When kidneys fail, dialysis becomes a lifeline. But here’s something many don’t realise — without the right surgical access, dialysis can’t even begin. If you or a loved one needs dialysis, don’t delay the most important step: preparing the body for it.
At this critical stage, Dr Rahul Yadav, the Best Urologist in Lucknow, offers expert surgical solutions for renal replacement therapy access — from AV fistula creation to catheter insertions. His precision and patient-focused care ensure that your dialysis journey begins safely and smoothly.
AV Fistula Creation
An arteriovenous (AV) fistula is the gold standard for long-term haemodialysis. It’s a surgical connection made between an artery and a vein, usually in your arm. This allows high blood flow necessary for dialysis.
Why it’s important:
- Lasts longer than any other dialysis access
- Lower risk of infection and clotting
- Can be used for years with proper care
What to expect:
- Usually performed under local anaesthesia
- Takes 4–8 weeks to mature before use
- Minimal maintenance once healed
Dr Rahul Yadav uses advanced vascular techniques to ensure a strong, reliable AV fistula that supports effective dialysis.
Permacath Insertion
When patients require immediate dialysis or have no matured AV fistula, a permcath (tunnelled dialysis catheter) is a life-saving option.
Key points:
- Inserted into a large vein (usually in the chest)
- Used for medium to long-term dialysis access
- Allows for high blood flow immediately after placement
Benefits:
- Can be used right away
- Less invasive than AV fistula or graft
- Tunnelling reduces infection risk compared to temporary catheters
Dr Rahul Yadav ensures sterile, safe Permacath insertion with minimal discomfort and excellent outcomes for patients who need urgent dialysis access.
CAPD Catheter Insertion
Continuous Ambulatory Peritoneal Dialysis (CAPD) is a Home-Based Dialysis Option. A catheter is inserted into the abdominal cavity to allow dialysis fluid to clean the blood through the peritoneal membrane.
Why patients choose CAPD:
- Offers flexibility — no hospital visits for dialysis
- Gentler on the body, especially for the elderly or heart patients
- Can be done overnight or during daily activities
Surgical process:
- A soft tube is placed through a small incision into the abdominal cavity
- Local or general anaesthesia may be used
- Takes 1–2 weeks to heal before use
With expert catheter placement by Dr Rahul Yadav, patients can enjoy a comfortable and effective peritoneal dialysis experience at home.
HD Catheter Insertion
Haemodialysis (HD) Catheter Insertion is often done when:
- Immediate dialysis is needed
- AV fistula or graft is not yet ready
- Temporary access is required
Key facts:
- Inserted into the neck or groin veins
- Can be used within hours of placement
- Higher risk of infection, so used only temporarily
Dr Rahul Yadav, the Best Urologist in Lucknow, prioritises safety during catheter placement, using precise techniques to reduce risks and ensure proper function until permanent access (like AV fistula) is ready.
FAQs
Q: Which access option is best for long-term dialysis?
A: AV fistula is considered the best for long-term use due to its durability and lower infection risk.
Q: Can I start dialysis immediately after surgery?
A: Yes, with permacath or HD catheter insertions, dialysis can begin right away. AV fistulas need time to mature.
Q: Does peritoneal dialysis require surgery?
A: Yes, CAPD requires a minor surgery to insert a catheter into your abdomen.
Q: Are these surgeries painful?
A: Most are done under local anaesthesia and are well tolerated. Discomfort is usually mild and temporary.
If you or your loved one needs dialysis, don’t wait to get the right access surgery. The sooner it’s done, the safer and smoother your treatment can be.
Book a consultation with Dr Rahul Yadav, the Best Urologist in Lucknow, and get expert guidance on the right dialysis access for you.
