Patient: I found out that my baby’s genitals were different from other babies when he was just born. When my baby was four months old, I took him to Kunming Second Hospital for a checkup and the doctor said it was an upper urethral cleft, where the dorsal stem of the penis splits open up to the root and urine flows out from the top. My child is not yet 9 months old, when is the best time to have the surgery? The father is worried that it is not good for the baby to be under anesthesia. After the surgery, will it be the same as other children? Children’s Hospital Pediatric Urology: The incidence of supraurethral cleft is significantly lower than the incidence of hypospadias, therefore, some pediatric urology specialists may also encounter cases of supraurethral cleft with little or no urethral cleft, at least we have not found it during the consultation and treatment of supraurethral cleft cases. Nevertheless, surgery for supraurethral cleft is not more difficult than for hypospadias, and the key is whether there is an abnormal development of the urethral sphincter and whether the degree of penile upward curvature is severe. If a child has severe penile upward curvature, he or she may need staged surgery to address the problem of penile upward curvature first, but of course, depending on the situation during surgery, we mostly perform penile straightening and urethroplasty at the same time; if a child has hypospadias with If the child has hypospadias with uncontrolled urination (urinary incontinence), the treatment plan may not only be a matter of urethral repair, but may also require urinary control surgery; if the problem is purely epispadias, the surgery will be performed at a later date depending on the child’s penile development, and we can perform the surgery at a minimum of 6 months of age for cases with good penile development. Children with urethral cleft must undergo orthopedic surgery to correct the morphology and function on the one hand, and to avoid any future psychological effects on the child on the other. As for anesthesia, pediatric anesthesiologists are available at children’s specialized hospitals, so anesthesia should be very safe for surgical procedures such as urethral clefting, and generally does not affect children. The purpose of the surgery is to make the child’s penis look like a normal child’s after circumcision, and to be able to urinate normally like a normal child.