Vesicovaginal juxtacervical fistula from obstructed labour

This is a case of a primigravid woman in her 20s who had prolonged labour complicated by shoulder dystocia and had emergency low transverse caesarean section. Postoperatively, the patient had continuous urine leakage per vagina and was assessed with a vesico-utero-vaginal (juxtacervical) fistula which was successfully repaired abdominally using modified O'Connor technique, cervical reconstruction and vaginal advancement flap.Vesicovaginal fistula from obstructed labour affects women in low-resource settings. This highlights the importance of addressing and repairing these fistulas to improve quality of life.