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Living with Sirenomelia

A birth defect in which a baby is born with one lower limb or with two legs fused together.

Understanding Sirenomelia

Sirenomelia is a birth defect in which a baby is born with a single lower limb or with two legs that are fused together.

Features vary a lot. They may include spine and bone differences, and missing or underdeveloped sex organs, rectum, kidneys or bladder. A closed rectal opening and other bowel differences may occur. GARD says surgery has been successful in separating joined legs. It is noticed during pregnancy or at birth.

Signs & symptoms

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

  • Fused legs or a single lower limb
  • Missing or defective spine bones
  • Closed anus (anal atresia)
  • Small or missing kidneys
  • Genitals that are unclear in shape
  • Spina bifida

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 bone and joint specialists, digestive system specialists, genetic 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
Bone and joint specialists (orthopedists or orthopedic surgeons); Digestive system specialists (gastroenterologists); Genetic specialists (geneticists); 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 Pull-thru Network
  • 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 organs need to be checked in my child?
What surgeries are possible, and when?
Which specialists should be on our care team?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn

GARD says the exact cause is unknown. It is believed to come from irregularities in the early development of the embryo's blood circulation.

GeneticGastrointestinalUrinary and Reproductive

Also known as: fused legs and feet; mermaid malformation; mermaid syndrome; sirenomelia sequence; sirenomelus; symmelia

Patient organizations

Source: NIH GARD · SirenomeliaGARD ID 7652 · 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 Sirenomelia.

Explore the Sirenomelia blog

Explore research for Sirenomelia

Explore actively recruiting Sirenomelia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Sirenomelia 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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