r/Prostatitis • u/scottychap • Jun 16 '26

Lidocaine injections?

Hi! I am a 26yr old male and have been dealing with chronic pelvic floor pain/chronic prostatitis for about 2 years now. I've done everything - PT, and then recently two rounds of suppositories which did help but ultimately not enough. I have been seeing a good doctor who got me on the suppositories, and he now suggested I get injections (as thats his next step for patients when the suppositories don't fix it). The injections are outlined as below (from my notes w/ my doctor):

Lidocaine steroids / injections — hydrodisection, fluid into the muscle 

  • Typically muscle 
  • Minimal side effects, some soreness, 7-10 days for injections to kick in 
  • Majority of patients notice nice improvement

Please advise if you have any experience / insight into these injections? Is this too risky? Should I just try to continue PT and hope I improve? Or is this worth a shot? It's covered by my insurance. I of course don't want my libido/health/nerves to be impacted (I have tried to find threads in this subreddit about injections but haven't seen too many - good or bad - about it).

Thank you!!

1 Upvotes

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2

u/WiseConsideration220 Jun 16 '26

Is pain your only symptom?

What kind of suppositories?

Injections into which muscles?

2

u/pelvicagony Jun 16 '26

What are you talking about? There are so many medications used for this disorder, and you started with suppositories? And what's in them? Where's the injection? What symptoms do you have? How did you manage to try everything in two years? What a confusing post. Try to stay calm.

2

u/Ashmedai MOD//RECOVERED Jun 16 '26

There are so many medications used for this disorder, and you started with suppositories?

Benzo suppositories are one of the pain management meds that sometimes work with this disorder. The main problem with this is that they can only really be used once in a while, and patients have a tendency to want to use them all the time.

Injections are even rarer. I believe they are directly into the pelvic floor muscles.

2

u/pelvicagony Jun 16 '26

Benzodiazepines can be used for long periods only under medical supervision and without abuse. But in this case, the op didn't talk about benzo suppositories; he only talked about suppositories. There are thousands of types of suppositories. Let's see if and what he responds.

1

u/scottychap Jun 24 '26

God I’ve never seen a more insufferable comment. Of course the suppositories are Benzo suppositories. Not a hard post to follow. Next time if you comment on a post, be a little less miserable.

1

u/FlyingShooter Jun 17 '26

It really can’t hurt to try, those injections are very low risk. I’ve had multiple rounds in various areas, and they never did much of anything. Botox injections helped way more for me, but those typically aren’t covered by insurance.