• The aim of this study is to compare between laparoscopic combined trans-vesical and extravesical versus laparoscopic extravesical fistula excision in uterovesical fistula repair.

Inclusion Criteria:

Patients diagnosed with uterovesical fistula with history of uterine cesarean section or any urogenital surgery complaining of amenorrhea, cyclic hematuria, with or without urinary incontinence.

Exclusion Criteria:

• • Pregnant females.

  • Patients who refuse to participate in the study.
  • Patients with concomitant pathology that could affect symptoms e.g., polycystic ovary disease, stress incontinence, bladder cancer or overactive bladder.
  • Patients with malignant fistula.

• This is a retrospective study involving the retrieval and analysis of medical records of uterovesical patients who were managed at the Urology and Gynecology departments at Ain Shams University Hospitals.

• Patient's records that were included in the study satisfied the following criteria:

  • The patient was diagnosed with uterovesical fistula.
  • The patient had laparoscopic surgery with either approach at the Urology and Gynecology departments at Ain Shams University Hospitals.
  • The fistulous track was confirmed and had been repaired.