expert type icon 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

My urine had a reddish tinge. Could it be blood in my urine?

Yes, it could. You need to get a urinalysis to prove there is or isn’t blood in the urine and then go from there.

Dr. Niko Lailas

Continuous urine

What you did was cause severe back pressure into the prostate. Now you have what we call prostatitis. Best remedy is to ejaculate frequently and to use anti-inflammatories like READ MORE
What you did was cause severe back pressure into the prostate. Now you have what we call prostatitis. Best remedy is to ejaculate frequently and to use anti-inflammatories like ibuprofen. It also is reasonable to soak in a warm bath.

Dr. Niko Lailas

Does urine incontinence indicate a weak bladder?

What you have is classic stress urinary incontinence. It is usually due to childbirth. It is not due to a weak bladder, but a weak incompetent urethra. You can trial pelvic floor READ MORE
What you have is classic stress urinary incontinence. It is usually due to childbirth. It is not due to a weak bladder, but a weak incompetent urethra. You can trial pelvic floor rehab or proceed with a urethral sling. I would suggest you make an appointment with a Urogynocolgist or a female urologist.

Dr. Niko Lailas, Chief of Surgery and Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center

Does frequent urination in pregnancy increase the risk of a urinary infection?

The good news is this is an easy answer: no it does not increase the risk.


Dr. Niko Lailas

Burning sensation while urinating, is this UTI?

Yes, this is consistent with a possible urinary tract infection. My advice is to either go to your primary care physician or to an urgent care and get a clean catch urinary culture. READ MORE
Yes, this is consistent with a possible urinary tract infection. My advice is to either go to your primary care physician or to an urgent care and get a clean catch urinary culture. Home remedies can be: take vitamin C 500 mg twice a day for three days and flush yourself with a large amount of water/cranberry juice and sometimes will clear by itself.

Dr. Niko Lailas, Chief of Surgery and Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center

Urinate, pause, urinate some more

Yes. Once your bladder is full, the kidneys can no longer empty. Once you empty the bladder, then the kidneys diuresis the rest of the urine that was in the kidneys and then comes READ MORE
Yes. Once your bladder is full, the kidneys can no longer empty. Once you empty the bladder, then the kidneys diuresis the rest of the urine that was in the kidneys and then comes down into the bladder, making you go to the bathroom again.

Dr. Niko Lailas

Is my urinary incontinence problem permanent?

The good news is it can be treated in two different ways. I would first suggest you find a physical therapist and do pelvic floor rehab. If that does not work, then you may need READ MORE
The good news is it can be treated in two different ways. I would first suggest you find a physical therapist and do pelvic floor rehab. If that does not work, then you may need surgical intervention.

Dr. Niko Lailas

Blood in the urine. What could be the reason for this?

Blood in the urine at any age is abnormal and needs to be worked up. My gut feeling it that you probably passed a small kidney stone. You need the following tests: 1) urine culture READ MORE
Blood in the urine at any age is abnormal and needs to be worked up. My gut feeling it that you probably passed a small kidney stone. You need the following tests: 1) urine culture and urine cytology, 2) CT of the kidneys and bladder known as a CT urogram, 3) maybe a cystoscopy if you continue to bleed and the above studies are negative.

Dr. Niko Lailas

What causes cloudy urine?

You may be taking vitamins that will darken and make the urine smell funny. Also, garlic and onions will do the same. The bubbles in the urine are normal.

Dr. Niko Lailas

Protein in urine question

Protein in the urine is a sign that there is damage to the filter in the kidney. Whether or not you develop chronic kidney disease depends on the amount of protein you were spilling READ MORE
Protein in the urine is a sign that there is damage to the filter in the kidney. Whether or not you develop chronic kidney disease depends on the amount of protein you were spilling in the urine. A nephrologist is the Doctor to see for this. They may recommend a 24 hour urine collection or a kidney biopsy. This will give the information on what to expect for progression of renal disease in the future.

Dr. Niko Lailas

Why was I referred to a nephrologist?

You were referred because your urologist wants you to undergo testing to see if there is any preventive measures you can do to prevent further stones from forming. Our nephrology READ MORE
You were referred because your urologist wants you to undergo testing to see if there is any preventive measures you can do to prevent further stones from forming. Our nephrology colleagues are the medical doctors of the kidney and urologists are the surgeons. There can be dietary, fluid and metabolic issues that they can treat and prevent further stone formation 90% of the time, if you follow the recommendations.

Dr. Niko Lailas

I have to get an orchiectomy. Can I have an implant inserted immediately? What's the process like for getting an implant?

100% yes. Unfortunately once you lose one testicle the other testicle will get larger, Hypertrophy, and you may need to upsize a few years from now. I typically put a slightly READ MORE
100% yes. Unfortunately once you lose one testicle the other testicle will get larger, Hypertrophy, and you may need to upsize a few years from now. I typically put a slightly larger implant to account for this expected growth. The risks are very low. Biggest complaint is that the implant does not move up and down like a normal testicle. That is because it is not attached to a spermatic cord.

Dr. Niko Lailas, Chief of Surgery and Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center

I have dark urine despite being hydrated - What's wrong?

If your urine is dark, it can be due to a few things but most commonly it is due to vitamins. The more ominous would be blood tinged urine which you can dip and tell immediately. READ MORE
If your urine is dark, it can be due to a few things but most commonly it is due to vitamins. The more ominous would be blood tinged urine which you can dip and tell immediately. Sometimes CVS will sell the urine strips.

UTI infection question

Unfortunately that is too often the case. One of the hallmarks of a UTI in an elderly person is change in mental status. The bacteria dehydrates the individual and the bacteria READ MORE
Unfortunately that is too often the case. One of the hallmarks of a UTI in an elderly person is change in mental status. The bacteria dehydrates the individual and the bacteria causes fever with chills, much like a viral illness and the older individual usually does not have much reserve to fight the infection. It is not an uncommon problem.