I had that same concern about tubeS sticking out of my abdomen. However, after all was said and done, there is only ONE tube, and its quite surprising how our brains adjust to things like that: very quickly, it becomes "normal", and during the day, I'm unaware of it unless I specifically check on it.
Most if not all peritoneal dialysis (PD) patients must undergo hemodialysis (HD) for about two weeks while they await the healing of their catheter installation. I experienced no pain during my hemo treatments. There is pain associated with both catheter surgeries, so this should not be a factor in deciding which way to jump off the fence. Clearly, the main factor is desired lifestyle and level of desired control of therapy and schedule.
Peritoneal Dialysis requires the use of the body's peritoneum to filter extra fluid and waste from the blood.
Manaul (Continuous Ambulatory) PD requires four periods of about thirty minutes to an hour per day to do manual fluid exchanges.
Automated (with the small machine) PD requires 20-minute connect/prep (in the evening/at night or whenever you choose to begin therapy), seven to nine hours of therapy (while sleeping, working, or other in-home activity), and 20-minute disconnect (in the morning or whatever time the therapy ends). Your day is left free to do... whatever.
Hemodialysis requires the transport of blood in and out of the patient's body to a machine that cleanses it.
In-center hemodialysis requires two to four visits, each of several hours, to a hemodialysis center where you will be managed by medical staff who control the entire process.
Home hemodiaysis can follow any of three different schedules:
- Conventional HHD - done three times a week for three to five hours. It is like in-centre hemodialysis (IHD), but done at home.
- Short daily home hemodialysis (SDHHD) - done five to seven times a week for two to four hours per session.
- Nocturnal home hemodialysis (NHHD) - done three to seven times per week at night during sleep, for six to ten hours.
Perhaps, SEEING what each process looks like will help you in making your decision:
Manual and Automated PD:
http://www.youtube.com/watch?v=dyNjWyF1H8M.
In-center Hemodialysis:
http://www.youtube.com/watch?v=saJoipF4noY.
Home Hemodialysis:
http://www.youtube.com/watch?v=2jotaJ5kd6s.