Dr. Nicolas Lailas MD, Urologist
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Dr. Nicolas Lailas MD

Urologist

4/5(51)
1860 Town Center Suite 150 Reston Virginia, 20190
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Rating

4/5

About

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

MaleEnglish 35 years of experience
Dr. Nicolas Lailas MD
Dr. Nicolas Lailas MD's Expert Contributions
  • Testicle pain?

    ER or see a urologist. Need to rule out a testicular rupture or hematoma. Dr. Niko Lailas READ MORE

  • Urinate blood?

    He was there most likely that is due to a stone that you were passing, but you need to be worked up with a CT scan of the abdomen and pelvis, and you also will need someone to look inside your bladder. Dr. Niko Lailas READ MORE

  • Pre cum or semen?

    You won’t know. But if you had not been sexually active or ejaculated in a week or longer, sometimes you build up more semen. That would account for the larger amount. Dr. Niko Lailas READ MORE

  • Genital advice?

    Doesn’t look like scabies, but could be due to the detergent or fabric of your underwear. Change the type of washing machine soap and use cotton underwear. If that does not work, see a dermatologist. Dr. Niko Lailas READ MORE

  • 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. 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 READ MORE

  • 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 stent in the next 3 to 4 days. Dr. Niko Lailas READ MORE

  • Pimple/ingrown hair?

    If you manscape, it most likely is an ingrown hair. Dr. Niko Lailas READ MORE

  • 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 6.5. Dr. Niko Lailas READ MORE

  • Can an untreated UTI in a man cause trichonoiasis?

    No. Trichinosis is its own infection. Dr. Niko Lailas READ MORE

  • 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 infections? If you have, that would be the other cause of bleeding or if you had kidney stones. Dr. Niko Lailas READ MORE

  • Sack pull?

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

  • 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 to have that happen to you. Dr. Niko Lailas READ MORE

  • Foreskin?

    You need to be evaluated by a professional to give you the different options available to you. Dr. Niko Lailas READ MORE

  • 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. Niko Lailas READ MORE

  • 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 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 READ MORE

  • 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 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 READ MORE

  • 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 you’re not getting enough sleep. They may need to address why you’re going so frequently. Dr. Niko Lailas READ MORE

  • 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. If it doesn’t get better in a few days, then I would probably order a squirrel ultrasound on you. Dr. Niko Lailas READ MORE

  • Understanding urine analysis?

    You have a UTI. Dr. Niko Lailas READ MORE

  • 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 READ MORE

Expert Publications

Data provided by the National Library of Medicine

Areas of expertise and specialization

Reconstructive Female UrologyRobotic Surgery

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

1860 Town Center Suite 150 -
Reston, Virginia 20190
Get Direction
New patients: 703-480-0220
Fax: 703-480-0280
www.urologygroupvirginia.com

Dr. Nicolas Lailas MD's reviews

(51)
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Patient Experience with Dr. Lailas


4.0

Based on 51 reviews

Dr. Nicolas Lailas MD has a rating of 4 out of 5 stars based on the reviews from 51 patients. FindaTopDoc has aggregated the experiences from real patients to help give you more insights and information on how to choose the best Urologist in your area. These reviews do not reflect a providers level of clinical care, but are a compilation of quality indicators such as bedside manner, wait time, staff friendliness, ease of appointment, and knowledge of conditions and treatments.

Recommended Articles

  • What Causes Blood to Show Up in Urine?

    Hematuria is the phenomenon in which traces of blood appear in the urine. It presents a unique problem because it is not a disease in itself. It is not infectious, nor is it capable of threatening a life. It is merely a warning sign that something is wrong inside the body. Though frightening in...

  • Detrusor Muscles and Urination

    It is mostly the detrusor muscle that forms the wall of the bladder, it contracts during urination and relaxes to hold the urine. The muscle is continuous at the inferior end with the internal urethral sphincter. Urination results when the detrusor muscle contracts and the urethral sphincter muscle...

  • How to Naturally Increase Libido

    If there is one thing that binds couples aside from love, that would be libido. Most of us do not give attention to it until it becomes very low and causes relationship problems. You might have low libido issues if you have the following symptoms:...

  • Top 12 Natural Home Remedies for Urinary Tract Infection (UTI)

    What is a urinary tract infection (UTI)?A urinary tract infection (UTI) is an infection in the urinary system, which includes the kidneys, bladder, urethra, and ureters. Usually, UTIs happen in the lower urinary tract, which consists of the bladder and urethra.Women are more prone to developing...

  • Reasons Why You Need a Laparoscopy

    Laparoscopy involves the inspection of the abdominal organs or the female pelvic organs through the use of a thin, lighted tube that is inserted through an incision made in the belly. It is used to locate complications such as adhesions, cysts, infections, and fibroids. The tube used in the...

  • What is Hydrocele?

    Hydrocele is a medical condition in which the scrotum becomes swollen because of buildup of fluid in the processus vaginalis. It is an uncomfortable situation that if left as is could disappear on its own (in the cases of one-year-olds and below), but should be dealt with in time to reduce the...

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