This study investigated whether daily furosemide could preserve urine volume and slow the decline of residual renal function in patients on continuous ambulatory peritoneal dialysis (CAPD) without side effects. Sixty-one new CAPD patients were randomly assigned to receive either daily furosemide 250mg plus additional metolazone if needed or no treatment. After one year, urine volume declined less in the diuretic group compared to the control group. However, urinary urea and creatinine clearance declined at the same rate in both groups. While furosemide maintained higher urine volume, it did not slow the decline of residual renal function. Larger studies are still needed to determine if the urine volume preservation