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Living with Penile agenesis

An extremely rare condition in which a baby is born without a penis, often with other urinary and bowel differences.

Understanding Penile agenesis

Penile agenesis is an extremely rare condition present from birth in which the penis is completely absent.

It may occur with other differences in the urinary and genital system. Examples include kidney differences, an unusual opening of the bowel or bladder, and underdeveloped lungs. Signs are noticed during pregnancy and in newborns.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Absent penis
  • Differences in the genitals (ambiguous genitalia)
  • Absent or misplaced anus
  • Small kidneys or swollen kidneys (hydronephrosis)
  • Low amniotic fluid during pregnancy
  • Underdeveloped lungs

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

    Specialists who may be involved include hormone specialists and urinary and male reproductive system specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
Hormone specialists (endocrinologists); Urinary and male reproductive system specialists (urologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 rare disease patient organizations for support
  • 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 specialists, such as urology and surgery, should be on our care team?
What kidney and bladder tests are needed?
How will decisions about reconstruction and care be made?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn

GARD doesn't describe a cause for this condition yet.

EndocrineUrinary and Reproductive

Also known as: aphallia; aphallus; congenital absence of penis; penis agenesis

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Penile agenesisGARD ID 4272 · 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 Penile agenesis.

Explore the Penile agenesis blog

Explore research for Penile agenesis

Explore actively recruiting Penile agenesis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Penile agenesis 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

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

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