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

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

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.

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Episoder(41)

The Enlarged Prostate Playbook: Your Procedure Options Explained (Part 1)

The Enlarged Prostate Playbook: Your Procedure Options Explained (Part 1)

When medications aren’t enough to tame an enlarged prostate, what comes next? In Part 1 of this two-part episode, Dr. Mills is joined by fellow UCLA urologist Dr. Kymora Scotland to break down the gro...

11 Aug 30min

"Is This Normal or Something Serious?" The Everyday Health Signs Men Shouldn’t Dismiss

"Is This Normal or Something Serious?" The Everyday Health Signs Men Shouldn’t Dismiss

When is a strange symptom just part of getting older—and when is it a warning sign you should never ignore? Dr. Mills breaks down the red flags that warrant medical attention, including unexplained bl...

4 Aug 38min

How Often Should You Pee and Other Urination Explanations

How Often Should You Pee and Other Urination Explanations

Dr. Mills breaks down the surprisingly complex process behind a seemingly simple bodily function, from the signals in your brain to the muscles of the bladder and prostate. He explains what urgency, n...

28 Jul 44min

Hard Data: Can Your Erections Predict a Heart Attack?

Hard Data: Can Your Erections Predict a Heart Attack?

Could the quality of your erections reveal more about your overall health than you realize? Dr. Mills speaks with emergency physician and FirmTech founder Dr. Elliot Justin about a wearable erection r...

21 Jul 59min

Finding Hope and Humor After a Peyronie’s Diagnosis: One Patient's Story

Finding Hope and Humor After a Peyronie’s Diagnosis: One Patient's Story

Writer and Peyronie’s disease advocate Don Cummings joins Dr. Mills to share the deeply personal—and often surprisingly funny—story behind his memoir, Bent But Not Broken. Don recounts the fear, guilt...

14 Jul 50min

Your Penis Has Changed: Finding a New Normal After Peyronie’s Disease

Your Penis Has Changed: Finding a New Normal After Peyronie’s Disease

Dr. Mills is joined by University of Washington urologist Dr. Marah Hehemann to explain how Xiaflex injections can treat the curvature caused by Peyronie’s disease. They discuss who makes a good candi...

7 Jul 54min

Peyronie’s Disease Surgery: What Patients Should Know

Peyronie’s Disease Surgery: What Patients Should Know

Dr. Mills dives deep into the surgical side of Peyronie's disease with Professor Matt Ziegelman from the Mayo Clinic, one of the most renowned Peyronie's surgeons in the country. Building on previous ...

30 Jun 1h 3min

When the Penis Changes: The Basics of Peyronie’s Disease

When the Penis Changes: The Basics of Peyronie’s Disease

In the first installment of our multi-part series on Peyronie's disease, Dr. Mills explains what causes the condition, how it can change the shape, length and function of the penis, and why it may be ...

23 Jun 53min

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