| Degree/Grade | Description | Peristal Use? |
| 1 | The hemorrhoid does not stick out from the anus. There may be annoying itching or pain in the area. Mild distention (enlargement); Some anal bleeding noticed, probably indirect in stool or on toilet paper. | Peristal Compatible |
| 2 | Prolapsed (bulge out) with bowel movement, spontaneously reduce (go back into rectum). | Peristal Compatible |
| 3 | Prolapsed with bowel movement, must be manually reduced (pushed back in). | Peristal Incompatible |
| 4 | Prolapsed, cannot be pushed back in and the hemorrhoid becomes a permanent protrusion. The rectal mucosa (inner lining) also starts to prolapse. | Peristal Incompatible |