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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
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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.
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.
