Patient Education
Urinary Incontinence
Thoughtful, discreet evaluation and management to help you regain comfort and confidence in everyday life.
Urinary incontinence — the unintentional loss of bladder control — is common, treatable, and nothing to be embarrassed about. In her primary care practice in Los Angeles, Dr. Golian evaluates the cause, rules out reversible factors such as a urinary tract infection, and builds a calm, personalized plan to help you feel like yourself again.
Symptoms & Warning Signs
- Leaking urine when you cough, laugh, sneeze, or exercise
- A sudden, urgent need to urinate that is hard to control
- Frequent trips to the bathroom or waking at night to urinate
- Leaking on the way to the toilet or before you reach it
- A feeling that the bladder never fully empties
- New blood in the urine or pain, which should be evaluated promptly
Causes & Risk Factors
- Pregnancy, childbirth, or weakening of the pelvic floor muscles
- Menopause and the hormonal changes that affect bladder tissue
- Recurrent urinary tract infections or bladder irritation
- An enlarged prostate or other prostate concerns in men
- Certain medications, caffeine, alcohol, and constipation
- Diabetes, obesity, and neurologic conditions affecting nerve signals
How Dr. Golian Manages Urinary Incontinence
Care begins with an unhurried conversation and a focused exam to identify which type of incontinence you have. Dr. Golian typically orders a urinalysis to check for infection and reviews your medications and habits for reversible contributors.
Many patients improve with first-line measures such as pelvic floor exercises, bladder training, fluid and caffeine adjustments, and a lifestyle modification plan; managing related conditions like weight or diabetes often helps as well.
When symptoms are persistent or complex, she arranges a urology or pelvic health referral, coordinating care including specialists at Cedars-Sinai so the right specialist sees you without delay.
Living Well with Bladder Health
Small, steady changes make a real difference. Staying active, treating recurrent infections promptly, easing constipation, and pacing your fluids can reduce leaks and urgency over time.
You don't have to navigate this alone or accept it as a normal part of aging — Dr. Golian will revisit your plan and adjust it until you feel comfortable.
Frequently Asked Questions
1Is urinary incontinence just a normal part of getting older?
2What can I do at home to reduce leaks?
3Do I need surgery to fix it?
4When should I see a doctor about bladder leaks?
5Will Dr. Golian refer me to a specialist?
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Take the First Step Toward Confident Bladder Control
If urinary incontinence is affecting your daily life, Dr. Golian offers a discreet, compassionate evaluation and a plan built around you.
Schedule a Consultation