Kidney failure, also known as end-stage renal disease (ESRD), occurs when the kidneys lose their ability to filter waste and excess fluids from the blood effectively. Early diagnosis and timely medical intervention are crucial to managing kidney failure and improving patient outcomes. Dr. Pruthvi Raj Honnaiah specializes in comprehensive kidney failure evaluation and advanced treatment procedures, including fistula creation for dialysis, permcath insertion, and Continuous Ambulatory Peritoneal Dialysis (CAPD).

Evaluation of Kidney Failure

Proper assessment is essential to determine the severity of kidney failure and plan appropriate treatment. Diagnosis includes:

• Kidney Function Tests: Serum creatinine, blood urea nitrogen (BUN), and estimated glomerular filtration rate (eGFR) to assess kidney performance.
• Urinalysis: Detects proteinuria, hematuria, or signs of infection.
• Imaging Tests: Ultrasound, CT scan, or MRI to evaluate kidney size, structure, and any obstructions.
• Biopsy (if needed): Helps diagnose underlying kidney diseases causing failure.

Treatment Procedures for Kidney Failure

Once kidney function declines significantly, dialysis or kidney transplant becomes necessary. Dr. Pruthvi Raj offers specialized procedures to facilitate dialysis access and improve patient comfort.

• AV Fistula Creation for Dialysis:
  • What is it? An arteriovenous (AV) fistula is a surgically created connection between an artery and a vein, typically in the forearm, to provide a long-term, durable access for hemodialysis.
  • Why is it important? AV fistulas offer better blood flow, lower infection risk, and longer lifespan compared to other dialysis access options.
  • Procedure: Performed under local anesthesia, the fistula is allowed to mature for a few weeks before it can be used for hemodialysis.
• Permcath Insertion (Permanent Catheter for Dialysis):
  • What is it? A permcath (tunneled dialysis catheter) is inserted into a large vein (usually in the neck or chest) for immediate dialysis access.
  • Indications: Patients requiring urgent dialysis before AV fistula maturation or those who cannot undergo AV fistula creation.
  • Procedure: A soft, flexible catheter is placed under local anesthesia, ensuring quick and painless dialysis access.
• CAPD (Continuous Ambulatory Peritoneal Dialysis) – Abdominal Dialysis:
  • What is it? CAPD is a home-based dialysis method that uses the peritoneal membrane in the abdomen to filter waste and excess fluids from the blood.
  • Advantages:
    • No need for a dialysis machine; patients can perform dialysis at home.
    • Provides more freedom and flexibility compared to hemodialysis.
    • Better preservation of kidney function in the early stages of kidney failure.
  • Procedure:
    • A peritoneal catheter is inserted into the abdomen under sterile conditions.
    • Dialysis fluid is infused and drained at regular intervals to remove toxins from the body.

Why Choose Dr. Pruthvi Raj for Kidney Failure Treatment?

With expertise in urology, endourology, and kidney care, Dr. Pruthvi Raj Honnaiah offers precise diagnosis and advanced treatment solutions for patients with kidney failure. His focus on minimally invasive techniques, dialysis access procedures, and personalized treatment plans ensures the best possible care for each patient.