Here's where I get frustrated with my own profession.
We tell men to do Kegels. We hand them a sheet of paper with vague instructions.
Then we send them home. About a third of men can't even locate the right muscles on their own — they end up squeezing their glutes or their abs and wondering why nothing improves.
Kegels work in theory, but without resistance and without feedback, most men get no results and quit within a few weeks.
Medication is the other common recommendation.
It can reduce urgency, but it doesn't strengthen anything. The muscle stays weak. And the side effects — dry mouth, fog, constipation — drive most men off the pills within a year.
Pads are what men default to when everything else fails. But let's be honest about what a pad is: it's an admission that you've stopped trying to fix the problem and started managing it instead.
At $100–$150 a month, it's also an expensive one.
None of these things address the root cause.
The muscle is weak. It needs to be strengthened. That requires resistance.