Dr. Nicolas Lailas MD
Urologist
1860 Town Center Suite 150 Reston Virginia, 20190About
Dr. Nicolas Lailas is a urologist practicing in Reston, Virginia. Dr. Lailas specializes in diseases of the urinary tract and the male reproductive system. This includes areas of the bladder, urethra, kidneys, penis and prostate. Urology is a surgical specialty and requires knowledge in other areas of expertise such as gynecology and internal medicine due to the variety of clinical problems that are involved.
Education and Training
Georgetown University
Georgetown Univ Sch of Med, Washington Dc 1990
Georgetown University School of Medicine 1990
Board Certification
American Board of Urology- Urology
UrologyAmerican Board of UrologyABU
SurgeryAmerican Board of SurgeryABS- 1998
Provider Details
Dr. Nicolas Lailas MD's Expert Contributions
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 ejaculations normal before? READ MORE
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 films sometimes that will be 5 to 15 minutes. READ MORE
Cystocele and rectocele? Pelvic organ prolapse?
Yes, but it should be obvious on a pelvic exam. READ MORE
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 in the pelvis that is causing your numbness. We also see this in patients that cycle and spin excessively. READ MORE
Kidney stones?
Do you need an x-ray ultrasound or CT scan to confirm this? It could also be a kidney infection. READ MORE
Blood test?
It could be he did your rectal exam and suspected something. A rectal or manipulation of the prostate from a cysto or colonoscopy could increase the number or he put you on antibiotics and wanted to test you afterwards. Otherwise, I do not have a good answer for you. Dr. Niko Lailas READ MORE
Pregnancy concern?
In two weeks, get a home pregnancy test. Unfortunately, can’t guarantee that you can’t get pregnant 2-3 days before your period, but the chances are low. Dr. Niko Lailas READ MORE
Problem with urine?
That is not normal and you should get an abdominal pelvic ultrasound to evaluate the kidneys bladder and pelvis. Also, if you’re drinking a fair amount of coffee or tea stop it and see if that makes it any better. Caffeine can sometimes do this. Also, make sure that you’re having normal bowel movements. If you’re constipated, start using milk of magnesia 30 mL once a day until your bowel movements are normal. Dr. Niko Lailas READ MORE
Sex with urethral stent placement?
Some advice to you is to continue to bug the scheduler to get you your surgery. You need to be your own advocate. I would tell you that all of the symptoms you had were normal. As soon as the stent comes out, all of those symptoms disappear. Dr. Niko Lailas READ MORE
STI transmission?
No Dr. Niko Lailas READ MORE
Possible Peyronie's Disease?
There is nothing wrong with your penis. There is no curvature. It looks natural and the papules are normal. Dr. Niko Lailas READ MORE
24 Hour Urine Test?
A 24-hour urine collection should be what you normally do. It should be an accurate accounting of your metabolic state. Do not change anything that you normally do for this test. Dr. Niko Lailas READ MORE
Question regarding total testosterone?
Testosterone is like gas in a car! If the car has gas, it will run perfect whether you have a full or quarter tank. If your “T” level is in the normal range, all the receptors are covered and everything works well. A free testosterone is the better test to obtain to prove you have enough testosterone available in the blood stream. Dr. Niko Lailas READ MORE
What options does he have?
He needs a full history and physical with his primary doctor. Sounds like liver/pancreas/GI tract issues. Dr. Niko Lailas READ MORE
Do I have a bladder infection?
You need a urine culture and analysis to prove that. Dr. Niko Lailas READ MORE
I have a foreskin issue?
If you can gently retract your foreskin so that you can see the tip of the penis if you’re able to do that, then pull the skin back over the tip so that it doesn’t get stuck in the retracted position. You should be retracting the foreskin to urinate and then pat dry the skin so it does not get a yeast infection underneath. You should wash it underneath the foreskin when you shower as well. Dr. Niko Lailas READ MORE
Is this a strange rash or a possible STD?
Can’t tell you without seeing it. If you shave the pubic area, it could be from that. Dr. Niko Lailas READ MORE
Foreskin/glans red from phimosis?
That is Candiasis balanitis due to a yeast infection. Best treatment is Monistat cream twice a day for 7 days, which you can get over the counter and then to keep the area under the foreskin dry and dry the penis after voiding. Dr. Niko Lailas READ MORE
I have cuts and bumps on foreskin?
A yeast infection doesn’t look like that. You need an evaluation in person to assess it. May be an STD like condyloma. Dr. Niko Lailas READ MORE
I have a few bumps in my personal area?
I believe those are ingrown hairs and nothing to worry about. Unfortunately, the pictures are not good enough to make a true diagnosis so you may want to pop in to see your local urologist. Dr. Niko Lailas READ MORE
Expert Publications
Data provided by the National Library of MedicineAreas of expertise and specialization
Faculty Titles & Positions
- Professor of Urology, Georgetown University, 1996-2004 -
- Local and Regional Speaker for Glaxo Smith Kline -
Awards
- 1980 AHEPA SCHOLARSHIP FOR OUTSTANDING SCHOLASTICS AND ACADEMICS, AMERICAN
- DEAN'S LIST, UNIVERSITY OF VIRGINIA -- 1981 1981 UNIVERSITY OF VIRGINIA
- 1990 WHO'S WHO IN SCIENCE
- LAHEY CLINIC MEDICAL CENTER 1993 ELEANOR NAYLOR DANA RESEARCH FELLOW
- 1996 LAHEY HITCHCOCK ALUMNI AWARD FOR EXCELLENCE IN UROLOGIC RESEARCH, LAH
- THE AMERICAN COLLEGE OF SURGEONS, AMERICAN COLLEGE OF SURGEONS 2000 Fellow
- 2004 Elected to Medical Executive Committee, Reston Hospital Center
- 2005 Washingtonian Magazine
Treatments
- Genitourinary Disorders (urinary System & Male Reproductive Organs), Robotic Surgery, Urogynecological Problems And More
- Benign Prostatic Hyperplasia (bph)
- Prostate Cancer
- Kidney Stones
- Urinary Incontinence
- Vaginal Prolapse
- Enlarged Prostate
- Testicular Cancer
- Interstitial Cystitis
- Uterine Prolapse
Internships
- Massachusetts General Hospital
Fellowships
- The Lahey Clinic (Urology)
Professional Society Memberships
- American Urological Association, Medical Society of Virginia
What do you attribute your success to?
- Keeping Up to Date
Hobbies / Sports
- Boating, Water Skiing, Snow Skiing, Competitive Sheet Shooting and Trapping, Viola and Mandolin Player
Favorite professional publications
- Journal of Urology, Contemporary Urology
Dr. Nicolas Lailas MD's Practice location
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