- On July 24, 2017 /
- By davita /
- In Treatment Options
The patients who are not eligible for transplant or waiting for transplant in the future or whose partner/ any other relatives is ready and willing to assist in the procedure would be the ideal candidate for home dialysis.
Home hemodialysis comes with both advantages as well as disadvantages of which the patients should be aware of before choosing it.
Advantages of home hemodialysis:
It gives the patient a level of flexibility in setting up the scheduling time which is not possible in a center. According to other activities and social arrangements, the day or time can be opted by the patient and family. In addition, some patients feel more comfortable when dialyzing in the comfort and known environment of their own home. In dialysis centers, normally food is not allowed but home patients can have their meals while on dialysis.
However, several families have found home dialysis extremely suitable and certainly preferable for them. Any previous experience is not required to perform this, but they should be well trained and should be aware on when to call for assistance. Without getting the demonstration of full capabilities by patient and his/her partner/family member, the dialysis center would not give permission to them to start the procedure at home.
The family member-therapist should be trained for atleast 6-8 weeks along with the patient on the procedure to be followed. This member should restrict himself to the same schedule as the patient to perform the dialysis. Psychologically, the member might be stressed or burdened of feeling accountable for the patient’s safety.
There might be situations wherein slight difficulties arise; the patient should be immediately taken to the center for dialysis.
Role of Urologist
Urology/ Genitourinary surgery is classified as medical-surgical subspecialty that focuses on surgical and medical diseases of male and female urinary tract system. In addition, Urology also covers disorders related to male reproductive system which include the penis, vas deferens, prostate, epididymis, seminal vesicles and testes. Urology is one of the most competitive and vast field comprising of eight subspecialty areas including Pediatric urology, Urologic oncology, Renal transplantation, Male infertility, Urinary tract stones, Female urology, Neurourology and Erectile dysfunction. This explains well regarding their vast knowledge and expertise to encounter a variety of clinical problems. Unlike Nephrologists, Urologists are surgeons who hold expertise in diagnosing, treating, and managing patients with urological disorders.
Other medical specialties which share its connection with Urology are Nephrology, Oncology, Gastroenterology Endocrinology, Gynecology, Pediatric surgery and Andrology.
Most common issues for referral to Urologist include:
- Anatomical kidney problems
- Disorders of any organs of the urinary tract like urethra disorder, urinary bladder problems and conditions involving the ureters
- Adrenal problems
- Disorders of male reproductive organs
To conclude, even Urologist play an important role in treating and maintaining good functioning of ones kidneys and urinary system. Problems related with kidneys need to be consulted with the Nephrologist whereas issues pertaining to the urinary tract comes under the purview of an Urologist. But if both kidneys and urinary system are affected then a joint consultation is preferred.