<prompt> For young pts - Abdominal rectopexy is preferred. For old pts - perineal rectopexy is preferreddelormes, altamaier.Underlying cause must be treated1st degree2nd degree3rd degree4thdegree  <response>: Bleeding PR with prolapse which is managed by manual reduction is3rd degree1st- 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. 