【Objective】To explore the effect of prostate volume on outcomes of nerve sparing laparoscopic radical prostatectomy（nsLRP）and investigate its predictive value for postoperative continence recovery.【Methods】A retrospective study was conducted on 178 patients with low risk prostate cancer（PCa）who underwent nsLRP from January 2004 to June 2018. All the patients included had normal preoperative urinary function，a mean age of 66 years（range 46~88），a median PSA level of 6.9 μg/L（range 0.6~10.0）and a mean body mass index of（24±5）kg/m2. The correlation of prostate volume with perioperative data was assessed by using Spearman correlation coefficient. Univariate and multivariate Cox regression analyses were employed to identify prognostic predictors for postoperative continence recovery.【Results】Increased prostate volume was significantly correlated with older age（rs=0.370，P<0.001），higher PSA level（rs=0.168， P=0.025），lower biopsy Gleason score（rs=- 0.165，P=0.027），lower pathological T stage（rs=-0.152，P=0.042）and Gleason score（rs=-0.182，P=0.015），longer operative time（rs=0.239，P=0.001）and greater estimated blood loss（rs= 0.181，P=0.016）. The continence rates in the 3rd，6th，and 12th month after surgery were 64.0%（114/178），88.2%（157/178），and 96.1%（171/178），respectively. Univariate and multivariate Cox analysis showed that patient age（RR= 0.528，95% CI：0.381~0.730）and prostate volume（RR=0.598，95% CI ：0.412~0.869）were independent predictors of continence recovery.【Conclusions】Larger prostate volume was associated with older age，higher PSA level，lower tumor stage and grade，greater intraoperative blood loss and longer operative time in low risk PCa patients. Older age and in⁃ creased prostate volume may independently predict poor continence recovery after nsLRP.