The Male Room with Dr. Jesse Mills

Dr. Kymora B. Scotland returns for part two of a deep dive into enlarged prostates, this time focusing on what happens when the “big boys” require more than an office-based procedure. From robotic Aquablation and GreenLight vaporization to HoLEP and simple prostatectomy, she breaks down how urologists tackle larger glands—and the tradeoffs involving bleeding, recovery, ejaculation, and incontinence. We also explore what happens when prostate obstruction becomes dangerous enough to threaten kidney function, and whether there’s anything younger men can do to reduce their odds of developing BPH down the road.
See omnystudio.com/listener for privacy information.

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 growing menu of procedures for BPH (benign prostatic hyperplasia), from the longtime standard TURP to minimally invasive options like UroLift, iTind, Optilume and Rezūm. They explain how prostate size, recovery time, ejaculation, fertility and potential side effects can determine which treatment makes the most sense. Plus, Dr. Scotland explains why, for most men, choosing a procedure is less about finding the single “best” option and more about finding the right one for their priorities.
See omnystudio.com/listener for privacy information.

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 bleeding, persistent chest pain, sudden severe headaches, new lumps, shortness of breath, and a cough that won’t go away. He also explains why some frightening symptoms may be less dangerous than they appear, while seemingly minor changes can signal something serious.
See omnystudio.com/listener for privacy information.

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, nighttime bathroom trips, a weak stream and incomplete emptying may reveal about your health—and when they warrant a visit to the doctor. He also explores how caffeine, alcohol, medications, diabetes and heart problems can affect urinary habits, along with the risks of routinely holding it in. Plus, why does the urge suddenly strike when you reach your front door?
See omnystudio.com/listener for privacy information.

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 ring designed to measure nocturnal erections, sexual performance and potential early signs of cardiovascular disease. They explore why erectile difficulties are not always solved by taking a pill, how objective data could transform men’s sexual healthcare and whether FirmTech rings (and others) may help men maintain stronger, longer-lasting erections. Plus, Dr. Justin addresses privacy concerns surrounding intimate health data and previews the next generation of sexual-health wearables.
See omnystudio.com/listener for privacy information.