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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Why do I only have 1 testicle?
The testicle probably torqued during embryonic development, or the testicle did not form at birth, which is a congenital problem. Typically in this situation, the other testicle READ MORE
The testicle probably torqued during embryonic development, or the testicle did not form at birth, which is a congenital problem. Typically in this situation, the other testicle hypertrophies (gets larger) to take over the function of the missing testicle.
Dr. Niko Lailas
Dr. Niko Lailas
Swollen testicles?
Could do a vasectomy to stop it.
Dr. Niko Lailas
Dr. Niko Lailas
Is always needing to empty my bladder a mental illness?
Probably not. Usually there is a physical or irritation that does that.
Dr. Niko Lailas
Dr. Niko Lailas
I'm concerned about my recent CBC?
You need a hematologist or infectious disease physician.
Dr. Niko Lailas
Dr. Niko Lailas
What is the best antibiotic to treat epididymitis?
Doxycycline or Bactrim.
Dr. Niko Lailas
Dr. Niko Lailas
Peyronies disease?
That is exactly what it is. Nothing else does that.
Dr. Niko Lailas
Dr. Niko Lailas
How accurate are CT scans for kidney stones?
A CT scan is the gold standard for finding the location and number of stones that you have. A plain X-ray is used for diagnostic purposes and has less radiation, but not as sensitive READ MORE
A CT scan is the gold standard for finding the location and number of stones that you have. A plain X-ray is used for diagnostic purposes and has less radiation, but not as sensitive and cannot visualize all stones, whereas a CT scan can.
Dr. Niko Lailas
Dr. Niko Lailas
What drinks should a child have who has trouble urinating?
Water
Dr. Niko Lailas
Dr. Niko Lailas
How to help a child who is having trouble urinating?
A child should not have that much trouble. Look at his opening for meatal stenosis, and if it is open, then he needs to come in for a post-void residual volume with an ultrasound.
Dr. READ MORE
A child should not have that much trouble. Look at his opening for meatal stenosis, and if it is open, then he needs to come in for a post-void residual volume with an ultrasound.
Dr. Niko Lailas
Dr. Niko Lailas
Are there diseases or complications caused by 4 decades of arduous physical toil, followed by inactivity?
Thank you for your service! To my knowledge, there is no correlation to hard work and ED. You may need to see a sleep specialist to see how to get back on a normal regimen to get READ MORE
Thank you for your service! To my knowledge, there is no correlation to hard work and ED. You may need to see a sleep specialist to see how to get back on a normal regimen to get 7-9 hours a night. Lack of sleep could cause ED side effects. There are hormones that should be checked as well, Testosterone profile, thyroid function tests, and cholesterol levels.
Dr. Niko Lailas
Dr. Niko Lailas
How can you keep your kidneys healthy?
Drink a reasonable amount of water every day, make sure you avoid nephrotoxic drugs like excessive NSAIDs, some antibiotics like aminoglycosides and high salt intake and avoid READ MORE
Drink a reasonable amount of water every day, make sure you avoid nephrotoxic drugs like excessive NSAIDs, some antibiotics like aminoglycosides and high salt intake and avoid excessive protein loading. Disease wise, people who have diabetes and high blood pressure that is not controlled will destroy kidneys quickly.
Dr. Niko Lailas
Dr. Niko Lailas
Does going under anesthesia damage your urinary system?
It is not, however, when you are put to sleep your intestines and your bladder also go to sleep. If you have trouble going to the bathroom without anesthesia, you may have more READ MORE
It is not, however, when you are put to sleep your intestines and your bladder also go to sleep. If you have trouble going to the bathroom without anesthesia, you may have more trouble when you start to wake up. We typically make sure that you void before having the surgery. There’s about a 5% risk that you may need a catheter if you cannot go to the bathroom after anesthesia. This typically resolves in 24 hours.
Dr. Niko Lailas
Dr. Niko Lailas
Red spots on head of penis?
You need to go to a urologist to have them looked at the lesions to confirm that they are not something that need to be removed. It also may be normal, and these are called papules, READ MORE
You need to go to a urologist to have them looked at the lesions to confirm that they are not something that need to be removed. It also may be normal, and these are called papules, but in order to make that diagnosis, you need someone to look at it.
Dr. Niko Lailas
Dr. Niko Lailas
What are systems that need to be treated by a urologist?
Blood in the urine, inability to void, and pain in the testicles, kidneys, and bladder.
Dr. Niko Lailas
Dr. Niko Lailas
How do you detect a kidney infection in children and adults?
Fortunately, it is the same. A urine culture that is positive with high fevers is a kidney infection. Most bladder infections do not have fevers. 80% of the time, a patient will READ MORE
Fortunately, it is the same. A urine culture that is positive with high fevers is a kidney infection. Most bladder infections do not have fevers. 80% of the time, a patient will also have flank pain on the affected kidney.
Dr. Niko Lailas
Dr. Niko Lailas
Small bump on penis?
That sounds like an inclusion cyst, which we see happen when a hair follicle gets obstructed. It’s benign.
Dr. Niko Lailas
Dr. Niko Lailas
Why do I feel pain in my prostrate when I urinate?
There are several causes that can do this. One is a urethral stricture, one is a possible urinary tract infection, and then every once a while there could be a bacterial infection READ MORE
There are several causes that can do this. One is a urethral stricture, one is a possible urinary tract infection, and then every once a while there could be a bacterial infection that has gone into the prostate causing prostatitis.
Dr. Niko Lailas
Dr. Niko Lailas
Concerned about lower back pain and dizziness?
You may have a prostate infection or a kidney infection. You need to get a urine culture and then be placed on the appropriate antibiotics. Once you clear the infection, you will READ MORE
You may have a prostate infection or a kidney infection. You need to get a urine culture and then be placed on the appropriate antibiotics. Once you clear the infection, you will need a CT urogram to find out if there is a structural problem causing the infection. This needs to be done sooner than later because you can get very sick if this is not treated quickly.
Dr. Niko Lailas
Dr. Niko Lailas
Why has my foreskin become tight?
You have phimosis and probably need a circumcision. The burning is from the urine going across the small cuts in the skin.
Dr. Niko Lailas
Dr. Niko Lailas
What is it?
This may be a skin condition for a possible super infection. I would start with antibiotics as well as an antifungal orally and topically. If that does not work, then you need READ MORE
This may be a skin condition for a possible super infection. I would start with antibiotics as well as an antifungal orally and topically. If that does not work, then you need a biopsy to confirm that you do not have a in condition known as a Bowen’s disease.
Dr. Niko Lailas
Dr. Niko Lailas
