Rectus diastasis in men

Rectus diastasis is frequently seen in men above 60 years with BMI > 25 kg/m2 and physical inactivity. Men with rectus diastasis often present with a bulge during sit-ups, but besides cosmetic complaints, other symptoms are rare. First choice of treatment is weight loss and physical training with focus on activating m. transversus abdominis. If there is a symptomatic ventral hernia concomitant with the diastasis, the best surgical approach is probably minimally invasive, where the hernia defect is closed, and a mesh is placed to cover the diastasis to prevent recurrences, as argued in this review.

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Publication Details

Journal
Ugeskrift for Læger
Published
2025-09-08
DOI
https://doi.org/10.61409/v04250320
Primary Topic
Urologic and reproductive health conditions
Type
article
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article

Rectus diastasis in men

Frederik Helgstrand, Allan Dorfelt, Jacob Rosenberg, Nellie Bering Zinther et al.
Ugeskrift for Læger
Urologic and reproductive health conditions
article

Rectus diastasis in men

Frederik Helgstrand, Allan Dorfelt, Jacob Rosenberg, Nellie Bering Zinther, Mette Willaume Christoffersen, Nadia A. Henriksen, Marianne Krogsgaard, Thorbjørn Sommer, Marina K. Christensen, Kristoffer Andresen, Nina Wenzel
article en

Abstract

Rectus diastasis is frequently seen in men above 60 years with BMI > 25 kg/m2 and physical inactivity. Men with rectus diastasis often present with a bulge during sit-ups, but besides cosmetic complaints, other symptoms are rare. First choice of treatment is weight loss and physical training with focus on activating m. transversus abdominis. If there is a symptomatic ventral hernia concomitant with the diastasis, the best surgical approach is probably minimally invasive, where the hernia defect is closed, and a mesh is placed to cover the diastasis to prevent recurrences, as argued in this review.

Ugeskrift for LægerVol. 187(37)
Herlev Hospital (DK), Bispebjerg Hospital (DK), Regionshospitalet Viborg (DK), Regionshospital Nordjylland (DK), Regional Hospital Horsens (DK), Kantonsspital Münsterlingen (CH), Svendborg Sygehus (DK)
Openalex Percentile: Top 63%
Urologic and reproductive health conditions
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Rectus diastasis in men — Frederik Helgstrand, Allan Dorfelt, et al. · Ugeskrift for Læger (2025) | TGRS Research Map | TGRS