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
Stints in bladder after kidney stone surgery?
Your stents should not be in this long for kidney stones. You need to go have the stones addressed or have the stents exchanged. Most likely they are infected or obstructed. Dr. Niko Lailas READ MORE
I have a hard lump on my left side next to my scrotum?
It looks like you shave your groin. You most likely have an ingrown hair follicle. Unfortunately, you probably are going to need antibiotics and drainage, especially since you are a diabetic. Dr. Niko Lailas READ MORE
Is this HPV?
No. HPV looks like mini cauliflower. Dr. Niko Lailas READ MORE
It burns to pee?
It is not, you need a urine culture. Dr. Niko Lailas READ MORE
Should I see a dr?
Yes, you may have disrupted your urethra. You will need a retrograde urethra gram, which is a study to see if there is a hole in the urethra. If there is, it is a simple fix by placing a catheter and allowing the urethra to heal for 7 to 10 days. Dr. Niko Lailas READ MORE
Chlamydia concern?
Sure, you need to be evaluated with a culture. Dr. Niko Lailas READ MORE
I have loss of sensation in penile and testes?
This typically happens to bike riders from prolonged sitting on the bike seat. I think you need a pelvic MRI to fully evaluate. The hour glass look of the penis is due to the fibrosis. I suggest a vacuum device and straighter to help with this. If that doesn’t help, a duplex Penile Doppler may be of help. The erection is totally separate from the sensation. Dr. Niko Lailas READ MORE
Enlarged prostate?
You can try Flomax 0.4mg a day and if that does not work, you need a look in the bladder to rule out a urethral structure causing the obstruction. Dr. Niko Lailas READ MORE
Pain while urinating and during sex?
To rule out cervical cancer, you need a Pap smear and at the same time you can get a urine culture. That will address those issues. Dr. Niko Lailas READ MORE
Enlarged left testicle?
Sounds like it could be a hernia. My suggestion is to get a scrotal ultrasound. Dr. Niko Lailas READ MORE
I no longer have morning wood?
Make sure you are exercising regularly and get a good amount of sleep. If those are in order and that is not an issue, then you may consider getting a morning testosterone level. Dr. Niko Lailas READ MORE
I have blood in my urine?
So, a few things: Six years ago was six years ago. You need to repeat all of the above testing. So, you need a cystoscopy, CT urogram, and a urine culture and cytology. Personally, I think you may have passed a small stone and that would explain the back pain, the urge to urinate uncontrollably, and the blood. Unfortunately, that is a guess and therefore, you should repeat your work-up. Dr. Niko Lailas READ MORE
Do I have an STD?
What you have is folliculitis from shaving down there. This is very common. Treatment is typically warm compresses and antibiotics or excision if the antibiotics don’t work. This has nothing to do with a low sex drive. Dr. Niko Lailas READ MORE
My husband has bladder cancer is there a bladder replacement surgery?
It all depends on the stage and grade of the tumor. If he has superficial bladder cancer, this accounts for 80% and only needs removal and scraping without removal, but the bladder muscle invasive tumor requires chemotherapy followed by surgical removal. At that point, the substitutions available for bladder replacement are an ileal loop or a neobladder or a possible catheterizible stoma. Dr. Niko Lailas READ MORE
Could I have gotten an STD?
Unfortunately, people lie all the time, so you should never take their word for it. As long as you don’t have any urinary symptoms or pain or discharge between five and seven days afterwards, you’re fine. Dr. Niko Lailas READ MORE
Infections?
It is impossible to transmit a viral infection through a yeast infection. You can transmit a yeast infection to a male, which manifests by a red, flaky foreskin. Dr. Niko Lailas READ MORE
I have a question about the scrotum u/s doppler?
That usually is consistent with a varicocele, which is a dilated been typically on the left side. The word cystic does not go along with a varicocele so it’s not completely 100% clear. Dr. Niko Lailas READ MORE
I have a pimple in my testicles?
In your situation, if you are shaving your “junk,” this is most likely causing ingrown hairs that can become infected. You need to get antibiotics and warm soaks. Dr. Niko Lailas READ MORE
How do I know if I have an STD?
Absolutely not. You’re okay. Dr. Niko Lailas READ MORE
Can I continue self catheterize indefinitely?
You can and some people do. My advice though would be consider doing a minimally invasive procedure to not have to catheterize. Those procedures would be a urolift, bipolar TURP, green light laser turp, rezume or a prostate embolization. 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
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