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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.
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Dr. Nicolas Lailas
  • Reston, Virginia
  • Georgetown University
  • Accepting new patients

Dry/Cracked Scrotum Skin?

A picture is worth 1000 words. What you have is an ingrown hair that keeps getting infected. The medical term for this is folliculitis. The treatment for this is excision of the READ MORE
A picture is worth 1000 words. What you have is an ingrown hair that keeps getting infected. The medical term for this is folliculitis. The treatment for this is excision of the offending follicle. We start seeing a lot of this when people shave their scrotums. It also can happen from chafing of the underwear.

Dr. Niko Lailas

What causes blood to drip from your penis?

If he is circumcised, it could be meatal stenosis, and if not, it could be a small stone that was trying to pass.

Dr. Niko Lailas

Testicle mild ache?

It probably is due to the trichomonas and the diagnosis just from your symptoms is going to be epididymitis. At this time, you need to wear supportive underwear use Advil, Motrin, READ MORE
It probably is due to the trichomonas and the diagnosis just from your symptoms is going to be epididymitis. At this time, you need to wear supportive underwear use Advil, Motrin, and make sure you were treated appropriately with metronidazole.

Dr. Niko Lailas

Why does testicle pain come and go?

If he is wearing boxers and not supportive underwear, this happens quite frequently. Have him wear tidy Whiteys or boxer briefs.

Dr. Niko Lailas

What does blood in the urine mean?

Blood should never be in the urine. Whether it is microscopic or you see it grossly in the urine. The kidney filters the blood, but the filter should not let blood enter into the READ MORE
Blood should never be in the urine. Whether it is microscopic or you see it grossly in the urine. The kidney filters the blood, but the filter should not let blood enter into the urine. You need the following tests. You need a urine cytology, a urinalysis for culture and a micro vision to see where the blood is coming from. You also need to get a abdominal pelvic CT scan to look at the kidneys, ureter‘s and the bladder. Lastly, you’ll need a cystoscopy to look into your bladder and to confirm that the urethra has no structures in it. Typically, a patient of your age is too young for cancer. Most likely it is due to kidney stones. The above work up will direct what’s wrong with you and if you need any treatment.

Dr. Niko Lailas

What does cloudy urine indicate in children?

It could be an infection or dehydration or vitamin use. He needs a urine culture to prove it’s not a UTI.

Dr. Niko Lailas

Where do I buy small bottles of acetic acid for SPC irrigation?

The compounding pharmacy at Catoctin Circle in Leesburg Virginia can make it for you and actually send it to your home, or you also could have your urologist give you a prescription READ MORE
The compounding pharmacy at Catoctin Circle in Leesburg Virginia can make it for you and actually send it to your home, or you also could have your urologist give you a prescription for Urocit-K 20 mEq twice a day, which has been helpful in preventing catheter encrustacean.

Dr. Niko Lailas

Can a urine test detect if someone is taking prescription drugs?

Typically no, but certain drugs do have metabolites like Dilantin and some other medications that you need to check levels on. But your general antidepressants, antibiotics, and READ MORE
Typically no, but certain drugs do have metabolites like Dilantin and some other medications that you need to check levels on. But your general antidepressants, antibiotics, and most other drugs like cholesterol medicine are not detectable. Narcotics, amphetamines, marijuana, and alcohol can be tested.

Dr. Niko Lailas

My 3 year old son won't potty train?

Make it a game. Put Cheerios in the toilet and have him try to hit them with his stream. Don’t make a big deal about it. Sent from my iPhone Dr. Niko Lailas, Chief of Surgery READ MORE
Make it a game. Put Cheerios in the toilet and have him try to hit them with his stream. Don’t make a big deal about it.

Sent from my iPhone Dr. Niko Lailas, Chief of Surgery and Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center
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Can you improve sperm quality?

You can improve your quality with Vit A, C, and E along with Selenium. L - carnitine has also shown promise. If you smoke, stop.

Dr. Niko Lailas

Do I have a urinary tract infection?

You need a urine culture and possibly a look inside the urethra to make sure you don’t have a urethral stricture. At your age, it is not cancer.

Dr. Niko Lailas

I suspect my son has kidney stones?

He needs a renal ultrasound that you can get through your pediatrician or an urgent care.

Dr. Niko Lailas

What can cause a painful ejaculation?

The most common cause is a low-grade infection or a jacket or a duct obstruction. You need a semen culture and a prostate ultrasound.

Dr. Niko Lailas

What are the symptoms of prostate problems?

The good news is you are too young for prostate cancer. Most prostate symptoms are obstructive in nature and don’t start until around age 48 to 50. If you have irritating symptoms, READ MORE
The good news is you are too young for prostate cancer. Most prostate symptoms are obstructive in nature and don’t start until around age 48 to 50. If you have irritating symptoms, that may be a sign of a urinary tract infection or a bladder problem. Most patients with prostate issues complain of decreased force in your stream, hesitancy to void and intermittent obstructed voiding patterns. Unfortunately, prostate cancer is usually silent and gives off no symptoms. This is why it is imperative to get your first PSA at age 50 with no family history, and 45 with a family history.

Dr. Niko Lailas

What are the treatment options for prostatitis?

Typically considered an inflammation, it can be treated with anti-inflammatories warm soaks, and yes, occasionally it will improve. We also find that caffeine aggravates the issue. READ MORE
Typically considered an inflammation, it can be treated with anti-inflammatories warm soaks, and yes, occasionally it will improve. We also find that caffeine aggravates the issue. Occasionally, some people have an enlarged prostate which will respond to Flomax.

Dr. Niko Lailas

What is azoospermia?

Azoospermia means that there is no sperm in your ejaculate. This can be for two reasons. One is due to obstruction in the most common cause for obstruction is a vasectomy. Number READ MORE
Azoospermia means that there is no sperm in your ejaculate. This can be for two reasons. One is due to obstruction in the most common cause for obstruction is a vasectomy. Number two is loss of testicular production of sperm. The way to delineate the two is to perform a testicular biopsy and possibly bilateral vasograms to see if there is a stricture or obstruction. Before that operation it is worth getting a FSH and LH as well as a testosterone level. These are blood tests. If your FSH is severely elevated that means you have testicular failure and the above surgery is not indicated.

Dr. Niko Lailas

What are the symptoms of a prostate issue?

Only had one of several thousand men who had prostate cancer before age 40. Stop drinking all caffeine products, especially Starbucks. Also, if your stream is slower, you may have READ MORE
Only had one of several thousand men who had prostate cancer before age 40. Stop drinking all caffeine products, especially Starbucks. Also, if your stream is slower, you may have a urethral stricture. Good news, it’s not cancer.

Dr. Niko Lailas

Is the recovery from neobladder reconstruction long?

Yes. It is a 5-21 day hospital stay. You can have multiple complications that delay your discharge. The main problems are urinary leak, bowel obstruction, ileus (intestines slow READ MORE
Yes. It is a 5-21 day hospital stay. You can have multiple complications that delay your discharge. The main problems are urinary leak, bowel obstruction, ileus (intestines slow to wake up), bowel leak, electrolyte abnormalities, MI, pneumonia and pulmonary embolism. The younger the patient, the quicker the recovery. Typically are able to return to full activities in 6-8 weeks. He also needs to learn to catheterize himself now. 25% of patients can’t fully empty and need to catheterize long term.

Dr. Niko Lailas

Feeling heat from laser during bladder cancer treatment?

Yes. The laser is a heat source. That is normal.

Dr. Niko Lailas

How does a cystoscopy work?

A cystoscopy is a telescope that looks through the penis, prostate, and urethra to make sure you don’t have bladder cancer, bladder stones, or a urethral stricture. The procedure READ MORE
A cystoscopy is a telescope that looks through the penis, prostate, and urethra to make sure you don’t have bladder cancer, bladder stones, or a urethral stricture. The procedure itself takes one minute. It is not the most comfortable procedure, but not too bad.

Dr. Niko Lailas