To analyze the efficacy of total pelvic floor reconstruction via laparoscopy for pelvic organ prolapse (POP).

Ninety POP patients with POP admitted to Huai'an First Hospital between January 2019 and January 2022 were enrolled and divided into a control group (44 cases) and an observation group (46 cases) according to surgical methods. Patients in the control group underwent vaginal hysterectomy combined with anterior and posterior vaginal wall repair. Patients in the observation group underwent total pelvic floor reconstruction with titanium-coated polypropylene (TiLOOP) mesh implantation via laparoscopy. Surgical outcomes, pain levels, pelvic floor muscle strength, quality of life, complications, and prognosis were compared between the two groups.

The observation group showed less intraoperative blood loss (24.38±7.14) ml, shorter indwelling catheter time (2.39±0.62) days, and shorter postoperative hospital stay (5.84±1.52) days compared to the control group (46.22±10.76) ml, (3.06±0.72) days, (7.17±1.98) days. The operation time (131.29±28.47) minutes was longer than that of the control group (98.54±21.36) minutes (P<0.05). The observation group had shorter self-perceived pain duration (3.86±0.45) days and lower visual analogue scale (VAS) scores at 12 hours postoperatively (4.29±0.47) points versus the control group (4.17±0.59) days, (4.66±0.79) points (P<0.05). At 6 months postoperatively, the observation group exhibited higher myoelectric potential (14.19±2.13) μV, static tension (156.49±21.83) g/cm², and dynamic tension (231.56±28.44) g/cm² than the control group (12.98±1.95) μV, (144.92±22.64) g/cm², (216.47±27.08) g/cm² (P<0.05). At 12 months postoperatively, the observation group had lower pelvic organ prolapse distress inventory 6 (POPDI-6) (6.83±1.51) points, colorectal-anal distress inventory 8 (CRADI-8) (2.27±0.62) points, and urinary distress inventory 6 (UDI-6) (6.76±1.13) points than the control group (7.65±1.79) points, (2.61±0.83) points, (7.43±1.89) points (P<0.05). No statistically significant differences were found in complication rates or POP recurrence rates between the two groups (P>0.05).

Total pelvic floor reconstruction with TiLOOP mesh via laparoscopy reduces intraoperative bleeding, shortens postoperative recovery time, alleviates pain, enhances pelvic floor muscle strength, improves quality of life, and does not increase complications compared to traditional surgery.