Pelvic Floor muscle training post-prostatectomy

I hate incontinence and have been spending some time researching treatment
one issue that has come up has to do with how many Kegels a day (not to mention, form, relaxation, methods, using a trained PT etc_)
I really like Michelle Kenway and , Vanita Gagliani They have some very good advice and tips

but they both recommend between 50 and 100 kegels a day

. My PT who specializes in Pelvic Floor muscle therapy told me to slow down, get my technique right, besides learning to activate and strengthen it is equally important to learn to relax and de-activate. She has me doing less than five long ones and ten short ones twice a day. Not once did I see this recommended in the literature. But it makes sense/ However, I wanted to find out if there was an authoritative recommendation. it turns out -seemingly- there is not.

Most recommend several sets, some advocating doing sets every hour when possible. The variance is significant.

In the only non-commercial study I found only one big study titled: Management of Urinary Incontinence Following Radical Prostatectomy: Challenges and Solutions
(this is a Pubmed publication from the Frontiers in Oncology )

I found this paragraph near the end

The pelvic muscle floor training (PMFT) is the first treatment to offer to patients with UI after RP.23 However, a standardized regimen is not yet available. Various studies observed significant differences among the PMFT regimen adopted: number and duration of contractions, session frequency per day, and the presence or absence of therapist. Manassero et al used 15 contractions repeated 3 times per day,118 whereas Patel et al proposed 10 contractions lasting 10 sec.115 Filocamo et al used 10 contractions lasting 5 sec with 10 sec of muscular relaxation 3 times a day.119 Nilssen et120 al and Overgard et al121 used 10 contractions lasting 6–8 sec followed by 3–4 fast contractions. A specific procedure for PFME after radical prostatectomy is needed because this would reduce the heterogeneity of the data.

It makes sense to avoid over-training. For those like me, if you told me the more I do the faster I would get better, I would try to break a record (and likely would break something internally)
Like strength training or perhaps learning to swim a new way. technique, slow progression, attention to rest have to be part of the rehab.

I wish I could take a pill, do 1,000 push ups and put a dent in incontinence, but in the meantime, I am sticking with being careful and following professional counseling. even the scientists do not yet agree on frequency.

The article can be found at https://pmc.ncbi.nlm.nih.gov/articles/PMC9851058/