Peritoneal dialysis (PD) is a treatment for kidney failure that removes waste and extra fluid when your kidneys can no longer do this well enough. It uses the lining inside your abdomen, called the peritoneum, to filter your blood inside your body. PD can be done at home, providing flexibility and independence.
There are two main types:
CAPD: You perform exchanges manually during the day, without a machine.
APD: A machine performs exchanges, usually overnight while you sleep.

Peritoneal dialysis uses a special fluid and a soft tube called a catheter to remove waste and extra water from your body. Before treatment starts, the catheter is placed in your abdomen through a procedure. Your dialysis team then trains you or a caregiver to perform treatment and care for the catheter.
Peritoneal dialysis follows three steps through a soft tube called a catheter in your abdomen:
Fill: Dialysate fluid enters your abdomen through the catheter.
Dwell: The fluid stays for a prescribed time, collecting waste and extra water from your blood through the abdominal lining.
Drain: The used fluid, now carrying waste, is drained and replaced with fresh dialysate.
This cycle is called an exchange. Exchanges can be performed manually during the day using CAPD, or by a machine, usually overnight while you sleep, using APD.
Peritoneal dialysis (PD) is an established treatment for kidney failure used around the world. It allows patients to receive dialysis at home after training, and automated PD can usually be performed overnight while they sleep. International kidney organizations are working to expand access so more patients can benefit from home treatment. In Pakistan, PD is available but remains underused. For patients exploring home dialysis, access to a trained dialysis team, reliable treatment supplies, and regular medical follow-up is essential. Speak with your kidney specialist to learn whether PD is right for you and how to access it in your area.
Peritoneal dialysis suits many people with kidney failure, including those who work or study, live far from a dialysis centre, or prefer treatment at home. It may not be suitable if you have had major abdominal surgery, have a hernia that cannot be repaired, or do not have a clean space and the support you need at home. Your kidney specialist will review your health, your home and your preferences before recommending PD.
Starting peritoneal dialysis in Pakistan usually follows four steps. First, a kidney specialist (nephrologist) confirms that PD is right for you. Second, a soft catheter is placed in your abdomen in a short procedure, and the area is given time to heal, often about two weeks. Third, your dialysis team trains you or a caregiver to perform exchanges and care for the catheter. Fourth, treatment begins at home with regular follow-up. Byonyks supports home dialysis patients in Pakistan with dialysis supplies, machine maintenance and dietary guidance. Call 111-KIDNEY (543-639) to speak to our team.
Yes. Peritoneal dialysis is available in Pakistan, although far fewer patients use it than centre-based hemodialysis. Byonyks offers the X1 automated peritoneal dialysis machine, with supplies and support for home treatment. Ask your kidney specialist whether PD is an option for you.
The cost of peritoneal dialysis depends on the type of PD you use, your prescription and the supplies you need each month. For current pricing in Pakistan, call Byonyks on 111-KIDNEY (543-639).
Peritoneal dialysis exchanges are not usually painful, and no needles are used during treatment. Some people feel fullness or mild discomfort as fluid fills or drains, especially in the first weeks. The catheter is placed under anaesthesia in a short procedure.
With automated peritoneal dialysis (APD), a machine performs exchanges overnight, usually over 8 to 10 hours while you sleep. With CAPD, you perform around four manual exchanges a day, each taking about 30 to 40 minutes.
Neither treatment is better for everyone. Peritoneal dialysis is done at home without needles and can offer a more flexible routine, while hemodialysis is carried out by staff at a centre, usually three times a week. The right choice depends on your health, your home and your lifestyle, so decide together with your kidney specialist.