Urinary incontinence treatment in Seocho-gu: can RT4000 help without surgery?

Urinary leakage when coughing, should I just endure it?

Urinary leakage is a difficult concern to discuss with anyone, so many people suffer alone. To get straight to the point, urinary incontinence is not a symptom to be endured, but a condition that can be diagnosed by an OB-GYN to identify its cause and attempt improvement according to its stage.

If you experience slight urinary leakage when coughing or sneezing, frequently feel an urgent need to use the restroom, or notice increasing urinary discomfort after childbirth, we recommend getting a diagnosis to identify the type of incontinence rather than simply dismissing it as aging.

What is urinary incontinence and what types are there?

Urinary incontinence refers to the involuntary leakage of urine. In the examination room, even with the same diagnosis of incontinence, the causes and patterns can vary significantly. It is commonly categorized as follows:

• Stress urinary incontinence: Urine leaks when pressure is put on the abdomen, such as during coughing, laughing, or exercise. This is relatively common in women who have experienced childbirth.
• Urge urinary incontinence: Characterized by a sudden, strong urge to urinate that is difficult to suppress before reaching the restroom.
• Mixed urinary incontinence: Occurs when both of the above patterns are present.

Since the approach varies depending on the type, it is important to first undergo a medical examination to determine which type you have, rather than self-diagnosing. If you also experience recurrent frequent urination or residual urine sensation, it is advisable to examine these aspects as well.

How is urinary incontinence treated?

Treatment approaches are staged according to the symptom severity and type. Broadly, they can be divided into lifestyle modifications, pelvic floor muscle strengthening exercises, non-surgical energy treatments, and, if necessary, surgical treatment.

For early to moderate stages, non-surgical methods that do not involve incision are often considered first. As more people seek incontinence improvement without surgery, inquiries about these non-surgical approaches are also increasing.

Many people find it difficult to notice changes even with consistent Kegel exercises. When you feel that exercise alone is not enough, you can explore other methods.

If you are not feeling the effects of Kegel exercises, you can discuss in your consultation whether non-surgical treatments that directly stimulate the pelvic floor muscles might be helpful.

What is RT4000 treatment?

RT4000 is a therapeutic device designed to directly stimulate weakened pelvic floor muscles using low-frequency energy. Since it is performed without incision, there is less burden on returning to daily life after treatment. RF-based incontinence treatment with a similar principle can also be considered depending on the condition.

The features of this method are summarized as follows:

The number and method of treatments vary depending on the individual's condition, so it is safer to decide on actual application after a medical consultation.

Who can consider RT4000 treatment?

You can discuss non-surgical incontinence treatment in a consultation if you are in the following situations:

• Incontinence symptoms started after childbirth.
• Finding it difficult to notice changes with Kegel exercises alone.
• Feeling burdened by the idea of surgery itself.
• Appearing to be in the early to moderate stage.
• Pelvic floor muscle weakness is suspected to be the primary cause.

However, even if symptoms appear similar, the cause can differ from person to person, so the number and method of treatments are adjusted according to individual condition. If postpartum vaginal laxity is also present, it is advisable to comprehensively examine this aspect as well.

What changes can be expected?

Consistent treatment that stimulates the pelvic floor muscles is reported to help strengthen the pelvic floor muscles and improve bladder control. However, the degree and speed of effects vary individually, and it is difficult to assert that everyone will experience the same results.

The important point is that the approach aims to supplement weakened structures and improve the pelvic health environment, rather than just a one-time effect. Therefore, during consultation, we develop a plan that includes reviewing lifestyle habits and exercises, not just a single procedure.

When should I get a consultation?

If the following situations recur, we recommend not delaying your consultation:

• Repeated experiences of urine staining underwear.
• Feeling uncomfortable going out or exercising.
• Frequently waking up at night due to urination.
• Symptoms worsening gradually after childbirth.

Urinary incontinence is not a symptom to be ashamed of and endured; it is a condition that can be improved once the cause is identified. You can comfortably receive consultation in an environment where female doctors are available.

---

Dr. Eun-jin Lee, Chief Director (Samsung Medical Center OB-GYN residency, Regular Member of Korean Society of Obstetrics and Gynecology, Regular Member of Korean Society of Menopause) Dr. Eun-jin Lee's Profile First published 2026-01-18 / Last reviewed 2026-06-17

This article provides general medical information and individual differences may exist. For an accurate diagnosis and treatment plan, please confirm through consultation with an OB-GYN specialist.