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Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
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[Rectus diastasis in men].

Nadia A Henriksen1, Mette Willaume Christoffersen2, Kristoffer Andresen3

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Ugeskrift for Laeger
|September 30, 2025
PubMed
Summary
This summary is machine-generated.

Rectus diastasis, common in older men with higher BMI and inactivity, may require surgery if ventral hernias are present. Minimally invasive surgery can repair hernias and cover diastasis to prevent recurrence.

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Area of Science:

  • Abdominal Wall Surgery
  • Gastroenterology
  • Geriatric Medicine

Background:

  • Rectus diastasis is prevalent in men over 60 with BMI > 25 kg/m2 and physical inactivity.
  • Patients often exhibit an abdominal bulge during sit-ups, with cosmetic concerns being primary.
  • Other symptoms associated with rectus diastasis are infrequent.

Purpose of the Study:

  • To review the management of rectus diastasis in older men.
  • To discuss the surgical approach for concomitant symptomatic ventral hernias.
  • To evaluate mesh placement for diastasis coverage and recurrence prevention.

Main Methods:

  • Literature review on rectus diastasis and ventral hernia repair.
  • Analysis of treatment strategies including conservative and surgical options.
  • Evaluation of minimally invasive surgical techniques.

Main Results:

  • Conservative treatment involves weight loss and physical training targeting the transversus abdominis muscle.
  • Symptomatic ventral hernias require surgical intervention.
  • Minimally invasive approaches are recommended for combined hernia repair and diastasis management.

Conclusions:

  • Weight loss and targeted physical therapy are first-line treatments for rectus diastasis.
  • Minimally invasive surgery is the preferred approach for symptomatic ventral hernias concurrent with rectus diastasis.
  • Mesh placement during surgery can effectively prevent recurrence of diastasis.