### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Will the removal of kidneys  (he is a dialysis patient witChatDoctorplete renal failure because of a hereity Alport disease,) He has very high blood pressure, is on several medications to control his blood pressure., he is 19 years old and has been on dialysis for a year.  The Dr.s cant agree if the removal of his kidneys would help his blood pressure, his dialysis nephrologist is the one that wants to take out his kidneys, but he said it was only a 50% chance that that is what is causing his high blood pressure.  Nephrologist at Loma Linda says not to do it.  If we do it how hard will the surgery be on him.  His quality of life is not that great at the time being.  He was in the hospital a month ago for 11 days and they could not keep his pressure down.  They want to blame his diet and his age for the cause which could be part of it but not all if they couldnt control while he was there.  He had several seizures and a mile stroke on his right side.  We are afraid that the next one will be worse.

### output:

Hi, welcome to Chat Doctor. I can understand your dilemma. I do agree that removing the kidneys might not entirely solve the problem. It is very rarely done nowadays as the very last option. Many dialysis patients suffer from very high blood pressure and controlling the salt intake and getting rid of excess fluid by way of frequent dialysis should be the first line of treatment apart from blood pressure medications. There are so many medications nowadays that we rarely have to rest to surgical means. Percutaneous renal artery sympathetic enervation had become popular for patients like your son, but it has not stood the test of time is losing popularity. Kidney arteries can be blocked off (embolized) by injecting a coil/ synthetic material via a catheter through the artery in the groin and this is much less invasive than a neurectomy. However even this is very rarely done nowadays. Hope my answer helps. Best wishes