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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Foreskin/glans red from phimosis?
That is Candiasis balanitis due to a yeast infection. Best treatment is Monistat cream twice a day for 7 days, which you can get over the counter and then to keep the area under READ MORE
That is Candiasis balanitis due to a yeast infection. Best treatment is Monistat cream twice a day for 7 days, which you can get over the counter and then to keep the area under the foreskin dry and dry the penis after voiding.
Dr. Niko Lailas
Dr. Niko Lailas
I have cuts and bumps on foreskin?
A yeast infection doesn’t look like that. You need an evaluation in person to assess it. May be an STD like condyloma.
Dr. Niko Lailas
Dr. Niko Lailas
I have a few bumps in my personal area?
I believe those are ingrown hairs and nothing to worry about. Unfortunately, the pictures are not good enough to make a true diagnosis so you may want to pop in to see your local READ MORE
I believe those are ingrown hairs and nothing to worry about. Unfortunately, the pictures are not good enough to make a true diagnosis so you may want to pop in to see your local urologist.
Dr. Niko Lailas
Dr. Niko Lailas
Kidney stones?
It does not, it strictly is to help with weight loss and has nothing to do with the formation or prevention of kidney stones.
Dr. Niko Lailas
Dr. Niko Lailas
Calcium oxalate crystals in urine?
The crystals in your urine would not be causing any of the pain, however, you do need to have an ultrasound of your kidneys and bladder to evaluate whether or not you may have READ MORE
The crystals in your urine would not be causing any of the pain, however, you do need to have an ultrasound of your kidneys and bladder to evaluate whether or not you may have a stone causing obstruction.
Dr. Niko Lailas
Dr. Niko Lailas
Stints in bladder after kidney stone surgery?
Your stents should not be in this long for kidney stones. You need to go have the stones addressed or have the stents exchanged. Most likely they are infected or obstructed.
Dr. READ MORE
Your stents should not be in this long for kidney stones. You need to go have the stones addressed or have the stents exchanged. Most likely they are infected or obstructed.
Dr. Niko Lailas
Dr. Niko Lailas
I have a hard lump on my left side next to my scrotum?
It looks like you shave your groin. You most likely have an ingrown hair follicle. Unfortunately, you probably are going to need antibiotics and drainage, especially since you READ MORE
It looks like you shave your groin. You most likely have an ingrown hair follicle. Unfortunately, you probably are going to need antibiotics and drainage, especially since you are a diabetic.
Dr. Niko Lailas
Dr. Niko Lailas
Is this HPV?
No. HPV looks like mini cauliflower.
Dr. Niko Lailas
Dr. Niko Lailas
It burns to pee?
It is not, you need a urine culture.
Dr. Niko Lailas
Dr. Niko Lailas
Should I see a dr?
Yes, you may have disrupted your urethra. You will need a retrograde urethra gram, which is a study to see if there is a hole in the urethra. If there is, it is a simple fix by READ MORE
Yes, you may have disrupted your urethra. You will need a retrograde urethra gram, which is a study to see if there is a hole in the urethra. If there is, it is a simple fix by placing a catheter and allowing the urethra to heal for 7 to 10 days.
Dr. Niko Lailas
Dr. Niko Lailas
Chlamydia concern?
Sure, you need to be evaluated with a culture.
Dr. Niko Lailas
Dr. Niko Lailas
I have loss of sensation in penile and testes?
This typically happens to bike riders from prolonged sitting on the bike seat. I think you need a pelvic MRI to fully evaluate. The hour glass look of the penis is due to the fibrosis. READ MORE
This typically happens to bike riders from prolonged sitting on the bike seat. I think you need a pelvic MRI to fully evaluate. The hour glass look of the penis is due to the fibrosis. I suggest a vacuum device and straighter to help with this. If that doesn’t help, a duplex Penile Doppler may be of help. The erection is totally separate from the sensation.
Dr. Niko Lailas
Dr. Niko Lailas
Enlarged prostate?
You can try Flomax 0.4mg a day and if that does not work, you need a look in the bladder to rule out a urethral structure causing the obstruction.
Dr. Niko Lailas
Dr. Niko Lailas
Pain while urinating and during sex?
To rule out cervical cancer, you need a Pap smear and at the same time you can get a urine culture. That will address those issues.
Dr. Niko Lailas
Dr. Niko Lailas
Enlarged left testicle?
Sounds like it could be a hernia. My suggestion is to get a scrotal ultrasound.
Dr. Niko Lailas
Dr. Niko Lailas
I no longer have morning wood?
Make sure you are exercising regularly and get a good amount of sleep. If those are in order and that is not an issue, then you may consider getting a morning testosterone level.
Dr. READ MORE
Make sure you are exercising regularly and get a good amount of sleep. If those are in order and that is not an issue, then you may consider getting a morning testosterone level.
Dr. Niko Lailas
Dr. Niko Lailas
I have blood in my urine?
So, a few things: Six years ago was six years ago. You need to repeat all of the above testing. So, you need a cystoscopy, CT urogram, and a urine culture and cytology. Personally, READ MORE
So, a few things: Six years ago was six years ago. You need to repeat all of the above testing. So, you need a cystoscopy, CT urogram, and a urine culture and cytology. Personally, I think you may have passed a small stone and that would explain the back pain, the urge to urinate uncontrollably, and the blood. Unfortunately, that is a guess and therefore, you should repeat your work-up.
Dr. Niko Lailas
Dr. Niko Lailas
Do I have an STD?
What you have is folliculitis from shaving down there. This is very common. Treatment is typically warm compresses and antibiotics or excision if the antibiotics don’t work. This READ MORE
What you have is folliculitis from shaving down there. This is very common. Treatment is typically warm compresses and antibiotics or excision if the antibiotics don’t work. This has nothing to do with a low sex drive.
Dr. Niko Lailas
Dr. Niko Lailas
My husband has bladder cancer is there a bladder replacement surgery?
It all depends on the stage and grade of the tumor. If he has superficial bladder cancer, this accounts for 80% and only needs removal and scraping without removal, but the bladder READ MORE
It all depends on the stage and grade of the tumor. If he has superficial bladder cancer, this accounts for 80% and only needs removal and scraping without removal, but the bladder muscle invasive tumor requires chemotherapy followed by surgical removal. At that point, the substitutions available for bladder replacement are an ileal loop or a neobladder or a possible catheterizible stoma.
Dr. Niko Lailas
Dr. Niko Lailas
Could I have gotten an STD?
Unfortunately, people lie all the time, so you should never take their word for it. As long as you don’t have any urinary symptoms or pain or discharge between five and seven days READ MORE
Unfortunately, people lie all the time, so you should never take their word for it. As long as you don’t have any urinary symptoms or pain or discharge between five and seven days afterwards, you’re fine.
Dr. Niko Lailas
Dr. Niko Lailas
