Background
Introduction of laparoscopy in repair of vesicovaginal fistula (VVF) is a good achievement but there are a limited number of studies up till now.

Materials and Methods
Synopsis of video: It demonstrate transvesical repair of vesicovaginal fistula after laparoscopic abdominal hystrectomy for abnormal uterine bleeding after failure of conservation for 6 weeks. Laparoscopy started by 4 ports, adhesolysis, cystostomy, separation of bladder wall from the vagina, excision of the track and repair

Result
Patients discharged after 3 days, cystography was done after 10 days with no evidence of fistula and the catheter is removed

Conclusion
VVF can be repaired safely with laparoscopy provided that meticulous dissection could be achieved; however, this approach needs further evaluation