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 to treat urethritis?
You need urine and urethral cultures with appropriate antibiotics. Typically we use doxycycline or Flagyl.
Potential UTI?
If you’re asymptomatic you most likely experienced a hot pepper that causes the burning in the urine. You may also find that your stool can sometimes burn with those types of peppers. READ MORE
If you’re asymptomatic you most likely experienced a hot pepper that causes the burning in the urine. You may also find that your stool can sometimes burn with those types of peppers. There’s no need to get a urine sample if you are asymptomatic.
Urine test?
Use your best friend who doesn’t smoke to do your urine for you.
STI/STD or something else?
To me, those look like hair follicles. Did you recently shave in that area? You still need to see someone to confirm my “picture visual“ is correct but I think those are just hair READ MORE
To me, those look like hair follicles. Did you recently shave in that area? You still need to see someone to confirm my “picture visual“ is correct but I think those are just hair follicles.
Concerned about prostate?
You need an MRI of the prostate to make sure that nothing was missed on your previous biopsy. You also may have hurt your back which caused the pain on the side and in the groin READ MORE
You need an MRI of the prostate to make sure that nothing was missed on your previous biopsy. You also may have hurt your back which caused the pain on the side and in the groin which also can cause trouble going to the bathroom. The two are unrelated.
Dr. Niko Lailas, Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center
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Trouble conceiving?
Try for up to a year and if no success then you need a semen analysis and blood work.
Genital warts?
Yes.
Dr. Niko Lailas, Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center
urologygroupvirginia.com
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Yes.
Dr. Niko Lailas, Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center
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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>
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Urine test results?
I’m sorry. I’m not familiar with your particular urine strips. There is usually a key that tells you what that means.
Red dots around my head?
Also maybe little hair follicles that you irritated.
How to cure a UTI?
Without antibiotics, the only possible way is to flood yourself with fluids and take 1000 mg of vitamin C which will acidify the urine. The cure is only about 10 to 25%.
http://urologygroupvirginia.com
Like READ MORE
Without antibiotics, the only possible way is to flood yourself with fluids and take 1000 mg of vitamin C which will acidify the urine. The cure is only about 10 to 25%.
http://urologygroupvirginia.com
Like us on Facebook<https://www.facebook.com/TheUrologyGroup>
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Follow us on Google+<https://plus.google.com/+TheUrologyGroupLmg/posts>
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http://urologygroupvirginia.com
Like us on Facebook<https://www.facebook.com/TheUrologyGroup>
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Follow us on Google+<https://plus.google.com/+TheUrologyGroupLmg/posts>
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Does a urine test registering Leucocyte Esterase +3 mean infection?
Not necessarily. What it is indicative of is that they were white cells in the urine. What you need is a urine culture to prove that you do not have an infection and if you do READ MORE
Not necessarily. What it is indicative of is that they were white cells in the urine. What you need is a urine culture to prove that you do not have an infection and if you do not then I would get an ultrasound of your kidneys and bladder to look for a possible stone.
Dr. Niko Lailas, Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center
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Dr. Niko Lailas, Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center
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>
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Join us on Linked In<http://www.linkedin.com/pub/theurologygroup-lmg/78/3/ba3/>
Is it herpes?
Yes. You need a course of acyclovir.
Dr. Niko Lailas, Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center
urologygroupvirginia.com
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Yes. You need a course of acyclovir.
Dr. Niko Lailas, Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center
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/>
Dr. Niko Lailas, Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center
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/>
Testicular pain and low libido?
You may need to get the full profile of testosterone. “Free, total, and bioavailable.” This has nothing to do with the pain in the testicles. You need a scrotal ultrasound to READ MORE
You may need to get the full profile of testosterone. “Free, total, and bioavailable.” This has nothing to do with the pain in the testicles. You need a scrotal ultrasound to evaluate the testicles and epididymis to rule out the cause of the testicular pain. In the meantime you should wear supportive underwear.
Calcium in urine?
Unfortunately, all lab values are not the same but off the top of my head anything less than 200 is normal. It also has a lot to do with a diet that day.
Frequent urination?
The good news is there’s nothing to worry about! Frequent urination can be due to increased caffeine intake which includes coffee Coca-Cola Jolt and Mountain Dew and it can also READ MORE
The good news is there’s nothing to worry about! Frequent urination can be due to increased caffeine intake which includes coffee Coca-Cola Jolt and Mountain Dew and it can also be due to just an increase in watery fruits like watermelon or just increasing your fluid intake with drinks like Gatorade and Powerade. If you have irritative voiding symptoms like burning and pain when urinating you may have a urinary tract infection. The first thing you need to do is to monitor what you’re drinking and what typically goes in will come out. So if you’re drinking a gallon of water a day expect to void a gallon of urine a day. Also, a urinalysis would be helpful to rule out an infection or other urologic problems.
What are these small lumps under my foreskin?
I have no idea without seeing it. If you want to resubmit with a photo, I’d be happy to tell you.
I'm not able to ejaculate?
This is very strange and unfortunately, I don’t have an answer for you. If you are having night sweats and fevers you may have prostatitis. Also when did this start and were your READ MORE
This is very strange and unfortunately, I don’t have an answer for you. If you are having night sweats and fevers you may have prostatitis. Also when did this start and were your ejaculations normal before?
How long does a prostate CT scan take?
It depends if you’re having contrast or no contrast. I typically order them with no contrast which takes about 2 to 4 minutes. If you’re doing it with contrast and need delayed READ MORE
It depends if you’re having contrast or no contrast. I typically order them with no contrast which takes about 2 to 4 minutes. If you’re doing it with contrast and need delayed films sometimes that will be 5 to 15 minutes.
Cystocele and rectocele? Pelvic organ prolapse?
Yes, but it should be obvious on a pelvic exam.
What is the cause of the loss of feeling?
I’m very sorry that you’re having this issue. I think your best bet is to go to a neurologist and get an MRI of your pelvis. I think there is something pinching one of the nerves READ MORE
I’m very sorry that you’re having this issue. I think your best bet is to go to a neurologist and get an MRI of your pelvis. I think there is something pinching one of the nerves in the pelvis that is causing your numbness. We also see this in patients that cycle and spin excessively.
