I, too, had/have a small prostate.  Doc also mentioned 'fibrous.'

Had PVP last Nov.  Fantastic!  It's fun to pee.

I don't buy what your Doc is saying.

James

I have a small prostate, ~25 grams, and have had TUNA, TUIP, and PVP in
that order.  None of them worked for me.  Dr. Laub did my PVP and he
told me that my prostate was tough and fibrous from the TUNA procedure.
When he looked at my historical info from the previous procedures, he
remarked that the PVP might not help.  When he looked at my prostate, he
said that he thought the PVP could help.  As it turned out, the PVP did
help a little, but not like the experience of some others on this news
group.  You have to realize that PVP does not produce startlingly
positive results for everyone.  My problem may be something else like a
bladder condition.  There are now at least two uros in Las Vegas who do
the PVP procedure and I may go to one for a consultation and to try to
get a definitive diagnosis before I try surgery again.  My uro is
talking about a Thermatrx procedure and I am not thinking about agreeing
to a Thermatrx procedure.  If I had it to do over, I would have waited
and not done the TUNA or the TUIP.  The TUNA was not particularly
difficult, but it causes your prostate tissue to become tough and
fibrous.  The TUIP is not as bad as a TURP, but is no walk in the park
and is considerably tougher than a PVP.  I reported on mine earlier and
you can check the archives to see what I wrote.  The TUIP left me with
retro and I had to wear a catheter for a week.  My uro said it is a
bloody procedure, but not a difficult one for the surgeon.  You might
ask your uro why the tissue of small prostates would be tough and
fibrous if you have never had a procedure such as a TUNA.  I don't know
and I'm just wondering.  In any case, I would think it over before I
submitted to a TUIP.  Obviously, it's your decision and not mine.  I'm
just a patient and not always a good one.  Good luck with whatever you
decide

Mine was on the small side, only around 35-40.  It took Dr Te almost
twice as long as he estimated and he said it was because it was more
fiberous than he expected. I also had some median lobe involvement.  My
results have been fantistic right from the beginning (Dec 16, 2003). I
think the greenlight laser can do the job, but the surgeon has to have
patience and spend as much time as it requires. Maybe your Doc isn't
willing to spend an hour on a job he thinks should take 20 min.

Al

I had my pvp on June 2nd. After about 6 weeks I started jogging again and am
peeing about every 4 hours. My prostate was under 30 grams but I did have
brachytherapy and that may have caused the procedure to be longer than normal
but still was only about 1 hour.

During surgery 1 of the seeds did come out but it had lost its radiation long
ago so iyt wasn;t an issue. However the prostate tissue was affected by the
radiation and the Doc said that's why it took a little longer than expected.

So each person has a different set of circumstances affecting the surgery but
if your Urologist is good there should be little problems with pvp.