In the third and final installment of our prostate-cancer trilogy with UCLA urologic oncologist Dr. Wayne Brisbane, Dr. Mills walks a 55-year-old patient through the modern treatment menu—active surveillance, focal therapy, surgery, and radiation—and why “having prostate cancer” doesn’t always mean “operate immediately.” Dr. Brisbane breaks down how doctors risk-stratify tumors (including what Gleason scores really mean), why PSA “ups and downs” can trigger anxiety, and how newer tools (from genomic tests to MRI-guided radiation) help personalize decisions. They also get real about side effects and recovery, from muscle-sparing prostatectomy techniques that can speed urinary control to the “sunburn in the bladder” sensations some men feel after radiation. The takeaway: treat the cancer the way it’s asking to be treated—and don’t be afraid to slow down, get second opinions, and choose the option that best matches your life.

In the third and final installment of our prostate-cancer trilogy with UCLA urologic oncologist Dr. Wayne Brisbane, Dr. Mills walks a 55-year-old patient through the modern treatment menu&mdash;active surveillance, focal therapy, surgery, and radiation&mdash;and why &ldquo;having prostate cancer&rdquo; doesn&rsquo;t always mean &ldquo;operate immediately.&rdquo; Dr. Brisbane breaks down how doctors risk-stratify tumors (including what Gleason scores really mean), why PSA &ldquo;ups and downs&rdquo; can trigger anxiety, and how newer tools (from genomic tests to MRI-guided radiation) help personalize decisions. They also get real about side effects and recovery, from muscle-sparing prostatectomy techniques that can speed urinary control to the &ldquo;sunburn in the bladder&rdquo; sensations some men feel after radiation. The takeaway: treat the cancer the way it&rsquo;s asking to be treated&mdash;and don&rsquo;t be afraid to slow down, get second opinions, and choose the option that best matches your life.

As Director of The Men’s Clinic at UCLA, Dr. Jesse Mills has spent his career helping men understand their bodies, their hormones, and their health. Now he’s bringing that expertise to The Male Room — a podcast where data-driven medicine meets common sense. Each episode separates fact from hype, science from snake oil, and gives men the tools to live longer, stronger, and happier lives. With candor, humor, and real-world experience from the exam room and the operating room, Dr. Mills breaks down the latest health headlines, dissects trends, and explains what actually works — and what doesn’t. Smart, straightforward, and entertaining, The Male Room is the show that helps men take charge of their health without the jargon.

As Director of The Men&rsquo;s Clinic at UCLA, Dr. Jesse Mills has spent his career helping men understand their bodies, their hormones, and their health. Now he&rsquo;s bringing that expertise to The Male Room &mdash; a podcast where data-driven medicine meets common sense. Each episode separates fact from hype, science from snake oil, and gives men the tools to live longer, stronger, and happier lives. With candor, humor, and real-world experience from the exam room and the operating room, Dr. Mills breaks down the latest health headlines, dissects trends, and explains what actually works &mdash; and what doesn&rsquo;t. Smart, straightforward, and entertaining, The Male Room is the show that helps men take charge of their health without the jargon.

The Male Room with Dr. Jesse Mills

Prostate Cancer (Part 3): Surgery, Radiation, and the Reality of Side Effects

https://api.omny.fm/orgs/e73c998e-6e60-432f-8610-ae210140c5b1/clips/d2e12780-5d86-428e-b8a8-b401014f75bc/transcript