Regardless I would get the opinion of a URO who does PVP.
Laserscope site has a listing of doctors.

My experience has been that the option of doing PVP or TURP is determined
by which hospital they use.  If the hospital has not purchased the PVP
equipment they recommend and do TURP.

However, most PVP doctors also do TURP.  From what I have heard they may ask
for permission to switch to TURP during a PVP procedure.  A retired doctor I
was talking to said a friend of his (also a retired doctor) went in for a
PVP.  He was very upset when he woke up and discovered the the laser had
broke down during the procedure.  Instead of simply quitting and
rescheduling they had finished off with TURP.

Yep - my stream is now like a fire hose, full blast. :-)

It's funny, I went in to my Uro's office ready to request a PVP (was pretty sure
I'd need surgery, even before my first visit). He's not only a very well-respected
Dr. here, but also a friend of our family. I guess I looked a little disappointed
when he recommended a TURP instead and explained why. He told me, with a smile,
"Hey, I get paid more for a PVP, if you really want it, but I think you'll be more
satisfied in the long run with a TURP." As early as my prostate became enlarged,
and as fast as it grew, I really didn't want another surgery in the near future.
But, I'm NOT a Dr., so get several professional opinions if you're unsure.

Not entirely sure. Although my stream had slowed over the past 2-3 years, I
thought it was just inevitable "old-age". My problem came on pretty suddenly, with
a feeling of pelvic "congestion" and pain, then complete blockage within a few
days. I went to an urgent care facility and the doc there put me on cipro and told
me to get to a uro asap. The cipro had no effect over the next week.

Fortunately, the uro was a family friend and got me an appointment within a few
days. After a bladder scan, when he verified that I was actually retaining a liter
of urine, (the catheter insertion hurt like hell), he wanted to get me some relief
quickly. I tried Flomax for a few days with no effect while I catheterized myself
morning and evening. Getting the catheter past the prostate was extremely painful,
and took a loooong time. A second visit to the uro gave the same result - he
drained 1100 ml of urine after a second bladder scan. At that point, after going
in with a cystoscope to take a look, he told me my prostate was "huge", and my
options were catheterizing myself several times a day for an indefinite amount of
time while we played with other drugs, or have the surgery. He had considerable
trouble getting the scope past the prostate (the pain rivaled a kidney stone). My
bladder already had early signs of damage from being stretched. Believe me, by
that time, I wanted to be done with the catheters, so he was able to do the
surgery within a few days. As far as I know, my prostate was never actually
measured, except for the 30 grams of tissue removed during the TURP.