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.