photoselective vaporization of the prostate experience with prostate adenomas 80 cm3 background we report about our experiences with photoselective vaporization of the prostate pvp in patients with symptomatic benign prostatic hyperplasia bph and total prostate volume larger than 80 cm3patients and methods the study included 201 patients with bph 51 254 patients had a prostate volume larger than 80 cm3 and 150 746 patients had a volume smaller than 80 cm3 in the preoperative transrectal ultrasoundresults the mean operation time for patients with large prostates was 79 min neither tur syndrome nor severe bleeding was observed in patients with large adenomas peak urinary flow increased by 135 136 and 132 after 6 12 and 24 months respectively the overall complication rate was comparable in both groupsconclusion pvp is characterized by excellent perioperative safety and significant improvement of voiding parameters pvp is feasible in patients with large prostates