Dr. Nicolas Lailas MD
Urologist
1860 Town Center Suite 150 Reston Virginia, 20190Rating
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
Dr. Nicolas Lailas MD's Expert Contributions
What does blood in the urine mean?
Blood should never be in the urine. Whether it is microscopic or you see it grossly in the urine. The kidney filters the blood, but the filter should not let blood enter into the urine. You need the following tests. You need a urine cytology, a urinalysis for culture and a micro vision to see where the blood is coming from. You also need to get a abdominal pelvic CT scan to look at the kidneys, ureter‘s and the bladder. Lastly, you’ll need a cystoscopy to look into your bladder and to confirm that the urethra has no structures in it. Typically, a patient of your age is too young for cancer. Most likely it is due to kidney stones. The above work up will direct what’s wrong with you and if you need any treatment. Dr. Niko Lailas READ MORE
What does cloudy urine indicate in children?
It could be an infection or dehydration or vitamin use. He needs a urine culture to prove it’s not a UTI. Dr. Niko Lailas READ MORE
Where do I buy small bottles of acetic acid for SPC irrigation?
The compounding pharmacy at Catoctin Circle in Leesburg Virginia can make it for you and actually send it to your home, or you also could have your urologist give you a prescription for Urocit-K 20 mEq twice a day, which has been helpful in preventing catheter encrustacean. Dr. Niko Lailas READ MORE
Can a urine test detect if someone is taking prescription drugs?
Typically no, but certain drugs do have metabolites like Dilantin and some other medications that you need to check levels on. But your general antidepressants, antibiotics, and most other drugs like cholesterol medicine are not detectable. Narcotics, amphetamines, marijuana, and alcohol can be tested. Dr. Niko Lailas READ MORE
My 3 year old son won't potty train?
Make it a game. Put Cheerios in the toilet and have him try to hit them with his stream. Don’t make a big deal about it. Sent from my iPhone Dr. Niko Lailas, Chief of Surgery and Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center urologygroupvirginia.com
Can you improve sperm quality?
You can improve your quality with Vit A, C, and E along with Selenium. L - carnitine has also shown promise. If you smoke, stop. Dr. Niko Lailas READ MORE
Do I have a urinary tract infection?
You need a urine culture and possibly a look inside the urethra to make sure you don’t have a urethral stricture. At your age, it is not cancer. Dr. Niko Lailas READ MORE
I suspect my son has kidney stones?
He needs a renal ultrasound that you can get through your pediatrician or an urgent care. Dr. Niko Lailas READ MORE
What can cause a painful ejaculation?
The most common cause is a low-grade infection or a jacket or a duct obstruction. You need a semen culture and a prostate ultrasound. Dr. Niko Lailas READ MORE
What are the symptoms of prostate problems?
The good news is you are too young for prostate cancer. Most prostate symptoms are obstructive in nature and don’t start until around age 48 to 50. If you have irritating symptoms, that may be a sign of a urinary tract infection or a bladder problem. Most patients with prostate issues complain of decreased force in your stream, hesitancy to void and intermittent obstructed voiding patterns. Unfortunately, prostate cancer is usually silent and gives off no symptoms. This is why it is imperative to get your first PSA at age 50 with no family history, and 45 with a family history. Dr. Niko Lailas READ MORE
What are the treatment options for prostatitis?
Typically considered an inflammation, it can be treated with anti-inflammatories warm soaks, and yes, occasionally it will improve. We also find that caffeine aggravates the issue. Occasionally, some people have an enlarged prostate which will respond to Flomax. Dr. Niko Lailas READ MORE
What is azoospermia?
Azoospermia means that there is no sperm in your ejaculate. This can be for two reasons. One is due to obstruction in the most common cause for obstruction is a vasectomy. Number two is loss of testicular production of sperm. The way to delineate the two is to perform a testicular biopsy and possibly bilateral vasograms to see if there is a stricture or obstruction. Before that operation it is worth getting a FSH and LH as well as a testosterone level. These are blood tests. If your FSH is severely elevated that means you have testicular failure and the above surgery is not indicated. Dr. Niko Lailas READ MORE
What are the symptoms of a prostate issue?
Only had one of several thousand men who had prostate cancer before age 40. Stop drinking all caffeine products, especially Starbucks. Also, if your stream is slower, you may have a urethral stricture. Good news, it’s not cancer. Dr. Niko Lailas READ MORE
Is the recovery from neobladder reconstruction long?
Yes. It is a 5-21 day hospital stay. You can have multiple complications that delay your discharge. The main problems are urinary leak, bowel obstruction, ileus (intestines slow to wake up), bowel leak, electrolyte abnormalities, MI, pneumonia and pulmonary embolism. The younger the patient, the quicker the recovery. Typically are able to return to full activities in 6-8 weeks. He also needs to learn to catheterize himself now. 25% of patients can’t fully empty and need to catheterize long term. Dr. Niko Lailas READ MORE
Feeling heat from laser during bladder cancer treatment?
Yes. The laser is a heat source. That is normal. Dr. Niko Lailas READ MORE
How does a cystoscopy work?
A cystoscopy is a telescope that looks through the penis, prostate, and urethra to make sure you don’t have bladder cancer, bladder stones, or a urethral stricture. The procedure itself takes one minute. It is not the most comfortable procedure, but not too bad. Dr. Niko Lailas READ MORE
Can you treat kidney stones with medication?
The only stones that you can dissolve are Cysteine and uric acid stones. They only compromise 10% of all stones. Most of them are calcium oxalate and those require intervention because they do not dissolve. Dr. Niko Lailas READ MORE
Why do I keep getting UTI's?
There is a problem if that is happening to you. You need a full urologic evaluation. Dr. Niko Lailas READ MORE
Can you get a UTI from sexual intercourse?
It is usually the reverse. She can get a UTI after sex if you have an aggressive bacteria on your penis. Not the other way around. Dr. Niko Lailas READ MORE
Can just cranberry get rid of my UTI infection?
You can try to flush your system, but depending on the how aggressive the bacteria is will determine that. Better to take Vit C 500mg tablets. 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
Reston, Virginia 20190Get Direction
Dr. Nicolas Lailas MD's reviews
Write ReviewPatient Experience with Dr. Lailas
Recommended Articles
- Blood in Urine: What is a Urine Test?
When you pee and see a stream of rusty red urine, the sight fills you with a sense of dread. You suspect that the discoloration is due to the presence of blood. A pungent odor may fuel the anxiety. The only way to confirm suspicions is through a urinalysis recommended by a primary caregiver. A...
![]()
5 Tips on Living with Prostate Cancer5 Tips on Living with Prostate CancerBeing diagnosed with cancer is a blow to the lives of very many men. Some think that once they have been diagnosed with prostate cancer, it is the end of their lives. This is not true. Someone can be have prostate cancer and still manage to live a happy and...
![]()
What Are the Complications of Erectile Dysfunction?What Are the Complications of Erectile Dysfunction?Erectile dysfunction is a condition that affects an important part of a man’s life. It interferes with his sexual functionality, and this may have adverse effects on both him and his sexual partner(s). Aside from psychological effects, the man...
- Chlamydia in Men
What is chlamydia?Chlamydia is one of the most widespread sexually transmitted diseases (STDs) in the United States. It is caused by the bacteria Chlamydia trachomatis. Chlamydia infection is more or less like gonorrhea in terms of its symptoms and format of spreading from one person to the other....
![]()
Can I Live Without a Bladder if I Have Bladder Cancer?The bladder is the organ in the human body that stores urine temporarily to be released later through the urethra. It is, therefore, a very important part of the body. Unfortunately, in some cases of bladder cancer, the bladder has to be removed.The removal of the urinary bladder is done through a...
![]()
What Causes Kidney Stones?Kidney stones are a common problem for many people. In the United States, kidney infection cases are usually due to kidney stones increasing in size over time. What Are Kidney Stones?Kidney stones are crystal ball-like substances that form in the urinary tract. These stones are usually found around...
Nearby Providers
![]()
Andrew K Chung M.D.9580 Surveyor Ct. Manassas VA 20110![]()
Ali M Sajadi MD9580 Surveyor Ct. Manassas VA 20110![]()
Dr. Kamrooz Sanii M.D.8525 Rolling Rd Manassas VA 20110![]()
Dr. Jonathan Michael Mobley MD3700 JOSEPH SIEWICK DR STE 101 FAIRFAX VA 22033![]()
Dr. Harold Allistone Frazier M.D.2100 Pennsylvania Ave Nw Washington DC 20037![]()
Dr. William Kinker Brems MD10810 Connectiut Avenue Kensington MD 20895
Nearest Hospitals
INOVA FAIR OAKS HOSPITALl
3600 JOSEPH SIEWICK DRIVE FAIRFAX VA 22033STONESPRINGS HOSPITAL CENTERl
24440 STONE SPRINGS BOULEVARD DULLES VA 20166