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

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/>

Dull pain on tip of penis?

You probably have inflammation of the prostate, which is causing a referred pain to the tip of the penis.

Curved down penis?

You probably have a congenital Chordee, which is causing the downward curvature. This can be fixed surgically with a Nesbitt Penile placation. What you need to do is find a urologic READ MORE
You probably have a congenital Chordee, which is causing the downward curvature. This can be fixed surgically with a Nesbitt Penile placation. What you need to do is find a urologic surgeon that does this kind of operation and take pictures from above the penis and from the side so your surgeon can see exactly the extent of your curvature while it is erect. This is correctable.

Adult male testicular question?

You have a testicular torsion until proven otherwise and you need immediate evaluation. Please head to the ER and have an exam and scrotal ultrasound.

Abdominal pain after arousal?

Sounds like either a urethral stricture which can be diagnosed with a cystoscopy or Chronic prostatitis.

Reducing sexual urges?

None of those things decree sexual desire! That is a hormonal factor from testosterone and estrogen levels which you have no control over. This is why in the early 1900s they castrated READ MORE
None of those things decree sexual desire! That is a hormonal factor from testosterone and estrogen levels which you have no control over. This is why in the early 1900s they castrated men who were rapists thinking that would stop the urges. This practice was stopped for obvious reasons.

UTIs and yeast infections?

You need a urine PCR culture to figure out exactly what is growing in the urine. Don't treat without knowing what the bacteria is in the urine.

if your kidney is shriveled are you missing the adrenal gland that goes on it?

The good news is the adrenal gland comes from a different embryologic origin. Therefore your adrenal gland is still intact.

Infection or not

That is trichomonas.