Reliable Dialysis Access · Personalised Surgical Care in Kuala Lumpur
Timely, well-planned vascular access is the backbone of successful dialysis. Whether you are preparing for haemodialysis or peritoneal dialysis, Dr Roger works closely with nephrologists and dialysis nurses to create or optimise access that is durable, low-complication and tailored to your lifestyle.
Key Access Procedures
AV Fistula (AVF) Assessment & Referral
The arteriovenous fistula is the preferred long-term access for haemodialysis. Early referral for planning and vessel mapping allows time for maturation and reduces catheter dependency.
Tenckhoff Catheter Insertion (Peritoneal Dialysis Access)
Placement of a soft, flexible catheter into the abdominal cavity for patients starting continuous ambulatory peritoneal dialysis (CAPD). Done laparoscopically under general anaesthesia to minimise complications and extend catheter lifespan.
Vascular Access
– Frequently Asked Questions
1. When should I get an AV fistula created?
Ideally 3–6 months before haemodialysis is expected to start. This gives the fistula time to mature, lowering the chances of urgent catheter placement.
2. Is Tenckhoff catheter insertion painful?
It is done under local, regional, or general anaesthesia. Patients usually feel only mild abdominal soreness for a day or two and can begin peritoneal dialysis once the exit site heals.
3. How long can a dialysis catheter stay in?
Temporary (non-tunnelled) catheters are for short-term use. Tunneled catheters last longer but carry higher infection risk than AVFs. A Tenckhoff catheter can remain in place for years if well cared for.
4. Can these procedures be performed as day surgery?
Yes. Most vascular access operations are safe as ambulatory cases; you return home the same day with clear after-care instructions.
5. Who will manage my dialysis long term?
You will continue follow-up with your nephrologist. Dr Roger – as your urologist and the vascular team step in for access creation, troubleshooting, or revision whenever needed.
Dr Roger sees patients at Prince Court Medical Centre, Kuala Lumpur.
To schedule a consultation—or to have your nephrologist’s referral fast-tracked—reach out:
Contact PCMC: +603-2160 0000
WhatsApp PCMC: +6012-999 7262
Email: contact@drrogerurologist.com
Appointment form PCMC here
- For general inquiries, you can contact us here
Tip: If you already have imaging or previous access notes, bring them along—this shortens the time to a definitive plan.
