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Living with Renal agenesis

A condition present from birth in which one or both kidneys, and the tubes that drain them, did not develop.

Understanding Renal agenesis

Renal agenesis is a rare kidney malformation in which one or both kidneys never develop, along with their ureters.

When only one kidney is missing, it is called unilateral renal agenesis. When both are missing, it is called bilateral. GARD lists onset during pregnancy or as a newborn.

Signs & symptoms

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

  • One or both kidneys missing
  • Missing ureter (the tube from the kidney to the bladder)

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 genetic specialists and kidney specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
Genetic specialists (geneticists); Kidney specialists (nephrologists)
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 National Kidney Foundation and other patient organizations
  • 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
Is one or are both kidneys missing in my case?
How often should kidney function be checked?
Should other family members have a kidney ultrasound?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant, Autosomal Recessive

GARD says gene changes cause this condition. It lists both autosomal dominant and autosomal recessive inheritance. It doesn't name a gene here.

GeneticKidney

Also known as: absent kidney; absent/small kidney; absent/underdeveloped kidney; congenital absence of the kidney; hereditary renal aplasia; hereditary urogenital adysplasia

Patient organizations

Source: NIH GARD · Renal agenesisGARD ID 9228 · 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 Renal agenesis.

Explore the Renal agenesis blog

Explore research for Renal agenesis

Explore actively recruiting Renal agenesis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Renal 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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