In grouting process, filtration is the retention and adsorption of cement-grout particles in a porous/fractured medium. Filtration partly/even completely blocks the transportation channels in the medium, greatly decreasing its permeability. Taking into account filtration effects is essential for accurately estimating the grout penetration region. In this paper, the 3D unified pipe-network method (UPM) is adopted for simulating 3D grout penetration process in a fractured porous medium, considering filtration effects. The grout is assumed to exhibit two-phase flow, and the filtration effects depend on not only the concentration and rheology of the grout but also the porosity and permeability of the fractured porous medium. By comparing the model with the experimental results, we firstly verify the proposed numerical model. Then sensitivity analysis is conducted, showing the influences of grout injection pressures, the water–cement ratios of grout (W/C) and the grout injection rates on filtration effect. Finally, the grout filtration process in a complex 3D fractured network is simulated, indicating that the size of the grout penetration region is limited due to filtration.