expert type icon EXPERT

Dr. Nicolas Lailas

Urologist

Dr. Nicolas Lailas is a top Urologist in Reston, . With a passion for the field and an unwavering commitment to their specialty, Dr. Nicolas Lailas is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Nicolas Lailas is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Nicolas Lailas is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Reston, Virginia, Dr. Nicolas Lailas is a true asset to their field and dedicated to the profession of medicine.
Dr. Nicolas Lailas
  • Reston, Virginia
  • Georgetown University
  • Accepting new patients

Red dot on penis glans

I'm sorry you didn't send a picture of it, so I can't give you any information without seeing it.

Headache

Try to hydrate and see if that makes a difference.

I have pain on the tip left side of my penis every time I force a fart or have to poop.

If it doesn't resolve on its own within a week, you may need to go in and have someone look inside your urethra with a telescope.

Kidney cyst

That renal cyst has nothing to do with any of your symptoms. They are not related whatsoever.

Possible UTI?

Sounds like either a viral or bacterial infection. You need a spinal tap and a sed rate and CBC. They need to find the source of the infection. Typically, sputum.culture, urine READ MORE
Sounds like either a viral or bacterial infection. You need a spinal tap and a sed rate and CBC. They need to find the source of the infection. Typically, sputum.culture, urine culture and blood cultures. The spinal tap may be needed because you are describing meningitis with your symptoms. Have you been around anyone with meningitis or have you been out of the country recently?

Can't get an erection

Ejaculation and erection are not associated exclusively. Unfortunately, if you're not getting an erection sometimes, it may be due to new medications you have started most likely READ MORE
Ejaculation and erection are not associated exclusively. Unfortunately, if you're not getting an erection sometimes, it may be due to new medications you have started most likely blood pressure medicines and allergy medicine. There may be an underlying medical condition causing this. You need to get your cholesterol checked and your blood pressure checked. An easy fix is daily Cialis to help augment the blood flow to the penis. We also have found that people who excessively bike sometimes have erectile dysfunction.

Penis strange thing

It is exactly what you think it is, it is a dilated vein and theres nothing you need to do about it. Its normal.

Pelvis injury

Sounds like you have a hematoma which will resolve on its own.

Penis problem

This is phimosis and you may need to have a circumcision. You need to see a urologist on why it's so tight and if there's anything other than a circumcision you can do like steroid READ MORE
This is phimosis and you may need to have a circumcision. You need to see a urologist on why it's so tight and if there's anything other than a circumcision you can do like steroid creams.

Kidney stones

You only have to go to the ER if you have extreme pain, uncontrollable nausea and vomiting or high fevers and chills otherwise follow up with a local urologist get imaging and READ MORE
You only have to go to the ER if you have extreme pain, uncontrollable nausea and vomiting or high fevers and chills otherwise follow up with a local urologist get imaging and a urine culture and go from there.

Trouble to ejeculate

Unfortunately, as we age men need more stimulation to reach orgasm unlike when you were 18 and it didn't take much because the threshold was much lower. You're just going to need READ MORE
Unfortunately, as we age men need more stimulation to reach orgasm unlike when you were 18 and it didn't take much because the threshold was much lower. You're just going to need more stimulation and foreplay to make that happen. The only other thing that can do this, but I did not see it on your medication list is some of the anti-depressants can delay ejaculation.

Enlarged testicle

It would help if you got a scrotal ultrasound.

Pain when urinating?

It would be best if you had a urinalysis and culture. Most likely this is an infection.

Vegetable for piles lost in anus

This is something that you should speak to a colorectal surgeon about not a urologist.

Urinating

You need some testing, which includes a pelvic ultrasound to check your post-void residual, which is how much you leave behind, and a urinalysis. Also look at your diet concerning READ MORE
You need some testing, which includes a pelvic ultrasound to check your post-void residual, which is how much you leave behind, and a urinalysis. Also look at your diet concerning certain bladder, irritants, which include coffee, Coca-Cola, tea, caffeinated beverages, all sodas, chocolate, and spicy food. If you're on any of these try curbing them to see if it makes a difference. Another issue can be after menopause. Your bladder can become more irritated so sometimes utilizing estrogen may help.

Itching

You may have an infection with Crabs. You need to go in and get evaluated.

Shooting short burst of pain in penis

You have an inflamed prostate and you should take anti inflammatories and antibiotics.

kidney stone sugery

If you had stones on both sides then yes sometimes it can take this long to clear you. What you need now is a metabolic study. Find out why you form stones and then change your READ MORE
If you had stones on both sides then yes sometimes it can take this long to clear you. What you need now is a metabolic study. Find out why you form stones and then change your diet or maybe add medications to prevent future stones so that you don't get anymore.

Adult Circumcision

Totally fine but if you get aroused and get an erection it will most definitely be extremely uncomfortable and painful.

Penis

You probably have an infection of some sort, whether it is bacterial or yeast.