Abstract
A 72-year-old male receiving CAPD who had a left nephrostomy is reported. His opposite kidney had previously been non-functional. Prior to induction this patient and his family selected to undertake CAPD treatment because of difficult alimentary control and a long commute from their home to our hospital, which would have been necessitated by periodic hemodialysis. The CAPD maintenance treatment extended over 55 months. During this period the patient continued to perform CAPD manipulations faithfully on a daily basis and performed his nephrostomy care and treatment two or three times a day.
Despite the fact that long term maintenance on CAPD therapy (even on hemodialysis) in elderly renal failure cases is difficult in general, this patient is a rare case who survived for a prolonged period while practicing the two aforementioned different procedures, simultaneously and patiently, by himself. It was thought that this good result was brought about because he not only had no physical complications, such as other systemic diseases but was also in an excellent state mentally.
