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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

Penis

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

Testicle Discomfort

Most likely not a STI, however you may have epididymitis which is an inflammation of the epididymis. This treated with anti-inflammatories and support underwear. I also would stop READ MORE
Most likely not a STI, however you may have epididymitis which is an inflammation of the epididymis. This treated with anti-inflammatories and support underwear. I also would stop examining yourself because that sometimes irritates it more. If it doesnt get better with this in a week, then you need an ultrasound and testing.

Red spot/bump on glans

Were you recently wearing a bathing suit? Sometimes the webbing on the inside of the bathing suit can rub the tip of the penis and cause this look. looks most likely like a irritative READ MORE
Were you recently wearing a bathing suit? Sometimes the webbing on the inside of the bathing suit can rub the tip of the penis and cause this look. looks most likely like a irritative rash and will probably resolve on its own. Best thing to do is wear cotton underwear. 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/>

Penis

You either have a yeast infection, which should be treated with Lotrimin or nystatin, but the other thing it could be is contact dermatitis. That can be due to something you came READ MORE
You either have a yeast infection, which should be treated with Lotrimin or nystatin, but the other thing it could be is contact dermatitis. That can be due to something you came in contact with. It is not an STD.

Do I have Genital Herpes?

That is an ingrown hair.

Sti

Do an STI panel to rule out and if negative could be mycoplasma or prostatitis.

Likelihood of just chlamydia

Just need to be tested. It no drainage then may not be anything. Sent from my iPhone Dr. Niko Lailas, Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital READ MORE
Just need to be tested. It no drainage then may not be anything. 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/>

urinating

You have a UTI. You need a urine culture. You can try to self treat with vitamin. 500mg three times a day and increase your water intake to 2liters. For the next 2-3 days and if READ MORE
You have a UTI. You need a urine culture. You can try to self treat with vitamin. 500mg three times a day and increase your water intake to 2liters. For the next 2-3 days and if no better you need antibiotics. If you have fever or chills for get the above and go to urgent care or an ER. 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/>

Is testicular pain and possible swelling / lumps on testicles common with people that have HPV?

They are two separate problems. The secular lumps are not associated with HPV. You need to have a scuttle ultrasound to make sure you do not have a cancerous mass.

What do I have?

Send a pic. Did you get bitten by a spider or bug?

pain after vasectomy

This is completely normal. Make sure youre wearing supportive underwear and take Advil. All of this should resolve by two weeks postoperatively.

Retrograde Ejaculation Treatment

Medication that cause retrograded ejaculations are typically those that are treatments for large prostates, Flomax, mini press, Cura, Rappa flow. Some antidepressants can cause READ MORE
Medication that cause retrograded ejaculations are typically those that are treatments for large prostates, Flomax, mini press, Cura, Rappa flow. Some antidepressants can cause difficulty with achieving an ejaculation because it increases the threshold of an orgasm. Are you on any of the tricyclic antidepressants?

What drinks help with a kidney infection?

The old adage is cranberry juice, but this is not true. Just drinking water is the best medicine to flush the system. If it is a true infection and it wont clear with just fluids READ MORE
The old adage is cranberry juice, but this is not true. Just drinking water is the best medicine to flush the system. If it is a true infection and it wont clear with just fluids then you need to add vitamin C 5 mg twice a day and if this doesnt work, you need antibiotics.

Pain in left testicule

That is all just post operative changes and will usually resolve on its own in 6-8 weeks.

Pulling foreskin back after partial circumcision

You are tender so afraid to pull it back. You can pull it back quickly in the shower to wash it in warm water.

Had painful urination, still aggravates with too much touching. Should I be worried?

No you probably had an infection and now you just have some of the after effects.

Urinalysis

Dehydration will do that and occasionally an intestinal fistula can do this but typically you have bowel contamination or air in the bladder.

What, biologically, stops a man from getting erect again and again?

Good question, orgasm and erections have opposite nerve impulses. During and prior to orgasm, the parasympathetic, nervous system dilates the blood vessels, and then, when you READ MORE
Good question, orgasm and erections have opposite nerve impulses. During and prior to orgasm, the parasympathetic, nervous system dilates the blood vessels, and then, when you orgasm, this is a sympathetic response, which then tightens the blood vessels and reverses the parasympathetic nerve supply hence why the erection goes down. 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/>

Post Vasectomy Bladder Issues

The groin pain is due to the vasectomy but not the bladder issues. It is not bladder cancer either. I would have you take 600mg of Motrin ice the groin and scrotum and slow down READ MORE
The groin pain is due to the vasectomy but not the bladder issues. It is not bladder cancer either. I would have you take 600mg of Motrin ice the groin and scrotum and slow down your activity over the weekend. Also, elevate your scrotum with a towel balled up underneath it. The pain may be the cause of the urinary issues.

Sticky and inflamed glans penis

You may have an infection under the skin called Trichanosis that has a funny fishy smell. You need it cultured and then placed on the appropriate antibiotic. Also if you have the READ MORE
You may have an infection under the skin called Trichanosis that has a funny fishy smell. You need it cultured and then placed on the appropriate antibiotic. Also if you have the same sexual partner, they may need to be treated to prevent a yo-yo infection going back and forth between you to.