Hi and thank you so much for this query. I am so sorry to hear about health concerns. Hop we get to propose solutions that would make your life somewhat better. Yes, exercise would greatly help with your cholesterol problems. If it should fail, then adding some drugs would be the next best option. In a good number of my patients, exercise and reduced fats intake greatly helps them and rarely do they need medications to stay controlled unless otherwise. From the urination stand point, I suspect you have urinary incontinence. The best thing to do at this time would be to empty your bladder as often as possible. I will suggest that you establish a urination schedule like every 2hours so as to always allow the bladder almost empty. This would ensure that nothing flows out when you laugh, sneeze, cough, etc. Also, your doctors should teach you how to practice kegel exercises to better control these symptoms. The kidney doctor would try to look for the cause of your problem and address them. He may also want to see what the impact on the kidneys has been. This would required a detail interview,, physical examination and some tests. Take some time and think of your symptoms, what provokes and aggravates them, any questions you may want to ask the doctor, etc so that you would not forget anything worth mentioning that would aid in your treatment. Please, also consider dropping a few pounds. This would help you especially with the ongoing urination problems. Feel free to ask us ollow up questions if need be. I wish you well. Thanks Ditah, MD