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.