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Living with Townes syndrome

A genetic condition, also called Townes-Brocks syndrome, with ear, hand, and anal differences and sometimes kidney or hearing problems.

Understanding Townes syndrome

Townes syndrome (Townes-Brocks syndrome) is a genetic condition that affects several parts of the body.

The most common features are a blocked or missing anal opening (imperforate anus), differently shaped ears, and hand differences that most often affect the thumbs. People often have at least two of these three. Features vary, even in one family. Mild learning problems or intellectual disability have been reported in about 10 percent of people.

Signs & symptoms

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

  • Blocked or missing anal opening (anal atresia)
  • Differently shaped or small ears
  • Hand differences, such as extra or three-boned thumbs
  • Hearing impairment
  • Kidney problems
  • Foot differences, such as flat feet

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, ear, nose, and throat specialists and genetic 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); Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists)
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
Would genetic testing confirm this diagnosis?
Which specialists should check the kidneys, hearing, and heart?
How are anal and bowel differences managed?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant

GARD says changes in genes (variants) cause this condition and that it is autosomal dominant, so one changed copy of a gene can be enough. It doesn't name a specific gene.

GeneticGastrointestinal

Also known as: imperforate anus with hand, foot and ear anomalies; imperforate anus-hand, foot and ear anomalies syndrome; rear syndrome; renal-ear-anal-radial syndrome; sensorineural deafness with imperforate anus and hypoplastic thumbs; sensorineural hearing loss with imperforate anus and hypoplastic thumbs

Patient organizations

Source: NIH GARD · Townes syndromeGARD ID 7784 · 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 Townes syndrome.

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Explore research for Townes syndrome

Explore actively recruiting Townes syndrome studies with HealthSpark.

HealthSpark

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

  • Recruiting studies from ClinicalTrials.gov
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  • 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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