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What is For young pts - Abdominal rectopexy is preferred. For old pts - perineal rectopexy is preferred(delormes, altamaier).
Underlying cause must be treated and explain in detail?
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.