Skip to content
knowrare
HealthSignal
Your condition community

Living with Imperforate anus

A birth defect in which the opening of the anus is missing or blocked.

Understanding Imperforate anus

Imperforate anus is a birth defect in which the opening to the anus, where stool leaves the body, is missing or blocked.

The anus may end in a pouch, be too narrow, or open into part of the urinary or reproductive system. Many forms occur with other birth defects, and it can be part of a syndrome with multiple birth defects.

Signs & symptoms

Symptoms vary from person to person. GARD lists these:

  • No first stool within 24 to 48 hours after birth
  • No anal opening
  • Anal opening in an unusual place
  • Stool coming out of the vagina, penis base, scrotum, or urethra
  • Swollen belly

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Fetal Health Foundation may keep lists of experts for this condition.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
Expert care
Expert lists: Fetal Health Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Fetal Health Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which type of imperforate anus does my child have?
Are there other birth defects we should check for?
Does this look like part of a syndrome?

Quick facts

The exact cause isn't fully understood. It is believed to be due to abnormal development of the rectum as the embryo forms in the womb.

Also known as: absent anus; anal atresia; anorectal stenosis; anus, imperforate; anus, imperforate, x-linked; aproctia

Patient organizations

Source: NIH GARD · Imperforate anusGARD ID 6769 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Imperforate anus.

Explore the Imperforate anus blog

Explore research for Imperforate anus

Explore actively recruiting Imperforate anus studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Imperforate anus with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

Powered by HealthSpark, our AI chat helper

I can help you find recruiting Imperforate anus studies. Enter a ZIP code, address or city below and I'll look within 50 miles.

Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

Get Signals for Imperforate anus

Stay in the loop with community stories and updates from medical researchers.

HealthStoryfor Imperforate anus

Create a living journal that talks back

HealthStory evolves private journaling with a living AI journal that talks back and asks thoughtful questions, helping you capture your Imperforate anus experiences more deeply and prepare for better conversations with your doctors and care team.

Start your journal

Your journal is private. Sharing your story publicly is a separate choice, made with Share your story above.