A 41-year-old female patient. Chronic renal failure developed due to kidney stone disease. She was operated on, but chronic renal failure had already set in. The patient is on continuous ambulatory peritoneal dialysis (4 bags per day) for 2 years. Edema appears and disappears, skin pallor. Hypertension, taking nifedipine 10 mg tablets and prazosin 1 mg tablets. Both kidneys are very small (shrunken). Before treatment, daily urine volume was around 20-25 ml. The patient underwent a 30-day therapy course.
Results: Urine volume increased daily or over several days as follows: 40 ml - 50 ml - 60 ml - 70-80 ml - 110 ml - 120 ml - 125 ml over the monthly period. The increase in flat urine level after 20 days of treatment is still insufficient to allow the patient to stop dialysis, but the overall condition has noticeably improved. Previously, she was unable to do housework due to fatigue and lack of energy. Since starting treatment, she can manage household chores all day and feels an increase in productivity. Treatment resulted in a significant 600% increase in urine compared to the initial level, but further treatment is not expected to increase urine volume further.
During the therapy course, the patient experienced painless hematuria for 3 days. She was referred to a surgeon, underwent an ultrasound, which revealed a small stone in the right ureter that disappeared with continued treatment. No complications were noted.
Comments: Even with a significant increase in urine output, the patient remains on dialysis at the same level (3-4 bags per day). Therefore, this method is not recommended for patients with chronic renal failure if their pre-treatment urine volume was very low. This method cannot help patients discontinue dialysis but might be beneficial for those with a urine volume over 500 ml/day.
Results: Urine volume increased daily or over several days as follows: 40 ml - 50 ml - 60 ml - 70-80 ml - 110 ml - 120 ml - 125 ml over the monthly period. The increase in flat urine level after 20 days of treatment is still insufficient to allow the patient to stop dialysis, but the overall condition has noticeably improved. Previously, she was unable to do housework due to fatigue and lack of energy. Since starting treatment, she can manage household chores all day and feels an increase in productivity. Treatment resulted in a significant 600% increase in urine compared to the initial level, but further treatment is not expected to increase urine volume further.
During the therapy course, the patient experienced painless hematuria for 3 days. She was referred to a surgeon, underwent an ultrasound, which revealed a small stone in the right ureter that disappeared with continued treatment. No complications were noted.
Comments: Even with a significant increase in urine output, the patient remains on dialysis at the same level (3-4 bags per day). Therefore, this method is not recommended for patients with chronic renal failure if their pre-treatment urine volume was very low. This method cannot help patients discontinue dialysis but might be beneficial for those with a urine volume over 500 ml/day.