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.

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Dr. Nicolas Lailas

Reston, Virginia
Georgetown University
Accepting new patients

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My Answers

I have a small red mark on my penis

Im sorry the picture is just not clear enough to tell you what it is.

Leaky penis

Most likely it is overactive Bulbar urethral glands, which sometimes can behelped by ejaculating a few more times to clear out the pipes.

Masterbation

Its normal and no reason to quit.

Spots

It is nothing. It looks like an old injury to the skin that scarred.

What could it be?

Get tested for trichomonas.

urethra prolapse?

Urethral prolapse can be very painful. You need to have it reduced y a urologist or an Urogyn and then try not to be constipated and push hard.

Podophyllin cream not too effective.

It is a six to 12 week therapy. It will take more time than 4 days. After 16 weeks, if you dont have good results, you may need to have them lasered off. It also depends on how READ MORE

It is a six to 12 week therapy. It will take more time than 4 days. After 16 weeks, if you dont have good results, you may need to have them lasered off. It also depends on how big they are.

Testicular Pain

If you dont have fever and/or chills, it may just be non-bacterial epididymitis, which I typically treat with supportive underwear and Advil for the next two weeks. If you have READ MORE

If you dont have fever and/or chills, it may just be non-bacterial epididymitis, which I typically treat with supportive underwear and Advil for the next two weeks. If you have a fever or you have any urinary complaints, you need a urine culture and antibiotics. If you have redness, and the Testicle is warm to touch compared to the other side then I would suggest a scotal Ultrasound.

Erectile dysfunction

At this young of an age, I think you should start with a testosterone level.

Testicles pain

If your exam and appearance of the scrotum are normal then it is probably nothing. If you think there is something wrong or your exam is not normal, then you would need an ultrasound READ MORE

If your exam and appearance of the scrotum are normal then it is probably nothing. If you think there is something wrong or your exam is not normal, then you would need an ultrasound of the area. It does not hurt to do an ultrasound.

Testicle issue

You may have a partial torsion. You need a scrotal ultrasound and an exam by a urologist.

Ejaculation trouble

Come off the gabapentin for 3 to 5 days and see if that is the issue. If it is not then the next thing that would do, this is possibly prostatitis.

is amyloidosis kidney failure ?

No. It is a disease process that scars the kidney or any organ that am all the oasis occurs in. M doses of the brain is what causes Alzheimers. It just replaces normal tissue with READ MORE

No. It is a disease process that scars the kidney or any organ that am all the oasis occurs in. M doses of the brain is what causes Alzheimers. It just replaces normal tissue with an amyloid deposit.

What are the causes of blood in the urine?

5% of the time it is a malignancy the rest of the time its either an obstruction, a stone, a urinary tract infection or a stricture. You need a CT urogram, a cystoscopy and a Urine READ MORE

5% of the time it is a malignancy the rest of the time its either an obstruction, a stone, a urinary tract infection or a stricture. You need a CT urogram, a cystoscopy and a Urine cytology and culture to rule out which one it is.

Painful Lump on Testicle

Get an ultrasound of the scrotal area to make sure it isn't anything to worry about. It may also just be a follicular cyst in the skin, which is like an ingrown hair.

Small bumps on penis shaft

I see that youre on acyclovir. I doubt this is herpes, but it could be folliculitis or possibly a condyloma. The fact that white stuff came out of it when you popped it goes to READ MORE

I see that youre on acyclovir. I doubt this is herpes, but it could be folliculitis or possibly a condyloma. The fact that white stuff came out of it when you popped it goes to a folliculitis. But someones gonna have to take a look at you.