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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

What foods cause kidney stones?

Depends which stone you have and what your metabolic workup shows. Sometimes you're lacking something. You need a 24-hour collection and blood work to figure that out exactly. READ MORE
Depends which stone you have and what your metabolic workup shows. Sometimes you're lacking something. You need a 24-hour collection and blood work to figure that out exactly. If you wanted to just fly by the seat of your pants and do something, but not the above, rule of thumb is drink your weight in pounds x 15ml/lb every day and avoid salt and add real lemon to your water. Avoid in excess colas, coffee, spinach, tea, and peanuts. Take no more than 800mg of calcium supplements a day. My advice is to get the urine and blood work.

Dr. Niko Lailas

Kidney stone stent?

You can have intercourse with a stent, but it may be more sensitive on your bladder. You will not hurt anything. Hopefully they got your stone out and will be able to remove the READ MORE
You can have intercourse with a stent, but it may be more sensitive on your bladder. You will not hurt anything. Hopefully they got your stone out and will be able to remove the stent in the next 3 to 4 days.

Dr. Niko Lailas

Pimple/ingrown hair?

If you manscape, it most likely is an ingrown hair.

Dr. Niko Lailas

Men's PSA count?

The PSA should be concerning if the trend has been going up more than 0.75 per year in three consecutive blood draws. The average norm for a 75-year-old is a PSA between 4.0 and READ MORE
The PSA should be concerning if the trend has been going up more than 0.75 per year in three consecutive blood draws. The average norm for a 75-year-old is a PSA between 4.0 and 6.5.

Dr. Niko Lailas

Can an untreated UTI in a man cause trichonoiasis?

No. Trichinosis is its own infection.

Dr. Niko Lailas

Ultrasound interpretation?

Just looking at the bladder, it appears that it is normal. However, you need to have a cystoscopy to really look at the lining of the bladder. Have you been having urinary tract READ MORE
Just looking at the bladder, it appears that it is normal. However, you need to have a cystoscopy to really look at the lining of the bladder. Have you been having urinary tract infections? If you have, that would be the other cause of bleeding or if you had kidney stones.

Dr. Niko Lailas

Sack pull?

Not heard of this before, but if it feels good and it doesn’t hurt you, it’s OK.

Dr. Niko Lailas

Epididymal separation?

The two structures are separate, and if there truly is a separation, a scrotal ultrasound would be indicated. This would be very rare, and if it did, it would’ve been very painful READ MORE
The two structures are separate, and if there truly is a separation, a scrotal ultrasound would be indicated. This would be very rare, and if it did, it would’ve been very painful to have that happen to you.

Dr. Niko Lailas

Foreskin?

You need to be evaluated by a professional to give you the different options available to you.

Dr. Niko Lailas

Should I get retested for an STI?

You don’t need to retest because that test was negative, and most of the tests that are done now are very sensitive, so if the bacteria is present, it will show up on the test. Dr. READ MORE
You don’t need to retest because that test was negative, and most of the tests that are done now are very sensitive, so if the bacteria is present, it will show up on the test.

Dr. Niko Lailas

What size of kidney stone requires surgery?

Typically, a stone that is 2 mm or less has a 85% chance of passage alone, 3 mm a 75% chance, a 4 mm has a 60% chance to pass a 5 mm to 6 mL is 40 to 50% a 78 mm is 20% and anything READ MORE
Typically, a stone that is 2 mm or less has a 85% chance of passage alone, 3 mm a 75% chance, a 4 mm has a 60% chance to pass a 5 mm to 6 mL is 40 to 50% a 78 mm is 20% and anything above that typically does not pass. We also do surgery on 2 mm stones that just won’t progress and continue to cause pain. In my practice, I typically give people at least two weeks to pass unless they’re doubled over in pain.

Dr. Niko Lailas

Urinating frequently?

That is completely not normal. Most people in a 24-hour period will urinate a times in that timeframe. You definitely have something wrong and need to be evaluated. Sometimes blood READ MORE
That is completely not normal. Most people in a 24-hour period will urinate a times in that timeframe. You definitely have something wrong and need to be evaluated. Sometimes blood pressure medicine is a diuretic, and if you were taking a diuretic, it will make you urinate more frequently. If you are on such a diuretic for your blood pressure, sometimes they can change it to a different drug so that it doesn’t cause that side effect.

Dr. Niko Lailas

Can urinary retention cause chronic fatigue?

Probably not. You need to have a post void residual in to see if you truly are retaining. If you are going frequently at night, that might be the cause of your fatigue because READ MORE
Probably not. You need to have a post void residual in to see if you truly are retaining. If you are going frequently at night, that might be the cause of your fatigue because you’re not getting enough sleep. They may need to address why you’re going so frequently.

Dr. Niko Lailas

Testicle pain?

Probably nothing, but could be if you had not ejaculated in a while, you may have some mild inflammation of the epididymis, which you can treat with 400 mg of Motrin or Advil. READ MORE
Probably nothing, but could be if you had not ejaculated in a while, you may have some mild inflammation of the epididymis, which you can treat with 400 mg of Motrin or Advil. If it doesn’t get better in a few days, then I would probably order a squirrel ultrasound on you.

Dr. Niko Lailas

Understanding urine analysis?

You have a UTI.

Dr. Niko Lailas

Red ball sack?

That is not normal. You should follow up with the urologist who did the biopsy and have him look at the scrotum.

Dr. Niko Lailas

Can you get testicle pain from sitting?

No. Not unless you accidentally sit on your testicle.

Dr. Niko Lailas

Flowmax?

You can stop the Flomax now. It was only to get you going.

Dr. Niko Lailas

Kidney disease?

I’m sorry, I am not familiar with the Golo product. You would best ask a nephrologist.

Dr. Niko Lailas

What exercise is good for your prostate?

There is no exercise that will help the prostate. The tough exercise on a prostate is a 10 speed banana seat. That on a prolonged ride can cause penile numbness due to impingement READ MORE
There is no exercise that will help the prostate. The tough exercise on a prostate is a 10 speed banana seat. That on a prolonged ride can cause penile numbness due to impingement of the pudendal nerve. Also, regular, not excessive ejaculation is helpful whether it is masturbation or regular intercourse.

Dr. Niko Lailas