This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
For young pts - Abdominal rectopexy is preferred. For old pts - perineal rectopexy is preferred(delormes, altamaier).
Underlying cause must be treated 
Select and explain. 
A. 1st degree, B. 2nd degree, C. 3rd degree, D. 4thdegree
C: 3rd degree
Answer: C: 3rd degree 
Explanation: 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.