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An extremely rare congenital abnormality characterized by the complete absence of the penis. It may be associated with other genitourinary abnormalities.
Features include very common findings: Abnormality of the bladder, Ambiguous genitalia, Hydroureter, and Hydronephrosis and others; and sometimes findings: Cryptorchidism, Urethral atresia, male, Cystic renal dysplasia, and Ventricular septal defect and others.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Kidneys and urinary system | 4 | Cystic renal dysplasia, Bilateral renal agenesis, Unilateral renal hypoplasia |
No approved treatments are currently available for penile agenesis. An additional 1 compound holds orphan drug designation.
While no drugs are FDA-approved specifically for penile agenesis, some of the following designated compounds may be used off-label in clinical practice. Treatment decisions should be made in consultation with a specialist familiar with this condition.
The following drugs have received orphan drug designation from the FDA for penile agenesis. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor |
|---|
Phenotype severity distribution: 18 very common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for penile agenesis.
10 publications have been identified in PubMed for penile agenesis. Research spans Case Report / Case Series (90%) and Review / Meta-Analysis (10%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 9 | 90% |
Research summaries |
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 4:23 AM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Heart and blood vessels | 2 | Ventricular septal defect, Atrial septal defect |
Lungs and breathing | 2 | Pulmonary hypoplasia, Bilateral lung agenesis |
Brain and nerves | 1 | Depressed nasal bridge |
Muscles | 1 | Atrophy of the spinal cord |
Pregnancy and birth | 1 | Fetal pyelectasis |
Designated
Exclusivity End |
|---|
Designation Status |
|---|
Dihydrotestosterone Gel | Dihydrotestosterone Gel | Besins Healthcare Ireland Ltd. | 2020 | — | Designated |
View trials for penile agenesis
1 |
10% |
Marzouki M (2026). [PMID: 41889591](https://pubmed.ncbi.nlm.nih.gov/41889591/). *Urology case reports*. [Case Report / Case Series]
Athawale HR (2026). [PMID: 42064676](https://pubmed.ncbi.nlm.nih.gov/42064676/). *J Indian Assoc Pediatr Surg*. [Case Report / Case Series]
Govender TR (2025). [PMID: 41245493](https://pubmed.ncbi.nlm.nih.gov/41245493/). *European journal of pediatric surgery reports*. [Case Report / Case Series]
Meza-Espinoza JP (2025). [PMID: 40399931](https://pubmed.ncbi.nlm.nih.gov/40399931/). *BMC urology*. [Case Report / Case Series]
Tondu M (2025). [PMID: 39306511](https://pubmed.ncbi.nlm.nih.gov/39306511/). *Annales de chirurgie plastique et esthetique*. [Review / Meta-Analysis]
Dachev D (2025). [PMID: 41316052](https://pubmed.ncbi.nlm.nih.gov/41316052/). *BMC pediatrics*. [Case Report / Case Series]
Macedo A (2025). [PMID: 40517128](https://pubmed.ncbi.nlm.nih.gov/40517128/). *Journal of pediatric urology*. [Case Report / Case Series]
Chen J (2025). [PMID: 39802273](https://pubmed.ncbi.nlm.nih.gov/39802273/). *Plastic and reconstructive surgery. Global open*. [Case Report / Case Series]
Picos-Cárdenas VJ (2024). [PMID: 38974880](https://pubmed.ncbi.nlm.nih.gov/38974880/). *International medical case reports journal*. [Case Report / Case Series]
Al-Smair A (2024). [PMID: 38645947](https://pubmed.ncbi.nlm.nih.gov/38645947/). *Radiology case reports*. [Case Report / Case Series]