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Anteriorly displaced anus (ADA) is defined as anterior displacement of the anus toward the perineum. Early radiologic characterization is a crucial step in guiding the first-line management. The objective of this study was to assess the urethra-to-anus distance (UAD) on perineal ultrasound in female infants under the age of 3months with anteriorly displaced anus and to retrospectively determine a cut-off to guide the indications for surgery. Perineal ultrasound was performed prospectively in female infants under the age of 3months with