For young pts - Abdominal rectopexy is preferred. For old pts - perineal rectopexy is preferred(delormes, altamaier).
Underlying cause must be treated: (A) 1st degree, (B) 2nd degree, (C) 3rd degree, (D) 4thdegree
Answer is C. 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.