The Male Room with Dr. Jesse Mills

In Part 2 of our vasectomy series, Dr. Jesse Mills and Dr. Jay Sandlow dive into what happens when “permanent” birth control isn’t so permanent—breaking down the science, success factors, and surprising complexities of vasectomy reversals. From the difference between surgical techniques to the real-world variables that impact fertility—including partner age, prior history, and timing—they walk through what couples need to know when considering their options. Along the way, the conversation veers into jaw-dropping patient stories, common myths, and the emotional, ethical, and human realities behind these deeply personal decisions. It’s an honest, fascinating look at modern fertility medicine—and the second chances it can offer.
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March is vasectomy season (really) and to honor the occasion, Dr. Mills is joined by leading urologist Dr. Jay Sandlow—one of the architects behind modern vasectomy guidelines—for a candid, myth-busting conversation about one of the most common (and misunderstood) procedures in men’s health. Together, they break down who should consider a vasectomy, what actually happens during the procedure, and why it remains far safer and more effective than many alternatives—while still being surprisingly underutilized. Along the way, they tackle the biggest fears and misconceptions, from sex drive and testosterone to rare complications and recovery, giving listeners a clear, honest roadmap for making an informed decision.
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Dr. Mills walks listeners through what life after prostate cancer surgery can really look like, with a candid focus on sexual recovery, continence, and quality of life. He explains how “prehab” — including medication, pelvic floor exercises, nutrition, and follow-up care — can help men improve their odds of regaining function after treatment. Along the way, Dr. Mills and Jordan discuss the emotional vulnerability that comes with prostate cancer recovery, breaking down the fears, myths, and real-world concerns men and their partners often face. It’s an honest, practical, and compassionate conversation about surviving cancer without giving up on intimacy, confidence, or hope.
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Rock and Roll Hall of Famer Tim Commerford joins The Male Room to speak candidly about his prostate cancer journey — from the shock of diagnosis and the emotional aftermath of surgery to the hard-won strength he’s built on the other side. The Rage Against the Machine bassist opens up about masculinity, recovery, fitness, sexuality, and why men need to take their health seriously and advocate for themselves. Alongside Dr. Jesse Mills and Producer Jordan, Commerford reflects on turning fear into purpose, and how sharing his story can help save lives.
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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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