Keeping It Up with Dr. Mehan

Rahul Mehan
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Keeping It Up with Dr. Mehan is where men’s health gets real. Hosted by board-certified urologist Dr. Rahul Mehan, the show goes beyond the exam room to talk openly about the things men actually care about—testosterone, sex, prostate health, performance, fitness, longevity, relationships, and what it really takes to stay healthy as you get older. Expect straight answers, great guests, new science, a little controversy, and plenty of conversations you probably won’t hear at your annual physical. Because getting older is inevitable. **Acting old isn’t.** Let’s keep it up.

Episodes

  1. 6d ago

    The Workout Men Over 40 Are Too Embarrassed to Try

    He could handle an operating room, yet this new exercise made him nervous. One unfamiliar workout challenged more than his fitness. In Episode 7 of Keeping It Up with Dr. Mehan, Dr. Rahul Mehan welcomes professional ballroom dancer Gergana Slavova to explore dancing for men over 40, from balance and brain health to confidence and connection. They discuss research on mood and mobility, why men fear looking foolish, and what happens in a first dance class. Dr. Mehan shares how learning to dance changed his posture and confidence, while Gergana explains how couples can build a closer connection. Follow Dr. Mehan: Instagram: https://www.instagram.com/doctor.mehan/ TikTok: https://www.tiktok.com/@saved_by_the_balls Chapters: 0:00 - The Workout Men Are Too Embarrassed to Try 1:59 - Gergana Slavova's Ballroom Dancing Journey 5:24 - What Dancing Adds to Your Workout 8:51 - Dance Research: Balance and Fall Risk 10:00 - Dr. Mehan's Dancing With the Stars Story 12:43 - The Brain Workout Behind Dance Routines 18:28 - Dancing and Men's Mental Health 26:27 - Can You Dance Without a Partner? 28:43 - Why Men Are Afraid to Dance 32:12 - Can Anyone Learn to Dance? 32:59 - Dance Skills, Confidence and Attraction 36:44 - Ballroom Dancing for Married Couples 38:49 - Does Dancing Make You Better in Bed? 39:41 - Who Should Try Dance Lessons? 41:20 - Your First Dance Class: What to Expect 43:42 - Choosing Your First Dance Style 45:57 - Too Embarrassed to Dance? Start Here

    The Workout Men Over 40 Are Too Embarrassed to Try

  2. Oct 19

    Female Urologist Reveals the Truth About Libido, Erections & Aging

    Great sex takes more than a strong erection. Penis size and penetration are only small, or big, part of the conversation. In Episode 6 of Keeping It Up with Dr. Mehan, Dr. Rahul Mehan and female urologist Dr. Suelyn Hall compare perspectives on what men get wrong in bed. They discuss porn and erections, testosterone and low libido, orgasm, and why intimacy and communication matter to a partner's pleasure. The conversation also explores mismatched sex drives, stress, masturbation, pelvic floor therapy, and sexual health in your 40s, 50s, and beyond, with candid stories from their practices. Follow Dr. Mehan: Instagram: https://www.instagram.com/doctor.mehan/ TikTok: https://www.tiktok.com/@saved_by_the_balls Chapters: 0:00 - Preview: Size, Erections and Better Sex 0:26 - Male vs. Female Urologist: Who Understands Men? 4:42 - Rapid Fire: Erections vs. Intimacy 5:46 - Testosterone and Low Libido 6:44 - Does Penis Size Matter? 7:59 - Is Porn Bad for Erections? 9:22 - What Morning Erections Can Tell You 10:12 - Penetration, Orgasm and What Women Want 13:02 - Do Men Peak Sexually in Their 20s? 15:44 - When Partners Have Different Sex Drives 17:47 - Why Couples Avoid Talking About Sex 19:37 - How Often Do Couples Have Sex? 21:30 - Social Media, Body Image and Sexual Expectations 24:24 - Should Couples Schedule Sex? 24:56 - Fitness, Confidence and Sex 26:00 - GLP-1s and Libido: What They've Observed 27:32 - Dr. Hall's Career as a Female Urologist 31:09 - Writing About Male Sexual Pleasure 35:14 - Stress and Sexual Performance After 40 36:34 - Masturbation and Sexual Function 38:36 - When Sex Hurts 39:10 - Pelvic Floor Therapy for Men and Women 40:33 - Why Orgasms Can Take Longer With Age 41:43 - Great Sex in Your 60s and 70s

    Female Urologist Reveals the Truth About Libido, Erections & Aging

  3. Oct 12

    New Prostate Cancer Options You May Not Know About

    Prostate cancer care goes beyond a Gleason score. Your cancer’s biology could change your treatment options. In Episode 5 of Keeping It Up with Dr. Mehan, Dr. Rahul Mehan joins medical oncologist and hematologist Dr. Wishwdeep Dhillon to explore genetic testing, biopsy warning signs, PSMA-targeted radiation with Pluvicto, and research on hormone therapy before surgery. They discuss why some men may need a team approach earlier, where focal therapy fits, and how treatment decisions balance cancer control with sexual function, urinary health, and quality of life. Follow Dr. Mehan: Instagram: https://www.instagram.com/doctor.mehan/ TikTok: https://www.tiktok.com/@saved_by_the_balls Chapters 0:00 - A New Era of Prostate Cancer Care 0:38 - Meet Dr. Wishwdeep Dhillon 3:58 - Same Gleason Score, Different Cancer Risk 5:20 - What Your Prostate Biopsy Can Reveal 9:49 - Can AI Help Assess Prostate Cancer Risk? 12:01 - Germline vs. Somatic Genetic Testing 15:28 - PARP Inhibitors and Earlier Treatment 21:11 - Tests Your Oncologist Wants to See 21:58 - Prostatectomy: Sexual and Urinary Side Effects 24:40 - Who Needs Surgery, and Who Can Wait? 26:31 - Active Surveillance and Focal Therapy 27:47 - Focal Therapy: Evidence and Insurance Barriers 33:53 - PSMA: From Finding Cancer to Targeting It 37:25 - Combining Treatments for Advanced Prostate Cancer 41:14 - PROTEUS: Hormone Therapy Before and After Surgery 45:47 - A High-Risk Patient and Treatment Before Surgery 48:58 - Ivermectin: What These Doctors Have Seen 50:38 - Diet, Exercise, and Hormone Therapy Side Effects 52:40 - Rapid Fire: PTEN, BRCA2, and Genetic Testing 55:39 - Actinium Trials: What Could Come Next? 55:59 - Why Earlier Oncology Involvement Matters

    New Prostate Cancer Options You May Not Know About

  4. Oct 5

    Optilume BPH vs UroLift Which Is Right for You

    Optilume BPH and UroLift take different paths to better urine flow. Implants, recovery, and sexual function can shape the choice. On episode 4 of Keeping It Up with Dr. Mehan, Dr. Rahul Mehan compares Optilume's drug-coated balloon with UroLift's permanent implants for enlarged prostate symptoms. He explains who may be a candidate, what the PINNACLE trial found, and why results from separate studies do not prove one procedure is better. The discussion covers ejaculation, paclitaxel and family planning, catheter use, bleeding, recovery, and the possibility of needing treatment again. Follow Dr. Mehan: Instagram: https://www.instagram.com/doctor.mehan/ TikTok: https://www.tiktok.com/@saved_by_the_balls Chapters: 0:00 - Optilume BPH vs UroLift 0:56 - How Optilume's Drug-Coated Balloon Works 2:53 - Paclitaxel and Family Planning 4:26 - Permanent Implants vs No Implant 5:09 - Who Is a Candidate for Optilume BPH? 6:32 - Who Should Not Have Optilume BPH? 8:06 - Optilume Results: Symptoms and Urine Flow 10:04 - Ejaculation and Erectile Function 12:05 - Why Comparing Optilume and UroLift Is Difficult 13:20 - Retreatment Rates: What the Numbers Mean 15:11 - Dr. Mehan's Ideal Optilume Candidate 16:00 - When Another BPH Procedure May Be Needed 17:18 - Office Procedure or Operating Room? 18:10 - Catheters and Bleeding After Optilume 20:25 - Recovery: Urgency, Burning, and Urine Flow 21:44 - Optilume BPH: Pros, Cons, and Evidence Gaps 24:22 - Optilume vs UroLift: Dr. Mehan's Take

    Optilume BPH vs UroLift Which Is Right for You

  5. Sep 28

    Why You Keep Waking Up to Pee (Is It Your Prostate?)

    Waking up to pee every night should not run your life. An enlarged prostate is only ONE possible cause. On episode three of Keeping It Up with Dr. Mehan, Dr. Rahul Mehan breaks down nocturia, weak urine flow, and other enlarged prostate (BPH) symptoms. He walks through a first urology visit in his practice, from symptom scores to bladder and prostate tests, and explains why fluid intake, sleep apnea, and diabetes matter. The discussion covers medication benefits, sexual side effects, and when a procedure may be considered, with a focus on long-term bladder health and quality of life. Follow Dr. Mehan: Instagram: https://www.instagram.com/doctor.mehan/ TikTok: https://www.tiktok.com/@saved_by_the_balls Chapters: 0:00 - Why You're Waking Up to Pee 1:24 - What the Prostate Does 3:38 - Prostate Size, Shape, and Urine Flow 6:29 - Recognizing Enlarged Prostate Symptoms 8:11 - Nighttime Urination and Lost Sleep 8:53 - How Prostate Blockage Affects the Bladder 13:44 - Your First Urologist Visit 15:00 - What Your Urinary History Reveals 16:23 - IPSS: How Severe Are Your Symptoms? 17:51 - What a Prostate Exam Checks 19:07 - Watchful Waiting for BPH 20:52 - BPH Medications and Their Tradeoffs 23:39 - Finasteride and Sexual Side Effects 25:42 - PDE5 Inhibitors for Urinary Symptoms 27:45 - Is Your BPH Medication Working? 28:34 - When to Consider a Prostate Procedure 30:38 - Tests Before a Prostate Procedure 33:19 - Measuring Urine Flow at Home 34:12 - Cystoscopy: Looking for the Cause 36:44 - Preparing for Your Follow-Up Visit

    Why You Keep Waking Up to Pee (Is It Your Prostate?)

  6. Sep 21

    Is This the Best New Prostate Cancer Treatment?

    Vanquish brings water vapor ablation into the prostate cancer treatment conversation. Its inventor spent 26 years pursuing a more targeted approach designed to limit exposure to nearby nerves and urinary structures. In Episode 2 of Keeping It Up with Dr. Mehan, Rahul is joined by Dr. Michael Hoey, founder and CTO of Francis Medical, to explain how Vanquish differs from Rezūm, how vapor moves through prostate tissue, and why nerve protection, urinary control, erectile function, recovery, MRI, ultrasound and AI matter when men evaluate emerging prostate cancer technology. For more on Vanquish and Francis Medical, visit: https://www.francismedical.com/ Follow Dr. Mehan: Instagram: https://www.instagram.com/doctor.mehan/ TikTok: https://www.tiktok.com/@saved_by_the_balls Chapters 0:00 - Why His Father’s Prostate Cancer Inspired Vanquish 1:11 - How a Farm Built a Medical Device Inventor 7:06 - How Was Water Vapor Ablation for the Prostate Invented? 9:26 - The Family Loss That Turned Research Into a Mission 11:35 - Why Existing Prostate Ablation Methods Fell Short 12:40 - How a Race Car Inspired Water Vapor Ablation 15:02 - How Does Water Vapor Ablate Prostate Tissue? 17:38 - What Dr. Mehan Has Seen in Early Vanquish Cases 20:07 - What Did Early Vanquish Patients Report? 22:25 - Why Did Vanquish Take 26 Years? 26:25 - Why BPH Came Before Prostate Cancer 29:16 - The Mission-Driven Team Behind Francis Medical 30:31 - Inside the Planning Behind a Vanquish Procedure 34:55 - Rezūm vs. Vanquish: What’s the Difference? 40:49 - How Is Vanquish Designed to Protect Nearby Nerves? 46:24 - How Is Vanquish Designed to Protect Urinary Control? 50:04 - Vanquish Rapid Fire: Myths, Failures, and Firsts 52:37 - Why Persistence Mattered More Than Intelligence 57:05 - What Still Amazes the Inventor of Vanquish? 59:30 - Reaching the Prostate Apex and Anterior Region 1:01:49 - What’s Next for the Vanquish System? 1:03:46 - How Could AI Shape Future Vanquish Procedures? 1:07:53 - Why Francis Medical Is Named After His Father

    Is This the Best New Prostate Cancer Treatment?

  7. Sep 16

    Only Offered One Enlarged Prostate Treatment? Watch This Now

    The biggest BPH treatment mistake may happen before a procedure is ever chosen. Most men never hear the full range of enlarged prostate treatments available to them. In Episode 1 of Keeping It Up, urologist Dr. Rahul Mehan explains 16 treatment options, including minimally invasive procedures, TURP, HoLEP, GreenLight, Aquablation and emerging technologies. Discover how approaches differ in invasiveness, durability and potential effects on sexual function, so you can discuss your options with your urologist. Subscribe for clear, physician-led men's health education. Chapters: 0:00 - The Biggest Mistake Men Make With BPH Treatment 0:32 - Why Dr. Mehan Created This Men’s Health Channel 1:35 - Are You Hearing All Your Enlarged Prostate Options? 2:31 - The 3 Types of Enlarged Prostate Treatments 3:10 - Can BPH Be Treated in Under 10 Minutes? 3:59 - 6 Minimally Invasive BPH Procedures 4:33 - What Are the Traditional BPH Surgeries? 5:56 - 5 Emerging Technologies for Enlarged Prostates 7:32 - What Should Dr. Mehan Explain Next?

    Only Offered One Enlarged Prostate Treatment? Watch This Now

  8. Sep 14

    The New Era of Prostate Health, Testosterone and ED | Urologist Explains

    Prostate health, testosterone, and erectile dysfunction care are entering a new era. Welcome to Keeping It Up with Dr. Mehan. In Episode 0, Urologist Dr. Rahul Mehan explains how modern care is changing enlarged prostate treatment, prostate cancer care, ED, low testosterone, fertility, urinary leakage, and kidney stone prevention. Learn about newer procedures, focal therapies, hormone options, and the links among sexual health, sleep, fitness, heart health, and longevity so you can ask better questions about your care. Follow Dr. Mehan: Instagram: https://www.instagram.com/doctor.mehan/ TikTok: https://www.tiktok.com/@saved_by_the_balls Chapters: 0:00 - Why Men’s Health Treatments Are Changing Fast 0:57 - Who Is Dr. Rahul Mehan? 3:00 - Inside the Clinical Trials Changing Urology 4:33 - How Are Men’s Health Problems Connected? 5:48 - Why Doctors Must Fight Medical Misinformation 6:58 - Why Men’s Health Needs More Than 60 Seconds 7:57 - What Does “Keeping It Up” Really Mean? 8:25 - Why Modern Urology Has Left Old Treatments Behind 8:56 - Can BPH Treatment Preserve Sexual Function? 9:49 - What Are the Newest Prostate Cancer Treatments? 10:46 - How Is Erectile Dysfunction Treated Beyond Viagra? 11:22 - Low Testosterone Treatment and Fertility Preservation 12:01 - What Are the New Treatments for Urinary Leakage? 12:14 - How Can You Treat and Prevent Kidney Stones? 12:48 - Why Men Ignore Their Health Until a Crisis 13:27 - How Sleep, Diet, and Exercise Shape Men’s Health 14:03 - Inside Dr. Mehan’s Personal Health Routine 15:20 - How Would a Urologist Treat His Own Prostate? 15:37 - Why Active Clinical Experience Matters 16:14 - What Can Real Patients Teach Us About Treatment? 16:35 - What Sexual Health Reveals About Your Overall Health 17:24 - Ask Dr. Mehan Your Men’s Health Questions

    The New Era of Prostate Health, Testosterone and ED | Urologist Explains
  • 1 Trailer
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About

Keeping It Up with Dr. Mehan is where men’s health gets real. Hosted by board-certified urologist Dr. Rahul Mehan, the show goes beyond the exam room to talk openly about the things men actually care about—testosterone, sex, prostate health, performance, fitness, longevity, relationships, and what it really takes to stay healthy as you get older. Expect straight answers, great guests, new science, a little controversy, and plenty of conversations you probably won’t hear at your annual physical. Because getting older is inevitable. **Acting old isn’t.** Let’s keep it up.

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