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
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Can I drink alcohol if I have a kidney infection?
Sure you can but it depends on what antibiotic you are taking for the infection.
COVID and kidney infection
Unfortunately, if you still have an infection, then you may have inflammation in the kidney causing this. But if you have a kidney stone that can cause pain.
Surgical
What operation did you have done?
Hi I wonder what i have?
Hijack sales do not cause pain. Torsion is typically very painful and uncomfortable and causes nausea. You may have just a low-grade epididymitis, which is an inflammation of the READ MORE
Hijack sales do not cause pain. Torsion is typically very painful and uncomfortable and causes nausea. You may have just a low-grade epididymitis, which is an inflammation of the epididymis. The best thing for you to do is get a scrotal ultrasound.
non itchy white spots on penis
Send a pic to be able to better make the diagnosis.
Thick substance on penis?
That is known as smegma. You need to clean underneath the foreskin frequently to prevent this. This is just dead skin that has accumulated under the foreskin. Sent from my iPhone READ MORE
That is known as smegma. You need to clean underneath the foreskin frequently to prevent this. This is just dead skin that has accumulated under the foreskin. Sent from my iPhone Dr. Niko Lailas, Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center urologygroupvirginia.com<http://urologygroupvirginia.com/> Like us on Facebook<https://www.facebook.com/TheUrologyGroup> Follow @LMGdocs on Twitter<https://twitter.com/docsLMG> Follow us on Google+<https://plus.google.com/+TheUrologyGroupLmg/posts> Follow us on YouTube<https://www.youtube.com/channel/UCBb5PPv5PVGU6y9LeBWImlQ?view_as=public> Join us on Linked In<http://www.linkedin.com/pub/theurologygroup-lmg/78/3/ba3/>
Am I going to be fine?
Your good. Your only issue is if she has something and you have an open wound which it sounds like you dont.
Circumcision to fix a twist?
So good news, I think your frenulum is tethering your penis in that 90° angle. You have a frenulectomy, which will correct the angulation and get rid of the discomfort you have READ MORE
So good news, I think your frenulum is tethering your penis in that 90° angle. You have a frenulectomy, which will correct the angulation and get rid of the discomfort you have with erections. That way you do not need a circumcision. I would never take a family member to a family practice center to do a circumcision. You need to see your urologist because things can go awry very quickly and you dont want to be in that situation. I also would not suggest doing this under local only. You should have a general anesthetic in a surgical center and be monitored appropriately. It takes about six weeks to recover from any of the penile surgeries we do. At that point youre clear to do everything. Sent from my iPhone Dr. Niko Lailas, Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center urologygroupvirginia.com<http://urologygroupvirginia.com/> Like us on Facebook<https://www.facebook.com/TheUrologyGroup> Follow @LMGdocs on Twitter<https://twitter.com/docsLMG> Follow us on Google+<https://plus.google.com/+TheUrologyGroupLmg/posts> Follow us on YouTube<https://www.youtube.com/channel/UCBb5PPv5PVGU6y9LeBWImlQ?view_as=public> Join us on Linked In<http://www.linkedin.com/pub/theurologygroup-lmg/78/3/ba3/>
HIV scare?
Youre overthinking it, and feeling guilty and the risk is very low.
Why is my right testicle hurting a little and the right side near the testicle is hurting too, is it twisted?
You need a scrotal Ultrasound. Sent from my iPhone Dr. Niko Lailas, Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center urologygroupvirginia.com READ MORE
You need a scrotal Ultrasound. Sent from my iPhone Dr. Niko Lailas, Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center urologygroupvirginia.com<http://urologygroupvirginia.com/> Like us on Facebook<https://www.facebook.com/TheUrologyGroup> Follow @LMGdocs on Twitter<https://twitter.com/docsLMG> Follow us on Google+<https://plus.google.com/+TheUrologyGroupLmg/posts> Follow us on YouTube<https://www.youtube.com/channel/UCBb5PPv5PVGU6y9LeBWImlQ?view_as=public> Join us on Linked In<http://www.linkedin.com/pub/theurologygroup-lmg/78/3/ba3/>
Spider bite?
All spiders are poisonous to some extent so you have venom in the skin. As long as it is not infected you can observe it. If it was a black widow or a brown recluse spider, there READ MORE
All spiders are poisonous to some extent so you have venom in the skin. As long as it is not infected you can observe it. If it was a black widow or a brown recluse spider, there can be significant tissue damage. Usually within the week. Sent from my iPhone Dr. Niko Lailas, Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center urologygroupvirginia.com<http://urologygroupvirginia.com/> Like us on Facebook<https://www.facebook.com/TheUrologyGroup> Follow @LMGdocs on Twitter<https://twitter.com/docsLMG> Follow us on Google+<https://plus.google.com/+TheUrologyGroupLmg/posts> Follow us on YouTube<https://www.youtube.com/channel/UCBb5PPv5PVGU6y9LeBWImlQ?view_as=public> Join us on Linked In<http://www.linkedin.com/pub/theurologygroup-lmg/78/3/ba3/>
Cramps or a bigger problem?
You need to start with a urinalysis and culture. You also need a renal bladder ultrasound to see if you have any stones causing obstruction or another anatomical cause that is READ MORE
You need to start with a urinalysis and culture. You also need a renal bladder ultrasound to see if you have any stones causing obstruction or another anatomical cause that is giving you UTIs. If all the above is negative you would need a cystoscopy to make sure you dont have interstitial cystitis. Endometriosis can do this as well so a visit to your GYN would be prudent if your urologic workup was negative. Sent from my iPhone Dr. Niko Lailas, Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center urologygroupvirginia.com<http://urologygroupvirginia.com/> Like us on Facebook<https://www.facebook.com/TheUrologyGroup> Follow @LMGdocs on Twitter<https://twitter.com/docsLMG> Follow us on Google+<https://plus.google.com/+TheUrologyGroupLmg/posts> Follow us on YouTube<https://www.youtube.com/channel/UCBb5PPv5PVGU6y9LeBWImlQ?view_as=public> Join us on Linked In<http://www.linkedin.com/pub/theurologygroup-lmg/78/3/ba3/>
Do I possibly have HIV?
Wait 2 months and get an HIV test. Also you can ask her to get one. Normal sex without trauma is not likely to pass HIV either.
Color of sperm?
It is not the sperm! It is the ejaculate from the seminal vesicles and depends on your hydration status and how long between ejaculations.
Tight foreskin?
What you described is mild phimosis. You can take hydrocortisone cream and place it on the tight foreskin ring daily for six weeks and the foreskin should be able to retract better. READ MORE
What you described is mild phimosis. You can take hydrocortisone cream and place it on the tight foreskin ring daily for six weeks and the foreskin should be able to retract better. If this does not work then, unfortunately, a circumcision is the next step. Sent from my iPhone Dr. Niko Lailas, Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center urologygroupvirginia.com<http://urologygroupvirginia.com/> Like us on Facebook<https://www.facebook.com/TheUrologyGroup> Follow @LMGdocs on Twitter<https://twitter.com/docsLMG> Follow us on Google+<https://plus.google.com/+TheUrologyGroupLmg/posts> Follow us on YouTube<https://www.youtube.com/channel/UCBb5PPv5PVGU6y9LeBWImlQ?view_as=public> Join us on Linked In<http://www.linkedin.com/pub/theurologygroup-lmg/78/3/ba3/>
Can accessing your rectal cavity cause anorogasmia?
You may have filariasis which is intestinal worms. There is no reason that a rectal exam should cause numbness of the penis or ED otherwise I would be doing this to men all day READ MORE
You may have filariasis which is intestinal worms. There is no reason that a rectal exam should cause numbness of the penis or ED otherwise I would be doing this to men all day long. I suggest that you see a GI specialist to evaluate the intestines and are you a cyclist? This can cause penile numbness due to pressure on the nerve to the penis. It is usually nerve damage to the pudendal nerve. Sent from my iPhone Dr. Niko Lailas, Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center urologygroupvirginia.com<http://urologygroupvirginia.com/> Like us on Facebook<https://www.facebook.com/TheUrologyGroup> Follow @LMGdocs on Twitter<https://twitter.com/docsLMG> Follow us on Google+<https://plus.google.com/+TheUrologyGroupLmg/posts> Follow us on YouTube<https://www.youtube.com/channel/UCBb5PPv5PVGU6y9LeBWImlQ?view_as=public> Join us on Linked In<http://www.linkedin.com/pub/theurologygroup-lmg/78/3/ba3/>
Oral warts?
Impossible.
Is it possible for a man’s fertility to fix itself in 8 months?
It doesnt matter and just move on. Only way to figure it out is with a paternity test which could put you in a bad position unless you do it secretly without your boyfriend knowing. READ MORE
It doesnt matter and just move on. Only way to figure it out is with a paternity test which could put you in a bad position unless you do it secretly without your boyfriend knowing. Do the DNA on one of the twins and get hair from his brush. Sent from my iPhone Dr. Niko Lailas, Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center urologygroupvirginia.com<http://urologygroupvirginia.com/> Like us on Facebook<https://www.facebook.com/TheUrologyGroup> Follow @LMGdocs on Twitter<https://twitter.com/docsLMG> Follow us on Google+<https://plus.google.com/+TheUrologyGroupLmg/posts> Follow us on YouTube<https://www.youtube.com/channel/UCBb5PPv5PVGU6y9LeBWImlQ?view_as=public> Join us on Linked In<http://www.linkedin.com/pub/theurologygroup-lmg/78/3/ba3/>
Weird little bumps?
Unfortunately these are called coronal papules and are normal. They will only return if you try to remove them. They are like eyelashes to an eye. Sent from my iPhone Dr. Niko READ MORE
Unfortunately these are called coronal papules and are normal. They will only return if you try to remove them. They are like eyelashes to an eye. Sent from my iPhone Dr. Niko Lailas, Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center urologygroupvirginia.com<http://urologygroupvirginia.com/> Like us on Facebook<https://www.facebook.com/TheUrologyGroup> Follow @LMGdocs on Twitter<https://twitter.com/docsLMG> Follow us on Google+<https://plus.google.com/+TheUrologyGroupLmg/posts> Follow us on YouTube<https://www.youtube.com/channel/UCBb5PPv5PVGU6y9LeBWImlQ?view_as=public> Join us on Linked In<http://www.linkedin.com/pub/theurologygroup-lmg/78/3/ba3/>
