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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How do you detect a kidney infection in children and adults?
Fortunately, it is the same. A urine culture that is positive with high fevers is a kidney infection. Most bladder infections do not have fevers. 80% of the time, a patient will READ MORE
Fortunately, it is the same. A urine culture that is positive with high fevers is a kidney infection. Most bladder infections do not have fevers. 80% of the time, a patient will also have flank pain on the affected kidney.
Dr. Niko Lailas
Dr. Niko Lailas
Small bump on penis?
That sounds like an inclusion cyst, which we see happen when a hair follicle gets obstructed. It’s benign.
Dr. Niko Lailas
Dr. Niko Lailas
Why do I feel pain in my prostrate when I urinate?
There are several causes that can do this. One is a urethral stricture, one is a possible urinary tract infection, and then every once a while there could be a bacterial infection READ MORE
There are several causes that can do this. One is a urethral stricture, one is a possible urinary tract infection, and then every once a while there could be a bacterial infection that has gone into the prostate causing prostatitis.
Dr. Niko Lailas
Dr. Niko Lailas
Concerned about lower back pain and dizziness?
You may have a prostate infection or a kidney infection. You need to get a urine culture and then be placed on the appropriate antibiotics. Once you clear the infection, you will READ MORE
You may have a prostate infection or a kidney infection. You need to get a urine culture and then be placed on the appropriate antibiotics. Once you clear the infection, you will need a CT urogram to find out if there is a structural problem causing the infection. This needs to be done sooner than later because you can get very sick if this is not treated quickly.
Dr. Niko Lailas
Dr. Niko Lailas
Why has my foreskin become tight?
You have phimosis and probably need a circumcision. The burning is from the urine going across the small cuts in the skin.
Dr. Niko Lailas
Dr. Niko Lailas
What is it?
This may be a skin condition for a possible super infection. I would start with antibiotics as well as an antifungal orally and topically. If that does not work, then you need READ MORE
This may be a skin condition for a possible super infection. I would start with antibiotics as well as an antifungal orally and topically. If that does not work, then you need a biopsy to confirm that you do not have a in condition known as a Bowen’s disease.
Dr. Niko Lailas
Dr. Niko Lailas
How can I recover from surgery faster?
Stay hydrated the night before surgery and drink a fair amount of Gatorade all the way up until midnight. Also no Illegal drugs or alcohol for one week before surgery. Also, make READ MORE
Stay hydrated the night before surgery and drink a fair amount of Gatorade all the way up until midnight. Also no Illegal drugs or alcohol for one week before surgery. Also, make sure you keep a good weight and exercise prior to your surgery. Get a good night sleep the night before surgery. Do not use narcotics after surgery and try to use nonsteroidals and bladder spasm medicine. Narcotics have a tendency to slow your bowels down and depress your immune system. Use the first night and then tapper off quickly. Ask your anesthesiologist if they can perform a tap block preoperatively after you are under anesthesia to help numb your abdominal muscles so they don’t hurt when you wake up. That way you won’t use as many narcotics. And if you are a smoker, no smoking one month before surgery, which will help you not get pneumonia afterwards. After surgery, mobilize the best you can and not lay in bed or in a chair for prolonged periods of time. This will prevent you from getting blood clots.
Dr. Niko Lailas
Dr. Niko Lailas
I think I have an infection in my penis?
A yellowish discharge is typically chlamydia, but also can be gonorrhea. You need to get in to have a culture done and be placed on antibiotics. If you are sexually active, you READ MORE
A yellowish discharge is typically chlamydia, but also can be gonorrhea. You need to get in to have a culture done and be placed on antibiotics. If you are sexually active, you need to let your partner know if you are positive or not. That way they can be treated as well.
Dr. Niko Lailas
Dr. Niko Lailas
What is the first sign of a kidney stone?
Most kidney stones are silent. Kidney stones only cause problems and are symptomatic when someone starts to pass one. This typically reveals flank pain blood in the urine and nausea. READ MORE
Most kidney stones are silent. Kidney stones only cause problems and are symptomatic when someone starts to pass one. This typically reveals flank pain blood in the urine and nausea. Some patients will only have blood in the urine which is not painful and sometimes people have blood in the urine which is microscopic and can’t see it.
Dr. Niko Lailas
Dr. Niko Lailas
PVR Test?
You should not fret over this. Go to the office well hydrated and wait for the nurse to come see you. Tell her you have not gone to the bathroom and then go to the bathroom and READ MORE
You should not fret over this. Go to the office well hydrated and wait for the nurse to come see you. Tell her you have not gone to the bathroom and then go to the bathroom and she will then immediately check and ultrasound on you to confirm you’re emptying your bladder. It’s a very easy test.
Dr. Niko Lailas
Dr. Niko Lailas
How often does a man need to release sperm?
There is no set frequency. This is a natural function and typically some men who don’t will have a nighttime emission without even knowing it. The body will reabsorb sperm if it READ MORE
There is no set frequency. This is a natural function and typically some men who don’t will have a nighttime emission without even knowing it. The body will reabsorb sperm if it is not used for ejaculation. Occasionally, men who don’t ejaculate for an extended period of time can get chronic prostatitis, but it is not very common.
Dr. Niko Lailas
Dr. Niko Lailas
Will my son be ok?
The good news is I agree with the urgent care doctor. As long as he did not instrument himself and cause any bleeding, then he should be fine. Currently, he is having urethritis READ MORE
The good news is I agree with the urgent care doctor. As long as he did not instrument himself and cause any bleeding, then he should be fine. Currently, he is having urethritis from the irritation from the injected solution. This should clear over the next few days.
Dr. Niko Lailas
Dr. Niko Lailas
Health Inquiry?
You may have a kidney stone trying to pass. You need a CT scan and a urine culture to start.
Dr. Niko Lailas
Dr. Niko Lailas
What is the cause and remedy of the heat sensation?
If you are heavyset, then this would explain why you’re having discomfort in the testicle because you’re causing pressure with your weight. Also, if you have an adjusted yourself READ MORE
If you are heavyset, then this would explain why you’re having discomfort in the testicle because you’re causing pressure with your weight. Also, if you have an adjusted yourself properly and sitting on the testicle awkwardly, it can do that as well. The low sperm count has nothing to do with the sensation you’re having.
Dr. Niko Lailas
Dr. Niko Lailas
Sublingual pills?
You need to ask your pharmacist because some drugs have coatings that you should not crash.
Dr. Niko Lailas
Dr. Niko Lailas
Excessive urination?
This may be due to an enlarged prostate or the fact that your diabetes is not under control. You need to have a uroflow and a post void residual checked to evaluate why. Some READ MORE
This may be due to an enlarged prostate or the fact that your diabetes is not under control. You need to have a uroflow and a post void residual checked to evaluate why. Some medications should be able to help correct this.
Dr. Niko Lailas
Dr. Niko Lailas
Why does my partner have scrotum pain?
He needs a scrotal ultrasound.
Dr. Niko Lailas
Dr. Niko Lailas
My husband is impotent?
Yes. An orgasm is psychogenic and an erection is physiologic. This is why interaction is not required.
Dr. Niko Lailas
Dr. Niko Lailas
What is a permanent cure for erectile dysfunction?
At this time, there is no permanent cure, but what is helpful is clean living, stop smoking, and make sure your cholesterol is in check.
Dr. Niko Lailas
Dr. Niko Lailas
Is this normal?
That is most likely the area after a circumcision has been performed, and that is completely normal.
Dr. Niko Lailas
Dr. Niko Lailas
