For young pts - Abdominal rectopexy is preferred. For old pts - perineal rectopexy is preferred(delormes, altamaier).
Underlying cause must be treated
Bleeding PR with prolapse which is managed by manual reduction is
3rd degree
1st- bleeding only.
2nd Bleeding PR with prolapse with spontaneous reduction.
3rd Bleeding PR with prolapse which is managed by manualreduction.
4th Bleeding PR with prolapse which is permanent.
1st degree
2nd degree
3rd degree
4thdegree