted for comprehensive care of dialysis patients.